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Why They Buy
Fighting Obesity Through Consumer
Marketing Research
www.hudson.org
Hank Cardello
Senior Fellow & Director,
Food Policy Center
June 14, 2018
Introduction
Obesity Remains a Widespread Problem
Adult obesity rates now exceed 35% in 5 states, 30% in 25 states
Source: CDC Behavioral Risk Factor Surveillance System, 2016
Traditional Approaches Have Focused Primarily on
Marketing Restrictions, Consumer Education and
Regulations that Address the Population at Large
Yet, these initiatives have known limitations…
• Take a “one-size-fits-all” approach
• Unintended consequences of regulations
• Often do not address the key need: shifting long term behavior
Enter Consumer Segmentation
What is segmentation?
Identifies sub-groups to more effectively understand,
message to and motivate consumers
Consumers are all the same Consumers have unique needs
• Looking for lowest price
• Want maximum fuel efficiency
Example (Automobiles):
• Safety
• Fuel efficiency
• Luxury
• Image conscious
• Performance
• Styling and design
Approach & Methodology
The Approach:Examine differences among consumers based on BMI Category
Barriers to
ChangeBehaviors
Mindsets &
Attitudes
How they think &
attitudes toward
food
Seated beliefs &
demographic
constraints
Lifestyle &
purchase patterns
Policy & Program Insights
The Segmentation Solution
A four-segment solution was selected
▪ Compare Healthy Weight cohort vs. those having Obesity
▪ Examine 2 Overweight segments to assess transition dynamics
• Overweight 1 (OW1) – somewhat overweight
• Overweight 2 (OW2) – mostly overweight
Healthy Weight Overweight 1 Overweight 2 Obesity
BMI Classification 18.5 - 24.9 25.0 - 27.0 27.1 - 29.9 ≥ 30.0
% Sample Total 34.4% 12.2% 14.5% 22.6%
Source: NIH; CDC
Research Parameters
▪ Survey performed by Natural Marketing Institute • Have conducted 50,000+ surveys
• 2000 person sample
• Mutually exclusive segments determined by BMI classification
• Statistical significance at 95% confidence level
▪ Focus on indulgent products• Soft drinks/beverages
• Packaged pastries & sweet baked goods
• Salty snacks & chips
• Chocolate & candy
• Cookies
• Packaged ice cream
Summary of Insights
Obesity Segment Attitudes Are Not Aligned
with Healthier Eating
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
Know I should eat
healthier but don't82.2 82.4 110.8* 123.5*
It’s difficult to follow a
healthier eating plan 78.4 68.6 106.7* 136.1*
It’s not convenient to
follow a Healthy lifestyle 79.0 92.3 94.9 128.0*
Consuming Healthy,
nutritious foods is
important106.4* 105.6* 93.5 89.1
Mindsets &
Attitudes
41% 42%
56%
62%
30%
50%
70%
Healthy OW 1 OW 2 Obesity
Q. I know I should eat healthier but don’t1
*significant finding versus Healthy weight individuals
* significant finding versus Obesity segment 1 Agree completely/somewhat
Taste & Value Trump Health for the Obesity Cohort
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
I often give up taste for
health benefits102.7** 85.7 87.9 84.2
Healthy food just doesn't
taste good86.6 84.6 92.8 135.1*
I will often give up value-
priced or cheaper
products for products
with health benefits
107.8* 93.0 92.2 87.4
Mindsets &
Attitudes
37%
31% 32%
30%30%
35%
40%
Healthy OW 1 OW 2 Obesity
Q. I often give up taste for health benefits1
*significant finding versus Healthy weight individuals
* significant finding versus overweight and Obesity segments 1 Agree completely/somewhat
Q. When selecting the foods and beverages that your household consumes, which THREE attributes are most important
*significant finding versus Healthy weight individuals
* significant finding versus Obesity segment
Only 1/3 in Obesity Cohort Rate
Health & Nutrition as a Top 3 AttributeMindsets &
Attitudes
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
Taste 94.4 100.3 104.6 112.8*
Value for the money 95.6 96.7 107.2 120.2*
Health & nutrition 112.1* 110.4 95.7 80.4
Competitive price 77.9 119.1* 123.0* 120.4*
Convenient preparation 87.9 93.7 93.8 124.3*
44% 43%
38%
32%30%
40%
50%
Healthy OW 1 OW 2 Obesity
% Indicating Health/Nutrition as a Top 3 Attribute
Obesity Segment Displays a Different Mindset
to Making ChoicesMindsets &
Attitudes
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
I have cravings for
unHealthy foods and
usually just give up83.4 96.5 105.1 126.4*
Choose foods based
on whether they make
me feel good emotionally91.4 89.4 89.1 105.3
I tend to choose
somewhat impulsively88.3 82.8 98.2 109.9*
I live for today/don’t
worry about tomorrow84.6 85.0 100.4 113.1*
41%47% 51%
62%
30%
50%
70%
Healthy OW 1 OW 2 Obesity
Q. I have cravings for unhealthy foods and give up1
*significant finding versus Healthy weight individuals1 Agree completely/somewhat
Healthy Weight Individuals Are More Likely to
Read and Act on Package LabelsBehaviors &
Decisions
INDEX vs. General Pop Healthy Weight Overweight 1 Overweight 2 Obesity
Read labels on
packages103.7* 104.7* 89.6 94.7
Select foods based on
nutrition facts panel on
back104.7* 101.6 94.5 89.0
Select foods based on
nutrition on front 106.2* 100.2 83.3 86.2
Select foods based on
ingredient list106.8* 100.4 91.5 87.8
* significant finding versus overweight 2 and Obesity segments
Q. Products you have purchased in the past month
*significant finding versus Healthy weight individuals
Obesity Cohort Purchases Significantly More Packaged Snacks,
Sweet Baked Goods and Soda, But Not CandyBehaviors &
Decisions
Purchase INDEX Healthy Weight Overweight 1 Overweight 2 Obesity
Diet soda 84.4 92.5 93.7 123.6*
Regular soda 92.3 92.1 102.6 119.3*
Packaged pastries/
Baked goods94.0 109.0 105.7 115.2*
Cookies 95.4 99.6 98.1 110.4*
Potato & other chips/
pretzels95.6 104.2* 104.4* 110.3*
Packaged ice cream 96.8 104.5 105.6 110.2*
Non-chocolate candy 102.3 112.7 79.4 109.2
Chocolate candy 99.3 104.1 104.8 101.0
*significant finding versus Obesity segment
Healthy Weight Segment Driving Sweetener Concerns Behaviors &
Decisions
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
I avoid ALL sweeteners 103.2* 99.2 80.4 74.7
I search for all natural
non-calorie sweeteners
rather than artificial
sweeteners
105.4* 94.9 93.0 84.6
I avoid products
containing high fructose
corn syrup106.6* 99.2 97.8 89.3
I search for food and
beverages with “no
added sugar”102.2* 102.6 94.7 90.0
Obesity Cohort Does Not Like to Exercise
or Believe in Its ValueBehaviors &
Decisions
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
I do not exercise or work out 83.9 88.8 118.3* 134.7*
I hate to exercise 76.4 85.6 104.6* 137.1*
Exercise is important
for health108.7* 104.0* 89.7 84.7
15%17%
23%
25%
10%
20%
30%
Healthy OW 1 OW 2 Obesity
Q Response: I do not exercise1
*significant finding versus Healthy weight individuals
* significant finding versus overweight 2 and Obesity segment 1 Agree completely/somewhat
The Expense of Healthy Foods Is a Barrier to
the Most Overweight and Obesity Segments Barriers &
Opportunities
40% 40%
46%
53%
35%
45%
55%
Healthy OW 1 OW 2 Obesity
Q: I don’t eat Healthy food more often because it’s too expensive1
1 Agree completely/somewhat
Barriers Are Echoed by Demographics
Indicating Weight Status Is Linked to IncomeBarriers &
Opportunities
Healthy Weight Overweight 1 Overweight 2 Obesity
Income
<$50k 102.2 90.5 114.3 115.6*
$50k – $99k 86.1 114.3 106.4 92.9
$100k+ 105.0 112.2 77.7 91.8
Use Food
Stamps/ SNAP74.7 96.0 85.5 103.1*
College Grad 107.9* 93.8 102.0 83.2
Age: 18-29 125.2* 77.0 57.1 68.2
*significant finding versus Healthy weight individuals
* significant finding versus Obesity segment
Portion Sizing and Convenience Offer Potential
Bridges Toward Healthier Eating Barriers &
Opportunities
62%
55%52%
57%
30%
50%
70%
Healthy OW 1 OW 2 Obesity
Majority of consumer groups stated they are seeking healthier on-the-go options1
51% 50%53%
60%
30%
50%
70%
Healthy OW 1 OW 2 Obesity
Q. I am unlikely to give up soda or snacks, but I would like to consume them in smaller portions1
1 Agree completely/somewhat
Restaurants Emerged as a Significant
Opportunity to Reduce Calorie Consumption Barriers &
Opportunities
At restaurants… Healthy Weight Overweight 1 Overweight 2 Obesity
I like to indulge and
eat what I want95.9 94.0 100.3 108.0*
I often splurge and
eat foods that are not
so Healthy93.8 99.9 97.8 106.6*
It is hard to find
healthier foods that
taste good92.8 85.5 88.7 111.6*
63%55%
36%
0%
20%
40%
60%
80%
I look for healthy items I would prefer smallerportions
I check the calorie content
Restaurant Eating Behavior (all respondents)1
*significant finding verse Healthy weight individuals1 Agree completely/somewhat
Segment Recaps
▪ The mindsets, attitudes and purchase habits of the Obesity cohort are
dramatically different than Healthy Weight individuals
▪ Mostly Overweight (OW2) segment leans toward Obesity cohort’s
attitudes and behaviors
▪ Moderately Overweight (OW1) segment illustrates several attitudes
and habits comparable to Healthy Weight individuals, suggesting
more receptiveness to change
Healthy Weight Overweight 1 Overweight 2 Obesity
H&W StarsGet it;
Need GuidanceTipping Point
Challenge to Change
What are the implications?
▪ Traditional health messaging to the Obesity segment (as well as the mostly
overweight segment) is not an effective strategy given that their expressed
attitudes, behaviors and MINDSETS are inconsistent with healthier eating and
lifestyles.
▪ Calories must be removed from indulgent products (especially soft drinks,
salty snacks & sweet baked goods) and restaurant menus as they contribute to
overconsumption by the Obesity cohort.
▪ A more effective way to help the Obesity/mostly overweight segments is via
Stealth, i.e., offer, display and sell products that are quietly lower in calories/ better-
for-you while tasting great and delivering an affordable price.
▪ Somewhat overweight individuals “get it” about health and nutrition but need
more assistance. Targeted health messaging combined with “stealth” efforts will
help this cohort.
Stealth the Roadmap to Helping the Highest Risk Populations
Healthy Weight Overweight 1 Overweight 2 Obesity
H&W StarsGet it;
Need GuidanceTipping Point
Challenge to Change
STEALTH
Calls to Action
Calls to Action - Industry
Packaged Snacks/Sweet Baked Goods and Restaurant
Sectors Need to Make Commitments to Lower Calories
Sector Key Commitment Verification
Healthy Weight Commitment
Foundation (16 CPG cos.) Removed 6.4 trillion calories √
Robert Wood Johnson
Foundation; UNC
Confections½ of items sold ≤ 200 calories by
2021
Partnership for a Healthier
America; Hudson Institute
Convenience StoresMultiple chains – increase # of
healthier products sold; Drink Up!
Partnership for a Healthier
America
Soft Drinks Reduce calories by 20% by 2025Alliance for a Healthier
Generation
RestaurantsKids LiveWell – 42,000 locations
with 2 BFY items for kidsNone
Snacks/Sweet Baked Goods
Calls to Action – Public HealthRegulators and the Public Health Community Need to Reassess
Standard Approaches for Effectiveness by BMI Segment
Example
ProgramChallenge Required Learnings
LabelingHigh BMI segments do not read and
select foods based on nutrition labels
as much as Healthy weight group
Determine most compelling messages
and ways to communicate them by BMI
segment
“Junk Food”
Taxes
High BMI segment mostly against
taxes; Taste a big purchase driver
making switching to high calorie/tasty
products likely
Assess trade-off purchases and net
impact on calorie consumption & obesity
rates for each BMI cohort
SNAPDebate surrounding which products
should be part of SNAP offering
Examine SNAP recipient consumption of
debated products by BMI cohort to
determine extent of overall product
usage and when using SNAP benefits
Calls To Action – ResearchNeed Deeper BMI Segmentation Research into Overweight/Obesity
Cohorts to Uncover Notable Opportunities to Shift Outcomes
▪ Deep Dives by BMI segment:
• Product Usage
➢ Full array of CPG products – total impact
➢ For QSR menu items
• Communications/messaging
➢ Attitudes & Mindsets
oLabeling
oPublic Health education messaging
• Policy Input
Why They Buy
Fighting Obesity Through Consumer Marketing
Research
www.hudson.org
Panel Discussion• Bill Dietz
• Tracey Massey
• Hank Cardello
Appendix
Segment Recaps
▪ The mindsets, attitudes and purchase habits of the Obesity cohort
are dramatically different than Healthy Weight individuals
• Know they should but do not following healthier eating lifestyles
• Health & wellness is not a priority; won’t compromise on taste
• More short term; likely to give into impulses and indulgent (over)eating
• Overconsume indulgent products (except chocolate/candy)
• Nominal concerns regarding sugar
• Not reading labels as much or selecting products based on nutritional
information
• Hate to exercise and do not see its value
• Price of healthy items an issue
Segment Recaps
▪ Mostly Overweight (OW2) segment leans toward attitudes and
behaviors of Obesity cohort
• Know they should but do not follow a healthier eating plan
• Health & wellness less of a priority; won’t compromise on taste
• Overconsume salty snacks
• Not reading labels as much or selecting products based on nutritional
information
• Hate to exercise and do not see its value
• Price of healthy items somewhat of an issue
Segment Recaps
▪ Moderately Overweight (OW1) segment demonstrates several
attitudes and habits comparable to Healthy Weight individuals,
suggesting more opportunities for change
• Agree health & wellness is important, but competitive price a factor
• Don’t overconsume indulgent products (except salty snacks)
• Reading labels and, directionally, selecting products based on nutritional
information
• Get importance of exercise
• Mindsets closer to Healthy Weight segment
Q. Products you have purchased in the past month
*significant finding versus Obesity segment
Obesity Cohort Purchases Fewer On-trend
Healthier AlternativesBehaviors &
Decisions
Purchase INDEX Healthy Weight Overweight 1 Overweight 2 Obesity
Protein bars 109.7* 108.0 76.2 84.1
Yogurt 104.6* 100.5 90.7 92.7
Aquafina 111.0 96.6 70.0 83.8
Dasani 117.2 102.4 103.3 98.6
Highest BMI Cohorts Are Less Likely to Rely on the
Internet, Social Media and Expert Sources for InformationBarriers &
Opportunities
INDEX vs. General Pop. Healthy Weight Overweight 1 Overweight 2 Obesity
Internet/Websites 104.8* 96.2 88.9 93.7
Third Party certification
seals (i.e., USDA
Organic Seal, NON-
GMO Project)
104.1* 96.6 93.7 87.7
Corporate/Brand
websites105.6* 100.0 85.7 79.1
Social media (Twitter,
Facebook, Pinterest..) 103.7* 89.2 84.7 85.7
Blogs 104.5* 86.7 73.5 80.3
* significant finding versus OW2 and Obesity segments
Q. How much influence does each of the following have on your purchase/usage of healthy and natural products
(Top 2 box: a lot/a little)
Overweight and Obesity Cohorts Are Less
Favorable to Taxing SodasBarriers &
Opportunities
37%
46%
50% 49%
30%
40%
50%
60%
Healthy OW 1 OW 2 Obesity
Q: Response NO to: Is taxing soda is a good thing to do to cut the health risks caused by excess sugar consumption?1
*significant finding verse “normal” weight individuals1 Agree completely/somewhat
Consumers Are NOT Counting Calories
Regardless of BMIBehaviors &
Decisions
75% 74%80%
76%
60%
70%
80%
90%
Healthy OW 1 OW 2 Obesity
Response: I do NOT track calories consumed1
1 Agree completely/somewhat