TV Advertising, Corporate Power, and Latino Health Disparities


      This study identifies mental health, tobacco prevention, alcohol/beer, food/beverage, pharmaceutical, and other health-related advertisements across Spanish- and English-language TV networks owned by the same parent media company in the U.S. as commercial determinants of health disparities for Latino populations and/or viewers of Spanish-language TV.


      A 3-week composite sample of Telemundo and National Broadcasting Company prime-time TV owned by the same parent media company was randomly drawn from March 31, 2021 to June 12, 2021 in Houston, Texas. A total of 1,593 health-related advertisements were yielded for systematic content analysis. Analyses included intercoder reliability, descriptive and bivariate analysis, and rate ratio and rate difference calculations.


      Telemundo had significantly more health-adverse and fewer health-beneficial advertisements than National Broadcasting Company. Telemundo broadcasted about 11 more alcohol (95% CI=9.1, 12.5) and 5 more unhealthy/noncore food/beverages (95% CI=2.0, 7.2) advertisements per hour of TV advertisement programming than the National Broadcasting Company. Telemundo also broadcasted about 1 fewer mental health/tobacco prevention (95% CI= −0.9, −0.2), 3 fewer healthy/core food/beverages (95% CI= −1.5, −4.3), and 4 fewer pharmaceutical (95% CI= −2.4, −5.7) advertisements per hour of advertisement programming than the National Broadcasting Company.


      Overall greater health-adverse and fewer health-beneficial advertisements are broadcasted on Spanish-language than on English-language TV. Unchecked corporate marketing strategies may serve as a commercial determinant of health disparities for Latino populations by Spanish-language TV.
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        • Ashley DL
        • Backinger CL.
        The Food and Drug Administration's regulation of tobacco: the Center for Tobacco Products’ Office of Science.
        Am J Prev Med. 2012; 43 (suppl 3): S255-S263
        • Kunkel DL
        • Castonguay JS
        • Filer CR.
        Evaluating industry self-regulation of food marketing to children.
        Am J Prev Med. 2015; 49: 181-187
        • Harris JL
        • Bargh JA
        • Brownell KD.
        Priming effects of television food advertising on eating behavior.
        Health Psychol. 2009; 28: 404-413
        • Freudenberg N.
        Lethal but Legal.
        Oxford University Press, Oxford, United Kingdom2014
        • Phelan JC
        • Link BG.
        Controlling disease and creating disparities: a fundamental cause perspective.
        J Gerontol B Psychol Sci Soc Sci. 2005; 60: 27-33
        • Primack BA
        • Bost JE
        • Land SR
        • Fine MJ.
        Volume of tobacco advertising in African American markets: systematic review and meta-analysis.
        Public Health Rep. 2007; 122: 607-615
        • Lee JG
        • Henriksen L
        • Rose SW
        • Moreland-Russell S
        • Ribisl KM.
        A systematic review of neighborhood disparities in point-of-sale tobacco marketing.
        Am J Public Health. 2015; 105: e8-e18
        • Giovenco DP
        • Spillane TE
        • Merizier JM.
        Neighborhood differences in alternative tobacco product availability and advertising in New York City: implications for health disparities.
        Nicotine Tob Res. 2019; 21: 896-902
        • Alaniz ML.
        Alcohol availability and targeted advertising in racial/ethnic minority communities.
        Alcohol Health Res World. 1998; 22: 286-289
        • Kelly B
        • Halford JC
        • Boyland EJ
        • et al.
        Television food advertising to children: a global perspective.
        Am J Public Health. 2010; 100: 1730-1736
      1. Harris JL, Frazier W, Kumanyika S, Ramirez AG. Increasing disparities in unhealthy food advertising targeted to Hispanics and Black youth. Hartford, CT: UConn Rudd Center for Food Policy and Obesity Rudd report. Published January 2019. Accessed February 17, 2022.

        • Millar JS.
        The corporate determinants of health: how big business affects our health, and the need for government action!.
        Can J Public Health. 2013; 104: e327-e329
        • Kickbusch I
        • Allen L
        • Franz C.
        The commercial determinants of health.
        Lancet Glob Health. 2016; 4: e895-e896
        • McKee M
        • Stuckler D.
        Revisiting the corporate and commercial determinants of health.
        Am J Public Health. 2018; 108: 1167-1170
        • Ross AM
        • Morgan AJ
        • Jorm AF
        • Reavley NJ.
        A systematic review of the impact of media reports of severe mental illness on stigma and discrimination, and interventions that aim to mitigate any adverse impact.
        Soc Psychiatry Psychiatr Epidemiol. 2019; 54: 11-31
        • Seale C.
        Media and Health.
        Sage Publications, Thousand Oaks, CA2003
        • Delfino LD
        • Tebar WR
        • Silva DAS
        • Gil FCS
        • Mota J
        • Christofaro DGD.
        Food advertisements on television and eating habits in adolescents: a school-based study.
        Rev Saude Publica. 2020; 54: 55
        • Clayman ML
        • Manganello JA
        • Viswanath K
        • Hesse BW
        • Arora NK.
        Providing health messages to Hispanics/Latinos: understanding the importance of language, trust in health information sources, and media use.
        J Health Commun. 2010; 15: 252-263
        • DuPont-Reyes MJ
        • Villatoro AP
        • Phelan JC
        • Painter K
        • Link BG.
        Media language preferences and mental illness stigma among Latinx adolescents.
        Soc Psychiatry Psychiatr Epidemiol. 2020; 55: 929-939
        • Delorme DE
        • Huh J
        • Reid LN.
        Evaluation, use, and usefulness of prescription drug information sources among Anglo and Hispanic Americans.
        J Health Commun. 2010; 15: 18-38
        • Jones CP.
        Levels of racism: a theoretic framework and a gardener's tale.
        Am J Public Health. 2000; 90: 1212-1215
        • Bonilla-Silva E.
        Rethinking racism: toward a structural interpretation.
        Am Sociol Rev. 1997; 62: 465-480
        • Zweigenhaft RL.
        Power in America: diversity among Fortune 500 CEOs from 2000 to 2020: White women, hi-tech South Asians, and economically privileged multilingual immigrants from around the world. Who rules America?.
        University of California at Santa Cruz sociology department, Santa Cruz, CA2021 (Published JanuaryAccessed February 17, 2022)
        • Razavi A
        • Adams J
        • White M.
        What arguments and from whom are most influential in shaping public health policy: thematic content analysis of responses to a public consultation on the regulation of television food advertising to children in the UK.
        BMJ Open. 2019; 9e028221
        • Ireland R
        • Bunn C
        • Reith G
        • et al.
        Commercial determinants of health: advertising of alcohol and unhealthy foods during sporting events.
        Bull World Health Organ. 2019; 97: 290-295
        • Farrelly MC
        • Duke JC
        • Davis KC
        • et al.
        Promotion of smoking cessation with emotional and/or graphic antismoking advertising.
        Am J Prev Med. 2012; 43: 475-482
        • Manganello JA
        • Gerstner G
        • Pergolino K
        • Graham Y
        • Strogatz D.
        Media and technology use among Hispanics/Latinos in New York: implications for health communication programs [published correction appears in J Racial Ethn Health Disparities. 2016;3(3):518].
        J Racial Ethn Health Disparities. 2016; 3: 508-517
        • Lopez MH.
        What Univision's milestone says about U.S. demographics.
        Pew Research Center, Washington, DC2013 (Published July 29Accessed November 15, 2021)
        • Univision PR Team
        Univision is, no. 1 broadcast network among young adults 18–34 on Thursday and Sunday Night.
        Televisa Univision. 2019; (May 29) (Accessed November 15, 2021)
        • Kemmick Pintor J
        • Alberto CK
        • Arnold KT
        • et al.
        Targeting of enrollment assistance resources in health insurance television advertising: a comparison of Spanish- vs. English-language ads.
        J Health Commun. 2020; 25: 605-612
        • Bell RA
        • Cassady D
        • Culp J
        • Alcalay R.
        Frequency and types of foods advertised on Saturday morning and weekday afternoon English- and Spanish-language American television programs.
        J Nutr Educ Behav. 2009; 41: 406-413
        • Fleming-Milici F
        • Harris JL
        • Sarda V
        • Schwartz MB.
        Amount of Hispanic youth exposure to food and beverage advertising on Spanish- and English-language television.
        JAMA Pediatr. 2013; 167: 723-730
        • Kunkel D
        • Mastro D
        • Ortiz M
        • McKinley C.
        Food marketing to children on U.S. Spanish-language television.
        J Health Commun. 2013; 18: 1084-1096
        • Thompson DA
        • Flores G
        • Ebel BE
        • Christakis DA.
        Comida en venta: after-school advertising on Spanish-language television in the United States.
        J Pediatr. 2008; 152: 576-581
        • Summary health statistics tables for U.S
        Adults: national health interview survey.
        Centers for Disease Control and Prevention, 2021 (Updated March 1Accessed November 15, 2021)
        • Petersen R
        • Pan L
        • Blanck HM.
        Racial and ethnic disparities in adult obesity in the United States.: CDC's tracking to inform state and local action.
        Prev Chronic Dis. 2019; 16: E46
        • Chartier K
        • Caetano R.
        Ethnicity and health disparities in alcohol research.
        Alcohol Res Health. 2010; 33: 152-160
        • Riffe D
        • Lacy S
        • Watson BR
        • Fico F.
        Analyzing Media Messages: Using Quantitative Content Analysis in Research.
        4th Edition. Routledge, New York, NY2019
      2. Braveman P, Arkin E, Orleans T, Proctor D, Plough A. What is health equity?, Princeton, NJ: Robert Wood Johnson Foundation; 2017. Published May 1. Accessed  May 27, 2022.

      3. 2020 Census results. U.S. Census Bureau. Updated October 2021. Accessed November 15, 2021.

        • Fain KM
        • Alexander GC.
        Mind the gap: understanding the effects of pharmaceutical direct-to-consumer advertising.
        Med Care. 2014; 52: 291-293
        • Lee D
        • Begley CE.
        Racial and ethnic disparities in response to direct-to-consumer advertising.
        Am J Health Syst Pharm. 2010; 67: 1185-1190
        • U.S. Department of Agriculture, HHS
        Dietary Guidelines for Americans 2020–2025.
        9th Edition. U.S. Department of Agriculture, HHS, Washington, DC2020 ( PublishedAccessed February 10, 2022)
        • HHS
        Ways to enhance children's activity and nutrition.
        HHS, Washington, DC2005 ( PublishedAccessed February 10, 2022)
        • Vega WA
        • Karno M
        • Alegria M
        • et al.
        Research issues for improving treatment of U.S. Hispanics with persistent mental disorders.
        Psychiatr Serv. 2007; 58: 385-394
        • Interian A
        • Martinez IE
        • Guarnaccia PJ
        • Vega WA
        • Escobar JI.
        A qualitative analysis of the perception of stigma among Latinos receiving antidepressants.
        Psychiatr Serv. 2007; 58: 1591-1594
        • DuPont-Reyes MJ
        • Villatoro AP
        • Phelan JC
        • Painter K
        • Link BG.
        Adolescent views of mental illness stigma: an intersectional lens.
        Am J Orthopsychiatry. 2020; 90: 201-211
        • DuPont-Reyes MJ.
        Leveraging Latinx and Spanish-language media to achieve mental health equity.
        Psychiatr Serv. 2022; (In press. Online:appips202100147)
        • Noe-Bustamante L
        • Flores A.
        Facts on Latinos in the U.S.
        Pew Research Center, Washington, DC2019 (Published September 16Accessed February 17, 2022)
        • Friedman N.
        More Hispanic Americans are buying homes, helping stoke hot housing market.
        The Wall Street Journal. 2017; (April 20) (Accessed November 15, 2021)
      4. Limon N, Smeraski J, Murillo C, Ruiz B, Lucero M. 2020 State of Hispanic homeownership report. San Diego, CA: National Association of Hispanic Real Estate Professionals. Published 2020. Accessed November 15, 2021.