Unhealthy food marketing must be tackled, coalition says

As childhood obesity rates continue to climb across Barbados, public health advocates and government nutrition officials are urging policymakers to place strict limits on the marketing of unhealthy processed foods and sugary beverages to children, identifying this industry practice as one of the most underaddressed drivers of the national public health crisis.

During a recent IN FOCUS virtual discussion exploring how food marketing shapes youth eating habits, Francine Charles, program manager for the Barbados Childhood Obesity Prevention Coalition, argued that consumer choices are never truly independent. With her professional background spanning communications, media and advertising, Charles pushed back against the common narrative that obesity is purely a result of poor individual decision-making.

“I always laugh when people talk about making a choice. You’re not making a choice,” Charles explained. She noted that food and beverage brands deploy highly sophisticated, data-driven advertising strategies designed to manufacture artificial demand for their products, programming consumers to develop cravings for items high in salt, sugar and fat. Many of these products are also intentionally engineered to have specific textures and flavor profiles that trigger repeated overconsumption, a cycle that directly contributes to unhealthy weight gain and obesity over time.

Charles emphasized that young children are uniquely susceptible to these marketing tactics, as most kids under 10 lack the critical thinking skills needed to distinguish between unbiased information, opinion, and persuasive advertising content. To address this gap, the coalition recently organized a youth summit attended by roughly 52 secondary school students, designed to teach them how brands target them with manipulative marketing. Many participants left the event shocked at how effectively they had been influenced without realizing it, Charles reported. Early exposure to this advertising also builds lifelong brand loyalty, cementing unhealthy eating habits that persist into adulthood.

Beyond restrictive marketing, public health workers also highlight the disproportionate cost of healthy eating as a major systemic barrier that must be addressed by policymakers, civil society groups, and the private sector. Sheena Edwards, social media manager and communications officer for the Healthy Caribbean Coalition, shared research showing that while covering basic calorie needs for children only takes up roughly 20% of a family’s food budget, meeting nutritional guidelines with healthy foods can consume as much as 90% of a household’s food spending.

To push for systemic change, Edwards announced that civil society organizations across the country will launch an ambitious advocacy campaign starting in September, demanding policy and market changes that make nutrient-dense healthy foods far more accessible and affordable for all families. Edwards added that constant aggressive marketing of unhealthy products remains pervasive across every space children occupy: her team conducts daily monitoring of advertising in schools, on digital platforms and across social media, and finds round-the-clock promotion of sugary drinks, salty snacks, and sugary processed treats. Reduced levels of daily physical activity among children, she added, acts as a compounding factor that exacerbates the risk of obesity.

Brian Payne, Deputy Nutrition Officer at the Ministry of Health’s National Nutrition Centre, echoed these concerns, framing unregulated food marketing to children as a core public health issue rather than a purely commercial matter. He explained that taste preferences are established in early childhood, so repeated exposure to high-sugar, high-salt, ultra-processed and fast foods creates lifelong preferences for these unhealthy items that are hard to reverse. “When we expose our children to [these foods], they develop that taste preference from very early and oftentimes they are hooked on these foods for life,” Payne said.

In response to growing evidence of systemic drivers of obesity, Payne confirmed that the Ministry of Health is shifting its public health strategy away from an overemphasis on individual responsibility, and instead prioritizes reforms that change the broader food environment that shapes consumer choices. Marketing is a central pillar of that environment, he noted, and lasting progress against childhood obesity will not be possible without meaningful change to how unhealthy products are promoted to young people. “Unless the food environment changes… it’s going to be very difficult,” Payne concluded.