Kathryn Backholer
Biographic Data
| ID | 1737587 |
|---|---|
| NAME | Kathryn Backholer |
| GIVEN NAMES | Kathryn |
| FAMILY NAME | Backholer |
| SIGNATURE | BACKHOLER K |
| AFFILIATIONS | Deakin University |
| ORCID | 0000-0002-3323-575X |
| VERIFIED | Yes |
| TOTAL WORKS | 77 |
| TOTAL CITATIONS | 21 |
| AUTHOR COUNT | 77 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Automated Detection of Digital Alcohol Marketing Using SCANNER
Alcohol Purchase Modality
Positive mental health outcomes experienced by signing deaf adults in Australia
Objective This study sought to identify factors that participants associated with the development and maintenance of positive mental health across the life course. Method One-on-one semi-structured interviews were held with 16 Australian signing deaf adults who reported experiencing poor mental health during their lives. Interviews were transcribed from Auslan (Australian Sign Language) to written English and inductively coded using thematic anal…
Through deaf eyes
Deaf people are at higher suicide risk, yet little is known about the factors that contribute to this elevated risk, particularly in Australia. This research explored factors which deaf Australian adults perceived to influence their suicidal behavior. A parallel multi-methods sequential design study using a strengths-based deaf-centric approach was conducted. This incorporated qualitative interviews with deaf sign language users who reported adve…
How food regulations help or hinder the implementation of policies to promote healthy population diets
Objective: Governments are seeking to regulate food environments to promote health by restricting sales and marketing of processed foods high in fat, sugar and sodium. We aimed to evaluate whether the legal instruments in member states of the Western Pacific Region (WPR) mandate the declaration of nutrient composition for nutrients of concern in relation to Codex Alimentarius and non-communicable disease (NCD) prevention. Design: We undertook con…
Online marketing for alcohol home delivery and alcohol purchasing behaviour
These findings show current marketing strategies encourage drinkers to purchase more alcohol. Strengthened policy initiatives are needed to help reduce alcohol-related harms due to marketing practices
‘Everyone’s a bit buzzed, why not share that’
Social media platforms are increasingly saturated with alcohol-related user-generated content (UGC), which can shape young people’s attitudes and behaviours towards drinking. While all young people are potentially influenced by this content, certain groups, such as Aboriginal young people; lesbian, gay, bisexual, transgender, queer, or other sexual and gender minorities (LGBTQ+) young people; and those living in regional areas, experience disprop…
Alcohol Promotion via User‐Generated Content on Instagram and TikTok
Factors influencing parents’ food-purchasing decisions in the Pacific
Health promotion efforts and public health policies should recognize the multi-dimensional nature of the factors influencing Tongan parents' food-purchasing decisions. Given the prevalence of diet-related non-communicable diseases in Tonga, the social, cultural, commercial and environmental factors driving unhealthy food-purchasing and population diets in Tonga should be a priority for governments and health promotion practitioners
At home, I never felt included, I always felt on the outside”
The study highlights deaf Australians' perceived negative impacts from proximal and distal communication-related stressors during childhood on mental health outcomes. Addressing communication barriers in childhood through the implementation of interventions and support strategies may help to avoid adverse mental health outcomes for deaf adults
Understanding food choices and promoting healthier food options among online food delivery service users in Australia
Individual and social circumstances, together with online marketing techniques, drive consumers' food purchasing decisions on OFDS. Actions are needed to enhance the accessibility, availability and desirability (through increased visibility and price promotions) of healthy food options on OFDS to promote healthy food choices
Equalising power imbalances or a trail of broken promises? A qualitative study on engaging people with diverse lived experience of marginalisation in food policymaking in Australia
We provide a list of practical recommendations to guide more inclusive, equitable and fit-for-purpose food policymaking into the future. These recommendations seek to challenge dominant systems of discrimination by demonstrating how we can tangibly shift to ways of working that value and elevate the power of people who are often excluded from many decision-making systems, specifically when it comes to food and nutrition
Exploring the commercial determinants of health in the online food delivery sector
Exploring the commercial determinants of health in the online food delivery sector: a case study of Uber Eats in Australia
When food delivery meets Big Tech
Online food delivery platforms are omnipresent in the food environment, influencing dietary behaviours through their appeal, convenience, availability, and marketing tactics. Increasingly major online food delivery platforms are entering formal partnerships with Big Tech companies, raising concerns about the growing corporate influence on food choices and public health. These strategic partnerships are likely to lead to market consolidation, incr…
The association between early life access to communication and perceived mental health in a cross-sectional study of deaf Australian adults
Background Deaf people experience worse mental health compared to their hearing counterparts. We aimed to test the association between early life access to communication and perceived mental health among deaf adults in Australia.Methods An online cross-sectional study was conducted with deaf Australians who reported becoming deaf before the age of 5. Logistic regression models were fitted to assess the relationships between types of early life ac…
Consumers acceptability of using screen capture methods to capture marketing strategies on online food delivery platforms
Objective: The use of online food delivery (OFD) platforms is on the rise, and currently, there are no public health policies that regulate what and how food is sold on these platforms. Research quantifying and describing the marketing strategies on OFD platforms is limited. Our study aimed to test the consumers’ acceptability of using two screen capture methods to record their food purchasing behaviour on OFD platforms and describe consumers’ ex…
Food environments in the Pacific region and efforts to improve them
Objective: To understand the characteristics of food environments in the Pacific region, and the broader economic, policy and sociocultural surroundings that influence food choices and interventions to improve food environments for Pacific communities. Design: Systematic searches were conducted for articles related to food environments or factors influencing food choices from 1993 to 2024 in five academic databases, Google, Google Scholar and rel…
Industry responses to unhealthy food retail promotion restrictions
Objective: Governments are increasingly implementing policies to improve population diets, despite food industry resistance to regulation that may reduce their profits from sales of unhealthy foods. However, retail food environments remain an important target for policy action. This study analysed publicly available responses of industry actors to two public consultations on regulatory options for restricting unhealthy food price and placement pr…
Digital marketing by big bubble tea brands in China in 2023
Objective: Bubble tea is known to have adverse health impacts due to its high sugar content. However, the influence of digital marketing on its consumption, especially among young people, remains unclear. This study aimed to describe the digital marketing strategies of Chinese bubble tea brands. Design: A content analysis of all marketing posts made by the top three Chinese bubble tea brands (by market share) – XIXUE, HEYTEA and NAYUKI – on Bilib…
Contemporary digital marketing techniques used in unhealthy food campaigns targeting young people
The digital marketing of unhealthy foods and non-alcoholic beverages has a detrimental impact on children's eating behaviours, leading to adverse diet-related health outcomes. To inform the development of evidence-based strategies to protect children online, this study aimed to describe contemporary digital marketing techniques and industry reported impacts from unhealthy food and beverage marketing campaigns aimed at young people aged 3-17. We c…
Stance classification
Hansard, or the official verbatim transcripts of parliamentary debates, contains rich information for analysing discourse and political activities on a wide range of policy issues. A fundamental task in political text analysis is to predict whether a speaker takes on a positive or negative view about a debate topic. Unlike social media data, which has received extensive attention for political text mining, stance analysis on Hansard data remains …
Marketing strategies used in retail food environments in Azerbaijan, Kazakhstan, and North Macedonia
Online food retail environments are in various stages of development and growth across Europe and Central Asia. • Unhealthy foods frequently promoted through online marketing strategies. • Food retailers expressed some willingness and capacity to modify food retail marketing strategies. Food retail environments are an important influence over dietary behaviours. Food retail marketing strategies that promote less healthy foods endanger the rights …
Making Big Business Everybody’s Business
BACKGROUND: The commercial determinants of health is a rapidly expanding field of research; however Indigenous perspectives remain notably underrepresented. For Indigenous peoples the intersection of globalisation, colonialism and capitalism may amplify commercially-driven health inequities. This study aimed to explore the perspectives of Aboriginal leaders regarding the influence of commercial activities on Aboriginal health and wellbeing in Vic…
Estimating the potential impact of a health tax on the demand for unhealthy food and beverages and on tax revenue in India
Foods high in fat, sugar or salt are important contributors to the rising burden of non-communicable diseases globally and in India. Health taxes (HTs) have been used by over 70 countries as an effective tool for reducing consumption of sugar sweetened beverages (SSBs). However, the potential impacts of HTs on consumption and on revenues have not been estimated in India. This paper aims to estimate the potential impact of health taxes on the dema…
Violations of Vietnamese laws related to the online marketing of breastmilk substitutes
Breastfeeding rates in Vietnam, and globally, remain suboptimal. A major contributor to this is the aggressive marketing of commercial milk formulas (CMF), mainly through online media. The Vietnamese Government has implemented legal measures to limit CMF marketing, but these have been difficult to enforce, because of complex online environments. We aimed to quantify the extent and nature of online violations and contradictions in various Vietname…
The effect of sugar-sweetened beverage price increases and educational messages on beverage purchasing behavior among adults
The effect of sugar-sweetened beverage front-of-pack labels on drink selection, health knowledge and awareness
Predicting the risk of physical disability in old age using modifiable mid-life risk factors
BACKGROUND: We aimed to investigate the relationship between potentially modifiable risk factors in middle age and disability after 13 years using the Framingham Offspring Study (FOS). We further aimed to develop a disability risk algorithm to estimate the risk of future disability for those aged 45-65 years. METHODS: FOS is a longitudinal study. We used examination 5 (1991-1995; 'baseline') and examination 8 (2005-2008; 'follow-up'). We included…
A Framework for Evaluating the Impact of Obesity Prevention Strategies on Socioeconomic Inequalities in Weight
We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as standalone social marketing, increase socioeconomic inequalities. Structural interventions, such as food procurement policies and restri…
Price Promotions by Food Category and Product Healthiness in an Australian Supermarket Chain, 2017–2018
Objectives. To examine the prevalence and magnitude of price promotions in a major Australian supermarket and how they differ between core (healthy) and discretionary (less healthy) food categories. Methods. Weekly online price data (regular retail price, discount price, and promotion type) on 1579 foods were collected for 1 year (April 2017 to April 2018) from the largest Australian supermarket chain. Products audited were classified according t…
Sugar-sweetened beverage price elasticities in a hypothetical convenience store
Setting Population Targets for Measuring Successful Obesity Prevention
In 2008, The Council of Australian Governments set a target to increase by 5% the proportion of Australian adults at a healthy body weight by 2017, over a 2009 baseline. Target setting is a critical component of public health policy for obesity prevention; however, there is currently no context within which to choose such targets. We analyzed the changes in current weight gain that would be required to meet Australian targets. By using transition…
Food policies for Aboriginal and Torres Strait Islander health (FoodPath)
First Nations peoples have the right to participate in all decisions affecting them. This includes food policy decision-making. In the Australian state of Victoria, the Food Policies for Aboriginal and Torres Strait Islander Health (FoodPATH) project aimed to determine the food policy actions that are likely to be effective and acceptable for Victorian Aboriginal Communities. Community-based workshops were held with six Aboriginal Community-Contr…
Do purchases of price promoted and generic branded foods and beverages vary according to food category and income level? Evidence from a consumer research panel
Setting Population Targets for Measuring Successful Obesity Prevention
In 2008, The Council of Australian Governments set a target to increase by 5% the proportion of Australian adults at a healthy body weight by 2017, over a 2009 baseline. Target setting is a critical component of public health policy for obesity prevention; however, there is currently no context within which to choose such targets. We analyzed the changes in current weight gain that would be required to meet Australian targets. By using transition…
Participant characteristics associated with greater reductions in waist circumference during a four-month, pedometer-based, workplace health program
While employees with 'high-risk' WC at baseline experienced the greatest improvements in WC, the other variables associated with greater WC improvement were generally indicators of better baseline health. These results indicate that employees who started with better health, potentially due to lifestyle or recent behavioural changes, were more likely to respond positively to the program. Future health program initiators should think innovatively t…
The mediating role of dietary factors and leisure time physical activity on socioeconomic inequalities in body mass index among Australian adults
Diet and LTPA are potentially modifiable behavioural risk factors for the development of obesity that contribute substantially to inequalities in BMI. Our findings highlight the importance of specific behaviours which may be useful to the implementation of effective, targeted public policy to reduce socioeconomic inequalities in obesity
A Framework for Evaluating the Impact of Obesity Prevention Strategies on Socioeconomic Inequalities in Weight
We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as standalone social marketing, increase socioeconomic inequalities. Structural interventions, such as food procurement policies and restri…
Predicting the risk of physical disability in old age using modifiable mid-life risk factors
BACKGROUND: We aimed to investigate the relationship between potentially modifiable risk factors in middle age and disability after 13 years using the Framingham Offspring Study (FOS). We further aimed to develop a disability risk algorithm to estimate the risk of future disability for those aged 45-65 years. METHODS: FOS is a longitudinal study. We used examination 5 (1991-1995; 'baseline') and examination 8 (2005-2008; 'follow-up'). We included…
Digital marketing of unhealthy foods to Australian children and adolescents
The emergence of new media-including branded websites, social media and mobile applications-has created additional touch points for unhealthy food and beverage companies to target children and adolescents. The aim of this study was to perform an audit of new media for three top selling food and beverage brands in Australia. The top selling brand in three of the most advertised food and beverage categories was identified. Facebook, websites and mo…
Have we reached a tipping point for sugar-sweetened beverage taxes
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The impact of a tax on sugar-sweetened beverages according to socio-economic position
Objective A tax on sugar-sweetened beverages (SSB) has been proposed to address population weight gain but the effect across socio-economic position (SEP) is unclear. The current study aimed to clarify the differential impact(s) of SSB taxes on beverage purchases and consumption, weight outcomes and the amount paid in SSB taxes according to SEP. Design Databases (OVID and EMBASE) and grey literature were systematically searched in June 2015 to id…
The association between socio-economic position and diet quality in Australian adults
Objective We aimed to investigate the association between multiple measures of socio-economic position (SEP) and diet quality, using a diet quality index representing current national dietary guidelines, in the Australian adult population. Design Cross-sectional study. Linear regression analyses were used to estimate the association between indicators of SEP (educational attainment, level of income and area-level disadvantage) and diet quality (m…
The impact of menu energy labelling across socioeconomic groups
Socioeconomic Position and Premature Mortality in the AusDiab Cohort of Australian Adults
Objectives. To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors. Methods. We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999–2000 until November 30, 2012. Results. Age- and gender-adjust…
Sugar-sweetened beverage taxation
Introduction of excise tax of 1 . 5 cents/oz on SSB
Sugar-sweetened beverage tax
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Sex differences in the relationship between socioeconomic status and cardiovascular disease
The effect of a change to healthy vending in a major Australian health service on sales of healthy and unhealthy food and beverages
Sugar-sweetened beverage taxes in 2018
The year 2018 was undoubtedly momentous for sugarsweetened beverage (SSB) tax implementation, with the enactment of SSB taxes in nine additional jurisdictions around the world. The year was also marked by new evidence supporting the effectiveness of SSB taxes to reduce the purchase and consumption of SSB. On the other hand, industry opposition reached new heights and further global commitment to tax SSB in 2018 was minimal. But the public health …
The effect of sugar-sweetened beverage price increases and educational messages on beverage purchasing behavior among adults
The effect of sugar-sweetened beverage front-of-pack labels on drink selection, health knowledge and awareness
The relative price of healthy and less healthy foods available in Australian school canteens
School canteens have an important role in modelling a healthy food environment. Price is a strong predictor of food and beverage choice. This study compared the relative price of healthy and less healthy lunch and snack items sold within Australian school canteens. A convenience sample of online canteen menus from five Australian states were selected (100 primary and 100 secondary schools). State-specific canteen guidelines were used to classify …
Price Promotions by Food Category and Product Healthiness in an Australian Supermarket Chain, 2017–2018
Objectives. To examine the prevalence and magnitude of price promotions in a major Australian supermarket and how they differ between core (healthy) and discretionary (less healthy) food categories. Methods. Weekly online price data (regular retail price, discount price, and promotion type) on 1579 foods were collected for 1 year (April 2017 to April 2018) from the largest Australian supermarket chain. Products audited were classified according t…
Sugar-sweetened beverage price elasticities in a hypothetical convenience store
Ultra‐processed foods and the nutrition transition
Understanding the drivers and dynamics of global ultra‐processed food (UPF) consumption is essential, given the evidence linking these foods with adverse health outcomes. In this synthesis review, we take two steps. First, we quantify per capita volumes and trends in UPF sales, and ingredients (sweeteners, fats, sodium and cosmetic additives) supplied by these foods, in countries classified by income and region. Second, we review the literature o…
Effects of food policy actions on Indigenous Peoples’ nutrition-related outcomes
The Healthiness of Food and Beverages on Price Promotion at Promotional Displays
Supermarket environments can strongly influence purchasing decisions. Price promotions are recognised as a particularly persuasive tactic, but the healthiness of price promotions in prominent in-store locations is understudied. This study compared the prevalence and magnitude of price promotions on healthy and unhealthy food and beverages (foods) displayed at prominent in-store locations within Australian supermarkets, including analyses by super…
Do purchases of price promoted and generic branded foods and beverages vary according to food category and income level? Evidence from a consumer research panel
Medicine (41 works) · Business (36 works) · Obesity, Physical Activity, Diet (31 works) · Environmental health (28 works) · Marketing (22 works) · Consumer Attitudes and Food Labeling (21 works) · Global Public Health Policies and Epidemiology (21 works) · Political science (18 works) · Advertising (17 works) · Population (16 works)