23
1 The Impact of Mandatory Menu Labeling On One Fast Food Chain in King County, Washington Eric A. Finkelstein, PhD 1 , Kiersten L. Strombotne, BA 1 , Nadine L. Chan, PhD, MPH 2 , James Krieger, MD 3 Word count (text only): 2,769 Pages: 24 Tables: 4 Corresponding Author: Eric Finkelstein Duke-NUS Graduate Medical School Health Services & Systems Research 8 College Road, Level 4 Singapore, 169857 This research was funded by an internal grant from Duke-NUS Graduate Medical School. No financial disclosures were reported by the authors of this paper. 1 Duke-NUS Graduate Medical School, Health Services & Systems Research 2 Public Health - Seattle and King County, Assessment, Policy Development, and Evaluation 3 Public Health - Seattle and King County, Prevention

The Impact of Mandatory Menu Labeling On One Fast Food Chain in

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

1

The Impact of Mandatory Menu Labeling On One Fast Food Chain in King County, Washington

Eric A. Finkelstein, PhD1, Kiersten L. Strombotne, BA

1,

Nadine L. Chan, PhD, MPH2, James Krieger, MD

3

Word count (text only): 2,769

Pages: 24

Tables: 4

Corresponding Author:

Eric Finkelstein

Duke-NUS Graduate Medical School

Health Services & Systems Research

8 College Road, Level 4

Singapore, 169857

This research was funded by an internal grant from Duke-NUS Graduate Medical School. No

financial disclosures were reported by the authors of this paper.

1 Duke-NUS Graduate Medical School, Health Services & Systems Research

2 Public Health - Seattle and King County, Assessment, Policy Development, and Evaluation

3 Public Health - Seattle and King County, Prevention

2

Abstract

Background: As part of a comprehensive effort to stem the rise in obesity prevalence, King

County, Washington enforced a mandatory menu labeling regulation requiring all restaurant

chains with 15 or more locations to disclose calorie information at the point of purchase

beginning in January 2009.

Purpose: The purpose of this study is to quantify the impact of the King County regulation on

transactions and purchasing behavior at one Mexican fast food chain with locations within and

adjacent to King County.

Methods: To examine the effect of the King County regulation, a difference-in-difference

approach was used to compare total transactions and average calories per transaction between 7

King County restaurants and 7 control locations focusing on two time periods: one period

immediately following the law until the posting of drive through menu boards (January 2009 to

July 2009), and a second period following the drive-through postings (August 2009 through

January 2010). Analyses were conducted in 2010.

Results: No statistically significant impact of the regulation on purchasing behavior was found.

Trends in transactions and calories per transaction did not vary between control and intervention

locations after the law was enacted.

Conclusions: These results do not provide evidence that mandatory menu labeling positively

influenced food purchasing behavior at a single chain of restaurants.

3

I. Introduction 1

The growing prevalence of obesity over the past several decades is now well documented.1 Also 2

documented are increases in caloric intake, especially for obesity promoting energy dense foods.2 3

One reason for this increase is a trend toward consumption of food-away-from-home (FAFH). 4

Since 1972, the proportion of total food expenditures spent on FAFH increased from 34% to 5

roughly 50%.3 FAFH meals are generally higher in calories, salt, and fats than home cooked 6

meals 4 - 6

and there is evidence that increased consumption of restaurant foods, and primarily 7

fast foods, is partly responsible for rising obesity. 4, 7-10

8

9

As part of more comprehensive efforts to stem the rise in obesity prevalence, several state and 10

local governments, including New York City, San Francisco, King County Washington and 11

others have enacted or proposed mandatory menu labeling. Adoption of these regulations was in 12

part justified by evidence from experimental studies that demonstrated the provision of nutrition 13

information positively influenced choice of menu items. 11, 12

Because these laws are relatively 14

new, to date only three published studies have attempted to quantify the effect of menu labeling 15

in restaurants. The first was a 2007 study by the NYC Department of Health and Mental Hygiene 16

that examined food purchases at Subway restaurants, a chain which voluntarily posted calorie 17

information prior to enactment of the city‟s menu labeling law.13

The study found that customers 18

who looked at nutritional information prior to ordering purchased meals with fewer overall 19

calories. Although this suggests that mandatory postings may be effective, because Subway is 20

known to offer entrees seen as healthier, and many consumers may choose to eat there for this 21

reason, the extent to which results from Subway would generalize to other chains is unknown. 22

Elbel et al. studied the effect of the NYC menu-labeling law at 14 fast food restaurants in low-23

4

income, minority neighborhoods in NYC.14

They found no statistically significant effects of the 24

legislation on caloric intake. 25

26

A recent pilot study quantified the impact of voluntary menu labeling in Pierce County, 27

Washington. The study showed that the average calories purchased in 6 full-service restaurants 28

fell by about 15 calories per entrée.15

However, this study is based on only one month of data 29

post-labeling so it is unclear whether these results would be sustained. Moreover, the analyses 30

looked solely at entrees. If a customer orders a healthier entrée, it is possible that he compensates 31

with a caloric beverage or dessert. As a result, net calories could increase even if entrée calories 32

decline. In order to test the net effect of the legislation on calories purchased, all foods and 33

drinks should be included in the analysis. Based on the studies to date, it remains uncertain 34

whether or not mandatory menu labeling will lead to significant reductions in caloric intake from 35

restaurants. 36

37

This study complements prior studies by providing evidence of the impact of mandatory menu 38

labeling in King County, Washington on one fast food chain of Mexican restaurants. King 39

County includes Seattle and several outlying cities. King County‟s menu labeling law went into 40

effect on August 1, 2008, and became mandatory (fines imposed) on January 1, 2009. The 41

legislation states that restaurants that are part of chains with 15 or more outlets nationwide and 42

have annual gross sales of at least $1 million must provide nutrition labels (calories, saturated 43

fat, carbohydrates and sodium) for all standard food and beverage items at the point-of-purchase. 44

Quick-service restaurants are required to display calories on menu boards or on signs adjacent to 45

menu boards, and must make information on carbohydrate, sodium, saturated fat, and daily 46

5

recommended caloric intake readily available in pamphlets, brochures or posters. Additionally, 47

restaurants were required to post calories on drive-through menu boards beginning in August 1, 48

2009. This latter requirement is significant given that drive-through orders represent over 70% of 49

revenue for many fast food outlets.16

50

51

The King County regulation thus provides a unique opportunity to evaluate the effect of in-store 52

and drive-through menu posting on consumer behavior. Pre-post data from one regional Mexican 53

fast food chain, Taco Time Northwest, with locations within and beyond King County, were 54

used to test the impact of mandatory menu labeling on transactions and calories purchased from 55

these locations. We hypothesize that as a result of the legislation: 56

Total transactions at locations within King County will decrease after the legislation 57

goes into effect compared with locations outside King County. This hypothesis is 58

based on the assumption that some consumers of high calorie entrees, upon disclosure 59

of the calorie information, will opt to dine at other establishments. 60

Average calories per transaction will also decrease relative to non-King County 61

locations as some consumers switch to lower calorie food and drink options in efforts 62

to reduce their caloric intake. 63

The effects of the policy will be greater after August 1, 2009 when calorie 64

information appears on drive-through menu boards. 65

These results may provide useful information for the development of the federal menu-labeling 66

law, details of which are still being considered. 67

68

II. Data and Methods 69

6

This analysis is based on sales data from Taco Time Northwest restaurants. Of the chain 70

restaurants we contacted, Taco Time was the only quick-service chain that agreed to provide 71

transaction data. Taco Time Northwest is a Mexican fast food restaurant chain with over 70 72

locations across the state of Washington. The menu includes a variety of Tex-Mex options like 73

burritos, tacos, salads and fries. Menu items span a wide range of calories. For example a beef 74

Roma burrito is 843 calories while a regular chicken taco salad is 196 calories. Notably, Taco 75

Time highlights several low-calorie entrée options on their “healthy highlights” menu. 17

76

77

The store-level data includes total monthly transactions and monthly sales for every menu item 78

between January 2008 and January 2010, 13 months after the law was enacted and the menu 79

boards were updated to include the nutritional information. Fourteen stores were included in the 80

analysis. These include all 7 stores located in counties adjacent to King County and whose data 81

were available in the company database for the entire analysis period and a randomly selected 82

subset of 21 King County stores that also had complete sales and transactions data over the study 83

period. Monthly sales for each menu item were converted to monthly calories sold based on 84

calorie data for each menu item available from the company‟s website and, for a few 85

discontinued or non-standard items, directly from company management. The resulting dataset 86

provides over 80% power to detect differences of 25 calories or more per monthly transaction as 87

a result of the legislation. 88

89

To examine the effect of the menu-labeling law on calories per transaction, a difference-in-90

difference regression was estimated focusing on two time periods: one period immediately 91

following the law until the posting of drive through menu boards (Post-period 1: January 2009 to 92

7

July 2009), and a second period following the drive-through postings (Post-period 2: August 93

2009 through January 2010). The baseline period included monthly values for January 2008 94

through December 2008. The difference-in-difference regression allows for comparing the 95

changes in 1) transactions and 2) calories per transaction between the pre- and each post period 96

within King County, and to assess whether or not these changes are larger than changes in 97

locations outside King County, where menu labeling was never implemented. Specifically, the 98

regressions were estimated in the following form: 99

100

yst = β0 + β1KC + β2 POST1 + β3(KC*POST1) + β4POST2 + β5(KC*POST2)t + εst 101

102

where yst is the dependent variable for each store s in month t (either transactions or calories per 103

transaction), KC is a dummy variable equal to one if store s is located in King County, POST1 is 104

a dummy variable for period 1 (equal to 1 when month t falls between January 2009 through July 105

2009), POST2 is a dummy variable for period 2 (equal to 1 when month t falls between August 106

2009 through January 2010). The interaction terms, KC*POST1 and KC*POST2 test the key 107

hypotheses, that pre-post changes in average monthly transactions and average monthly calories 108

per transaction are different in KC locations than in surrounding locations as a result of the menu 109

labeling legislation and drive through postings. Negative coefficients on these variables are 110

consistent with the primary hypotheses of smaller growth (or larger reductions) in these 111

outcomes. Seasonal dummy variables were included to control for temporal effects. 112

Regressions were estimated for total calories per transactions, and separately for food and drink 113

calories. Regressions that include monthly dummy variables and that break the POST1 and 114

8

POST2 time periods into smaller increments to test for temporary effects of the calorie postings 115

were also explored. Results (available upon request) were robust to all specifications modeled. 116

117

Additional analyses were run to test whether those who frequented KC locations may have been 118

making healthier purchases before the law took effect. Lower calorie food options were 119

identified as the „healthy highlights‟ listed on the company‟s menu and website. On average, 120

these entrees were 42% lower in calories than other entrees. “Healthy Highlights” entrees 121

showed a mean number of calories of 281, compared to a mean of 480 in all taco, burrito and 122

salad entrees. The lower calorie drink options included diet sodas, water, iced tea and other low-123

calorie drink options. 124

125

All analyses were conducted using Stata, version 11. Standard errors for all regression analyses 126

were adjusted for repeated observations within restaurants over time. 127

128

III. Results 129

Table 1 compares the results from the pre- and post-periods and shows no statistically significant 130

trend in monthly transactions for either King County or non-King County locations. The table 131

reveals that the number of monthly transactions per store is, on average, greater in KC than in 132

non-KC locations both before and after the legislation went into effect. Table 1 also presents 133

results for 1) average monthly calories per transaction, 2) average monthly food calories per 134

transaction, and 3) average monthly drink calories per transaction. Average calories per 135

transaction are roughly 180 calories greater in the non-King County, compared with the King 136

County locations, both before and after the menu labeling law went into effect. This difference is 137

9

largely driven by lower average food calories per transaction (roughly 160 calories lower) but 138

also by lower drink calories per transaction (roughly 20 calories higher) in King County 139

locations. King County locations show slight increases in overall calories and in calories from 140

food and slight decreases in drink calories between the pre- and each post period, with no change 141

in total calories. Non-King County restaurants show slight decreases in average drink calories 142

per transaction only. Although these differences are statistically significant, they are extremely 143

small. 144

145

Tests of the key hypotheses are summarized by the difference-in-difference estimates in Table 2. 146

These estimates are not statistically different from zero, suggesting the hypothesis that the 147

legislation did not reduce calories per transaction (either before or after calorie information was 148

posted on the drive-through menu boards) could not be rejected. 149

150

Table 3 compares the sales mix across King County and non-King County locations. These 151

results reveal no statistically significant differences in the mix of sales across major categories of 152

foods/drinks. However, table 4 shows that King County consumers were making healthier 153

purchases prior to enactment of the law. The percentage of transactions that involved „healthy 154

entrees‟ were 11.7% in King County versus 9.4% in the non-King County locations. Moreover, 155

whereas 45.4% of transactions involved a low calorie drink in King County, this figure was 156

39.4% for restaurants outside King County. These differences, which were statistically 157

significant, explain why average calories per transaction were greater in stores outside King 158

County and may explain the lack of effect of the legislation; King County patrons were already 159

consuming healthier options. 160

10

161

IV. Discussion 162

The results for this chain of Mexican fast food outlets show no statistically significant impact of 163

mandatory menu labeling on monthly transactions and calories sold per transaction as 164

implemented in King County, Washington. Neither total monthly transactions nor calories per 165

transaction were immediately impacted by the legislation or impacted later when calorie 166

information was added to the drive-through menu boards. 167

168

Given the pending federal legislation, it is important to consider possible explanations of the lack 169

of effectiveness of the King County legislation at this chain. One possible explanation is that 170

customers were already aware of the calorie content of the menu items. This is possible for Taco 171

Time and for most other fast food outlets as this information is almost universally available on 172

the company websites. If consumers are already aware of the calorie content of fast food menu 173

items, then posting this information on the menu boards is likely to have little added value. 174

175

Although this explanation is plausible, numerous studies have shown that consumers tend to be 176

poor judges of the caloric content of restaurant foods, and infrequently access web-based 177

nutrition information.18, 19

Therefore, having the information on the menu boards is likely to 178

convey new information to consumers. However, it is possible that consumers do not understand 179

or internalize the information on the menu board and/or the link between a poor diet, obesity, and 180

adverse health outcomes. If consumers are unable to understand or internalize the menu postings, 181

then mandatory menu labeling without an accompanying public health or education campaign is 182

unlikely to be successful. This should be an area for future research. 183

11

184

It is also possible that, even when confronted with all relevant health and nutrition information at 185

the point of purchase, taste, price convenience and variety remain more salient factors in the 186

purchasing decision for many consumers than do the potentially adverse health effects of 187

consuming a particular menu option. Understanding the extent to which select subgroups of 188

consumers are willing to trade off taste, price, convenience, and variety for improved health 189

content should also be an area for future research. 190

191

It is worth noting that even before the King County law went into effect, on average, customers 192

of the King County locations were eating healthier than customers outside King County. Seattle 193

is known to be a health conscious city so this result is not surprising. However, it raises the 194

question of how customers identified the healthier entrees. It is possible that the more health 195

conscious consumers went to the website for this information, but more likely is that they relied 196

on information available at the point of purchase. This information included the „healthy 197

highlights‟ logo displayed on the menu board and also the identification of drinks as ‟diet‟ or 198

„sugar-free‟. All are strong cues for which are the lower calorie menu options and suggest that 199

these types of logos may be as effective or perhaps even more effective than detailed nutrition 200

information in encouraging healthier food purchases. This too should be an area for future 201

research. 202

203

This analysis has several limitations. The primary limitation is that it is limited to one fast food 204

chain with 13 months of data post legislation. And although the results are generally consistent 205

with the lack of calorie reduction seen from previous studies, future studies should replicate 206

12

these results for other establishments and over longer time periods before strong conclusions can 207

be made concerning the overall impact of mandatory menu labeling. Ideally, these studies will 208

include several of the largest national fast food chains. An additional limitation of this analysis is 209

that because it was at the store level, it was not possible to identify whether certain subgroups 210

(e.g., more health conscious, parents ordering for children, or those with chronic illnesses who 211

are more motivated to choose healthier options) differentially benefited from the legislation. 212

Future studies allowing for subgroup analyses would be beneficial. 213

214

As noted above, there were differences in average calories per transaction between King County 215

and non-King County stores prior to enactment of the legislation. As a result, it is possible that 216

the non-King County stores were not appropriate controls. However, the lack of any statistically 217

significant reduction in transactions, and statistically significant increases, as opposed to 218

decreases, in calories per transaction in King County stores, suggests that contamination is 219

unlikely to be masking a real positive effect of the legislation. Finally, this analysis focused 220

solely on demand responses to menu-labeling legislation. Future studies should examine the 221

extent to which mandatory menu-labeling encourages supply-side changes and their subsequent 222

impact on fast food purchases. Supply side effects may involve changes in-store promotions, 223

product mix or reformulation of existing products. 224

225

Conclusions 226

These results do not provide evidence that mandatory menu labeling, as implemented in King 227

County, Washington positively influenced food purchasing behavior at one type of fast food 228

chain. In lieu of the pending federal legislation, future qualitative and quantitative studies should 229

13

be undertaken to identify the circumstances under which mandatory menu labeling is likely to be 230

most effective. 231

232

14

Acknowledgements 233

The authors greatly appreciate the data and assistance provided by the management at Taco Time 234

Northwest. 235

236

15

References 237

238

1. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US 239

adults, 1999-2008. JAMA. 2010;303(3):235-41. 240

2. Finkelstein EA, Strombotne K. The economics of obesity. Am J Clin Nutr. 2010;91(5):1520S-4. 241

3. Rydell SA, Harnack LJ, Oakes JM, Story M, Jeffery RW, French SA. Why eat at fast-food 242

restaurants: reported reasons among frequent consumers. J Am Diet Assoc. 2008;108(12):2066-243

70. 244

4. Lin B, Frazao E, Guthrie J. Away-from-home foods increasingly important to quality of 245

American diet. Washington DC: U.S. Department of Agriculture, 1999 (Agric Info Bull 749):1-246

22 247

5. Young LR, Nestle M. The contribution of expanding portion sizes to the US obesity epidemic. 248

Am J Public Health. 2002 February 1, 2002;92(2):246-9. 249

6. Young LR, Nestle M. Expanding portion sizes in the US marketplace: implications for nutrition 250

counseling. J Am Diet Assoc. 2003;103(2):231–234 251

7. French S, Harnack L, Jeffery R. Fast food restaurant use among women in the Pound of 252

Prevention study: dietary, behavioral and demographic correlates. Int J Obes Relat Metab 253

Disord. 2000;24(10):1353 - 9. 254

8. Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. Fast food 255

consumption and breakfast skipping: predictors of weight gain from adolescence to adulthood in 256

a nationally representative sample. J Adolesc Health. 2006;39(6):842-9. 257

9. Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs JDR, et al. Fast-food 258

habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. 259

Lancet. 2005;365(9453):36-42. 260

10. Thompson O, Ballew C, Resnicow K, Must A, Bandini L, Cyr H, et al. Food purchased away 261

from home as a predictor of change in BMI z-score among girls. Int J Obes Relat Metab Disord. 262

2004;28(2):282 - 9. 263

11. Ippolito, PM, Pappalardo, JK. Advertising, nutrition, and health: evidence from food advertising 264

1977-1997. Bureau of Economics Staff Report, Federal Trade Commission. 2002. 265

12. Variyam, JN, Cawley, J. Nutrition labels and obesity. NBER working paper no. 11956. 2006. 266

16

13. Bassett M, Dumanovsky T, Huang C, Silver L, Young C, Nonas C, et al. Purchasing behavior 267

and calorie information at fast-food chains in New York City, 2007. Am J Public Health. 268

2008;98(8):1457-9. 269

14. Elbel B, Kersh R, Brescoll V, Dixon L. Calorie labeling and food choices: a first look at the 270

effects on low-income people in New York City. Health Aff. 2009;28(6):w1110-21. 271

15. Pulos E, Leng K. Evaluation of a voluntary menu-labeling program in full-service restaurants. 272

Am J Public Health. 2010:100(6):1035-9. 273

16. Hughlett M. Drive-thoughts done right ring up returns. Chicago Tribune [Internet]. 2008 Nov 28 274

[cited 2010 July 13]; Available from: http://articles.chicagotribune.com/2008-11-275

28/news/0811270365_1_drive-through-restaurant-technologies-competitive-advantage 276

17. Taco Time full nutritional guide. 2010 [updated 2010 July; cited 2010 Aug 24]. Available from: 277

http://www.tacotimenw.com/tacotimemenu.aspx 278

18. Burton S, Creyer EH, Kees J, Huggins K. Attacking the obesity epidemic: the potential health 279

benefits of providing nutrition information in restaurants. Am J Public Health. 2006;96(9):1669-280

75. 281

19. Krukowski RA, Harvey-Berino J, Kolodinsky J, Marsana RT, Desisto TP. Consumers may not 282

use or understand calorie labeling in restaurants. J Am Diet Assoc. 2006;106(6):917-20. 283

284

17

List of Figure Titles 285

Table 1. Unadjusted mean differences in transaction data (per store, per month) 286

Table 2. Difference-in-difference regression results and standard errors 287

Table 3. Differences in overall purchasing behaviors in the pre-period 288

Table 4. Differences in healthy purchasing behaviors prior to the menu-labeling law 289

18

Table 1. Unadjusted mean differences in transaction data (per store, per month)

Pre-period Post-period 1 Post-period 2

Difference

between post-

period 1 and

pre-period

Difference

between post-

period 2 and

pre-period

King County

Average monthly transactions 11,592.3 11,766.5 11,001.3 174.2 -590.9

Average calories per transaction 1,211.3 1,217.0 1,214.3 5.7* 2.9*

Avg food calories per trans 1,127.6 1,136.0 1,134.8 8.4* 7.2*

Avg drink calories per trans 83.8 81.0 79.5 -2.7* -4.3*

Non-King County

Average monthly transactions 10,193.6 10,258.4 9,823.2 64.7 -370.5

Average calories per transaction 1,391.4 1,392.3 1,375.8 0.9 -15.6

Avg food calories per trans 1,289.0 1,293.5 1,279.3 4.5 -9.7

Avg drink calories per trans 102.4 98.8 96.5 -3.6* -5.9*

* Implies difference is statistically significant (p< 0.05).

19

Table 2. Difference-in-difference regression results and standard errors

Difference-in-

difference Post-

period 1

Difference-in-

difference Post-

period 2

Average calories per transaction 4.8 18.5

(7.86) (15.11)

Avg food calories per trans 3.9 16.9

(7.11) (13.55)

Avg drink calories per trans 0.9 1.7

(1.19) (1.64) a There were no statistically significant differences in results.

b Seasonal dummy variables (winter, spring, summer) were included as covariates.

20

Table 3. Differences in overall purchasing behaviors in the pre-period

Pre-Period

KC Non-KC Difference

Entrees sold (% of all items sold) 47.0% 47.3% -0.4%

Drinks sold (% of all items sold) 28.0% 27.2% 1.0%

Desserts sold (% of all items sold) 1.0% 1.0% -0.1%

Sides sold (% of all items sold) 21.4% 21.6% -0.3%

Kidmeals sold (% of all items sold) 2.6% 2.8% -0.2%

100.0% 100.0% a There were no statistically significant differences in results.

21

Table 4. Differences in healthy purchasing behaviors prior to the menu-labeling law

Pre-Period

KC Non-KC Difference

Healthy Entrees (% of all entrees) 11.7% 9.4% 2.3%*

Diet Drinks (% of all drinks)

45.4%

39.4%

6.0%*

* Implies difference is statistically significant (p< 0.05).

22

Appendix for Reviewers

. reg trans kc period2 period3 kcpost1 kcpost2 winter spring summer, cluster(id)

Linear regression Number of obs = 350

F( 8, 13) = 148.54

Prob > F = 0.0000

R-squared = 0.1354

Root MSE = 2342.3

(Std. Err. adjusted for 14 clusters in id)

------------------------------------------------------------------------------

| Robust

trans | Coef. Std. Err. t P>|t| [95% Conf. Interval]

-------------+----------------------------------------------------------------

kc | 1398.619 1240.14 1.13 0.280 -1280.541 4077.779

period2 | -177.8657 210.1731 -0.85 0.413 -631.917 276.1857

period3 | 176.1496 186.4996 0.94 0.362 -226.7584 579.0575

kcpost1 | 109.4702 281.7799 0.39 0.704 -499.2781 718.2186

kcpost2 | -220.4476 236.8633 -0.93 0.369 -732.1596 291.2644

winter | -409.5024 79.58915 -5.15 0.000 -581.4443 -237.5605

spring | 861.802 102.5654 8.40 0.000 640.2228 1083.381

summer | 1078.981 130.3144 8.28 0.000 797.4534 1360.508

_cons | 9810.823 625.715 15.68 0.000 8459.048 11162.6

------------------------------------------------------------------------------

. reg calpertrans kc period2 period3 kcpost1 kcpost2 winter spring summer, cluster(id)

Linear regression Number of obs = 350

F( 8, 13) = 39.07

Prob > F = 0.0000

R-squared = 0.5161

Root MSE = 86.683

(Std. Err. adjusted for 14 clusters in id)

------------------------------------------------------------------------------

| Robust

calpertrans | Coef. Std. Err. t P>|t| [95% Conf. Interval]

-------------+----------------------------------------------------------------

kc | -180.0403 45.12396 -3.99 0.002 -277.5247 -82.55595

period2 | -7.298437 5.825349 -1.25 0.232 -19.88334 5.286464

period3 | -3.372899 14.72485 -0.23 0.822 -35.18401 28.43821

kcpost1 | 4.784758 7.868881 0.61 0.554 -12.21493 21.78444

kcpost2 | 18.53234 15.11442 1.23 0.242 -14.12038 51.18506

winter | 27.7701 5.183897 5.36 0.000 16.57097 38.96923

spring | 26.80574 6.421267 4.17 0.001 12.93344 40.67804

summer | 38.801 6.293257 6.17 0.000 25.20524 52.39676

_cons | 1368.027 38.28348 35.73 0.000 1285.321 1450.734

------------------------------------------------------------------------------

23

. reg foodcalpt kc period2 period3 kcpost1 kcpost2 winter spring summer, cluster(id)

Linear regression Number of obs = 350

F( 8, 13) = 48.04

Prob > F = 0.0000

R-squared = 0.4838

Root MSE = 83.095

(Std. Err. adjusted for 14 clusters in id)

------------------------------------------------------------------------------

| Robust

foodcalpt | Coef. Std. Err. t P>|t| [95% Conf. Interval]

-------------+----------------------------------------------------------------

kc | -161.4088 43.29315 -3.73 0.003 -254.938 -67.87968

period2 | -3.744679 5.069139 -0.74 0.473 -14.69589 7.206529

period3 | 2.5953 13.0374 0.20 0.845 -25.57028 30.76088

kcpost1 | 3.916135 7.11211 0.55 0.591 -11.44864 19.28091

kcpost2 | 16.88139 13.55264 1.25 0.235 -12.3973 46.16009

winter | 27.96627 4.527917 6.18 0.000 18.1843 37.74824

spring | 28.3554 5.679606 4.99 0.000 16.08535 40.62544

summer | 37.52268 5.660483 6.63 0.000 25.29395 49.75141

_cons | 1265.513 36.467 34.70 0.000 1186.731 1344.295

------------------------------------------------------------------------------

. reg drinkcalpt kc period2 period3 kcpost1 kcpost2 winter spring summer, cluster(id)

Linear regression Number of obs = 350

F( 8, 13) = 34.72

Prob > F = 0.0000

R-squared = 0.7383

Root MSE = 5.611

(Std. Err. adjusted for 14 clusters in id)

------------------------------------------------------------------------------

| Robust

drinkcalpt | Coef. Std. Err. t P>|t| [95% Conf. Interval]

-------------+----------------------------------------------------------------

kc | -18.63151 2.600335 -7.17 0.000 -24.24919 -13.01383

period2 | -3.553755 1.094095 -3.25 0.006 -5.917404 -1.190105

period3 | -5.968203 1.729639 -3.45 0.004 -9.704862 -2.231544

kcpost1 | .8686238 1.186628 0.73 0.477 -1.694931 3.432179

kcpost2 | 1.650949 1.644919 1.00 0.334 -1.902684 5.204581

winter | -.1961831 .8002945 -0.25 0.810 -1.925114 1.532748

spring | -1.549652 .8913469 -1.74 0.106 -3.47529 .375986

summer | 1.278317 .7413702 1.72 0.108 -.3233157 2.87995

_cons | 102.5146 2.393879 42.82 0.000 97.3429 107.6862

------------------------------------------------------------------------------