Profesora Asistente de la Escuela de Psicología de la Pontificia Universidad Católica de Chile e Investigadora Adjunta en CIAPEC-INTA. Psicóloga de la Universidad Central de Chile, Magíster en Psicología de la Salud de la Universidad Católica y Doctora en Comunicación y Medios de a Universidad de Carolina del Norte en Chapel Hill, universidad donde además realizó su postdoctorado. Su investigación se ubica en la intersección de la psicología de la salud, comunicación y salud pública. Uno de sus principales intereses es contribuir al desarrollo de políticas públicas y estrategias de intervención que contribuyan a reducir las inequidades en materia de salud nutricional y bienestar.
Cargo:
Fernanda Mediano Stoltze
Publicaciones
2024
Pemjean, Isabel; Mediano, Fernanda; Corvalán, Camila
How are intra-household dynamics, gender roles and time availability related to food access and children's diet quality during the Covid-19 lockdown? Artículo de revista
En: Social science & medicine (1982), 345, 2024., 2024.
@article{nokey,
title = {How are intra-household dynamics, gender roles and time availability related to food access and children's diet quality during the Covid-19 lockdown?},
author = {Isabel Pemjean and Fernanda Mediano and Camila Corvalán},
doi = {10.1016/j.socscimed.2024.116661},
year = {2024},
date = {2024-02-05},
urldate = {2024-02-05},
journal = {Social science & medicine (1982), 345, 2024.},
abstract = {- Otros autores: Hernández P.
- Cómo citar: Pemjean I, Hernández P, Mediano F, Corvalán C. How are intra-household dynamics, gender roles and time availability related to food access and children's diet quality during the Covid-19 lockdown? Soc Sci Med. 2024 Feb 13;345:116661. doi: 10.1016/j.socscimed.2024.116661. Epub ahead of print. PMID: 38377834.
- Resumen: The association between food access and children's diet quality has been documented mainly from its external dimension (e.g., availability, prices, food properties, and marketing). However, existing research has underscored that the external food environment cannot fully account for variations in children's diet quality, even amid the COVID-19 lockdown. It is increasingly evident that elements within the domestic food environment also play a crucial role in shaping this relationship. Specifically, gender roles influence how food is procured and consumed, along with challenges related to time constraints. This study explores the influence of the domestic time-gender axis and household dynamics in food access and children's dietary quality in 14 female-headed households in Santiago, Chile, during the COVID-19 lockdown. Employing a photo-elicitation exercise, we engaged with families residing in the same urban neighborhood but exhibiting varying levels of dietary quality among their children. Our analysis utilized a framework incorporating both socio-ecological food environment and gender theories. Our findings show that within these households, only one unit of "person-time" was available to address all food and caregiving tasks. Due to an unequal gender system, this limited time allocation was disproportionately absorbed by women, who were already burdened with multiple responsibilities. The lack of time favors the consumption of ultra-processed foods and hinders the intake of fresh foods. Other associated intrahousehold dynamics, such as children's fussiness and special diets, accentuates these time scarcity consequences. These difficulties were further exacerbated by strategies adopted in response to the COVID-19 lockdown, however, in families where food-related responsibilities were shared more equitably the lockdown was less disrupting. These results indicate that on top of external food environment policies, comprehensive gender-transformative policies that include food socialization processes are needed to promote healthier diets among all.
},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Pemjean I, Hernández P, Mediano F, Corvalán C. How are intra-household dynamics, gender roles and time availability related to food access and children's diet quality during the Covid-19 lockdown? Soc Sci Med. 2024 Feb 13;345:116661. doi: 10.1016/j.socscimed.2024.116661. Epub ahead of print. PMID: 38377834.
- Resumen: The association between food access and children's diet quality has been documented mainly from its external dimension (e.g., availability, prices, food properties, and marketing). However, existing research has underscored that the external food environment cannot fully account for variations in children's diet quality, even amid the COVID-19 lockdown. It is increasingly evident that elements within the domestic food environment also play a crucial role in shaping this relationship. Specifically, gender roles influence how food is procured and consumed, along with challenges related to time constraints. This study explores the influence of the domestic time-gender axis and household dynamics in food access and children's dietary quality in 14 female-headed households in Santiago, Chile, during the COVID-19 lockdown. Employing a photo-elicitation exercise, we engaged with families residing in the same urban neighborhood but exhibiting varying levels of dietary quality among their children. Our analysis utilized a framework incorporating both socio-ecological food environment and gender theories. Our findings show that within these households, only one unit of "person-time" was available to address all food and caregiving tasks. Due to an unequal gender system, this limited time allocation was disproportionately absorbed by women, who were already burdened with multiple responsibilities. The lack of time favors the consumption of ultra-processed foods and hinders the intake of fresh foods. Other associated intrahousehold dynamics, such as children's fussiness and special diets, accentuates these time scarcity consequences. These difficulties were further exacerbated by strategies adopted in response to the COVID-19 lockdown, however, in families where food-related responsibilities were shared more equitably the lockdown was less disrupting. These results indicate that on top of external food environment policies, comprehensive gender-transformative policies that include food socialization processes are needed to promote healthier diets among all.
2023
Mediano, Fernanda; Corvalán, Camila; Reyes, Marcela
Beverage industry TV advertising shifts after a stepwise mandatory food marketing restriction: Achievements and challenges with regulating the food marketing environment Artículo de revista
En: Public Health Nutr., 2023.
@article{nokey,
title = {Beverage industry TV advertising shifts after a stepwise mandatory food marketing restriction: Achievements and challenges with regulating the food marketing environment},
author = {Fernanda Mediano and Camila Corvalán and Marcela Reyes },
doi = {10.1017/S1368980023002872.},
year = {2023},
date = {2023-12-04},
urldate = {2023-12-04},
journal = {Public Health Nutr.},
abstract = {- Otros autores: Mediano Stoltze, F., Correa, T., Corvalán Aguilar, C. L., Taillie, L. S., Reyes, M., & Dillman Carpentier, F. R.
- Cómo citar: Mediano Stoltze, F., Correa, T., Corvalán Aguilar, C. L., Taillie, L. S., Reyes, M., & Dillman Carpentier, F. R. (2023). Beverage industry TV advertising shifts after a stepwise mandatory food marketing restriction: achievements and challenges with regulating the food marketing environment. Public health nutrition, 27(1), e26. https://doi.org/10.1017/S1368980023002872.
- Resumen: Objective: Sugar-sweetened beverages (SSB) are heavily advertised globally, and SSB consumption is linked to increased health risk. To reduce unhealthy food marketing, Chile implemented a regulation for products classified as high in energies, sugar, saturated fat or sodium, starting with a 2016 ban on child-targeted advertising of these products and adding a 06.00-22.00 daytime advertising ban in 2019. This study assesses changes in television advertising prevalence of ready-to-drink beverages, including and beyond SSB, to analyse how the beverage industry shifted its marketing strategies across Chile's implementation phases.
Design: Beverage advertisements were recorded during two randomly constructed weeks in April-May of 2016 (pre-implementation) through 2019 (daytime ban). Ad products were classified as 'high-in' or 'non-high-in' according to regulation nutrient thresholds. Ads were analysed for their programme placement and marketing content.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Mediano Stoltze, F., Correa, T., Corvalán Aguilar, C. L., Taillie, L. S., Reyes, M., & Dillman Carpentier, F. R. (2023). Beverage industry TV advertising shifts after a stepwise mandatory food marketing restriction: achievements and challenges with regulating the food marketing environment. Public health nutrition, 27(1), e26. https://doi.org/10.1017/S1368980023002872.
- Resumen: Objective: Sugar-sweetened beverages (SSB) are heavily advertised globally, and SSB consumption is linked to increased health risk. To reduce unhealthy food marketing, Chile implemented a regulation for products classified as high in energies, sugar, saturated fat or sodium, starting with a 2016 ban on child-targeted advertising of these products and adding a 06.00-22.00 daytime advertising ban in 2019. This study assesses changes in television advertising prevalence of ready-to-drink beverages, including and beyond SSB, to analyse how the beverage industry shifted its marketing strategies across Chile's implementation phases.
Design: Beverage advertisements were recorded during two randomly constructed weeks in April-May of 2016 (pre-implementation) through 2019 (daytime ban). Ad products were classified as 'high-in' or 'non-high-in' according to regulation nutrient thresholds. Ads were analysed for their programme placement and marketing content.
Pemjean, Isabel; Mediano, Fernanda; Ferrer, Pedro; Garmendia, María Luisa; Corvalán, Camila
Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic Artículo de revista
En: Front. Public Health, 2023.
@article{nokey,
title = {Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic},
author = {Isabel Pemjean and Fernanda Mediano and Pedro Ferrer and María Luisa Garmendia and Camila Corvalán },
doi = {doi: 10.3389/fpubh.2023.1164357},
year = {2023},
date = {2023-06-19},
urldate = {2023-06-19},
journal = {Front. Public Health},
abstract = {- Otros autores: Pemjean I.
- Cómo citar: Pemjean I, Mediano F, Ferrer P, Garmendia ML, Corvalán C. Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic. Front. Public Health. 2023;11:1164357. doi: 10.3389/fpubh.2023.1164357. PMID: 37408742. PMCID: PMC10319070. ISSN: 2296-2565. IF [JCR]: 5.2. Q1
- Resumen: Introduction: Food access is associated with dietary quality; however, people living in similar physical environments can have different food access profiles. Domestic environments may also influence how food access relates to dietary quality. We studied food access profiles of 999 low-middle income Chilean families with children during the COVID-19 lockdown and how these profiles relate to dietary quality; secondarily, we also explore the role of the domestic environment in this relationship.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Pemjean I, Mediano F, Ferrer P, Garmendia ML, Corvalán C. Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic. Front. Public Health. 2023;11:1164357. doi: 10.3389/fpubh.2023.1164357. PMID: 37408742. PMCID: PMC10319070. ISSN: 2296-2565. IF [JCR]: 5.2. Q1
- Resumen: Introduction: Food access is associated with dietary quality; however, people living in similar physical environments can have different food access profiles. Domestic environments may also influence how food access relates to dietary quality. We studied food access profiles of 999 low-middle income Chilean families with children during the COVID-19 lockdown and how these profiles relate to dietary quality; secondarily, we also explore the role of the domestic environment in this relationship.
Mediano, Fernanda; Reyes, Marcela; Corvalán, Camila
En: Int. J. Behav. Nutr. Phys. Act., 2023.
@article{nokey,
title = {Restricting child-directed ads is effective, but adding a time-based ban is better: evaluating a multi-phase regulation to protect children from unhealthy food marketing on television},
author = {Fernanda Mediano and Marcela Reyes and Camila Corvalán},
doi = {doi: 10.1186/s12966-023-01454-w},
year = {2023},
date = {2023-06-05},
urldate = {2023-06-05},
journal = {Int. J. Behav. Nutr. Phys. Act.},
abstract = {- Otros autores: Dillman Carpentier F, Smith Taillie L, Corvalán C, Correa T.
- Cómo citar: Dillman Carpentier F, Mediano F, Reyes M, Smith Taillie L, Correa T. Restricting child-directed ads is effective, but adding a time-based ban is better: evaluating a multi-phase regulation to protect children from unhealthy food marketing on television. Int. J. Behav. Nutr. Phys. Act. 2023;20, 62. doi: 10.1186/s12966-023-01454-w. PMID: 37231508. PMCID: PMC10214667. ISSN: 1479-5868. IF [JCR]: 8.7. Q1
- Resumen: As childhood obesity rates continue to rise, health organizations have called for regulations that protect children from exposure to unhealthy food marketing. In this study, we evaluate the impact of child-based versus time-based restrictions of “high-in” food and beverage advertising in Chile, which first restricted the placement of “high-in” advertisements (ads) in television attracting children and the use of child-directed content in high-in ads and, second, banned high-in ads from 6am-10pm. “High-in” refers to products above regulation-defined thresholds in energy, saturated fats, sugars, and/or sodium. High-in advertising prevalence and children’s exposure to high-in advertising are assessed.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Dillman Carpentier F, Mediano F, Reyes M, Smith Taillie L, Correa T. Restricting child-directed ads is effective, but adding a time-based ban is better: evaluating a multi-phase regulation to protect children from unhealthy food marketing on television. Int. J. Behav. Nutr. Phys. Act. 2023;20, 62. doi: 10.1186/s12966-023-01454-w. PMID: 37231508. PMCID: PMC10214667. ISSN: 1479-5868. IF [JCR]: 8.7. Q1
- Resumen: As childhood obesity rates continue to rise, health organizations have called for regulations that protect children from exposure to unhealthy food marketing. In this study, we evaluate the impact of child-based versus time-based restrictions of “high-in” food and beverage advertising in Chile, which first restricted the placement of “high-in” advertisements (ads) in television attracting children and the use of child-directed content in high-in ads and, second, banned high-in ads from 6am-10pm. “High-in” refers to products above regulation-defined thresholds in energy, saturated fats, sugars, and/or sodium. High-in advertising prevalence and children’s exposure to high-in advertising are assessed.
Mediano, Fernanda; Corvalán, Camila; Reyes, Marcela
Framing a new nutrition policy: Changes on key stakeholder’s discourses throughout the implementation of the Chilean Food Labelling Law Artículo de revista
En: Int. J. Environ. Res. Public Health, 2023.
@article{nokey,
title = {Framing a new nutrition policy: Changes on key stakeholder’s discourses throughout the implementation of the Chilean Food Labelling Law},
author = {Fernanda Mediano and Camila Corvalán and Marcela Reyes},
doi = {doi: 10.3390/ijerph20095700},
year = {2023},
date = {2023-06-05},
urldate = {2023-06-05},
journal = {Int. J. Environ. Res. Public Health},
abstract = {- Otros autores: Fierro C, Correa T.
- Cómo citar: Mediano F, Fierro C, Corvalán C, Reyes M, Correa T. Framing a new nutrition policy: Changes on key stakeholder’s discourses throughout the implementation of the Chilean Food Labelling Law. Int. J. Environ. Res. Public Health. 2023;20(9):5700. doi: 10.3390/ijerph20095700. PMID: 37174218. PMCID: PMC10178804. ISSN: 1660-4601. IF [JCR]: 4.614. Q1.
- Resumen: The global implementation of structural policies to tackle obesity has been slow, likely because of the competing interests of governments and the food industry. We used the discussion of the Chilean Food Labeling Law to identify influential stakeholders in the media and their frames during different periods of the law’s implementation. This involved a content analysis of the food regulation media coverage in five key periods from 2007, when the food bill was first introduced in Congress, to 2018, when the second phase of the law was implemented (N = 1295). We found that most of the law coverage was through elite press. Half of the sources were from the food industry (26.7%) and government (26.2%), while other stakeholders, were less prevalent. Frames were mostly competing, except for cooperation with the law. The main food industry frame used during the discussion of the law was the “economic threat” (41.9%), whose prevalence decreased at the post-implementation period (13%, p < 0.01). No other relevant stakeholders changed their framing. Our results highlight that there are several aspects of public health communication, such as the type of media used, the involvement of scholars and civil society, and the framing, that could be improved to advance food environment policies.
Keywords: obesity prevention; food environment regulation; framing; food industry; Chile Labelling Law},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Mediano F, Fierro C, Corvalán C, Reyes M, Correa T. Framing a new nutrition policy: Changes on key stakeholder’s discourses throughout the implementation of the Chilean Food Labelling Law. Int. J. Environ. Res. Public Health. 2023;20(9):5700. doi: 10.3390/ijerph20095700. PMID: 37174218. PMCID: PMC10178804. ISSN: 1660-4601. IF [JCR]: 4.614. Q1.
- Resumen: The global implementation of structural policies to tackle obesity has been slow, likely because of the competing interests of governments and the food industry. We used the discussion of the Chilean Food Labeling Law to identify influential stakeholders in the media and their frames during different periods of the law’s implementation. This involved a content analysis of the food regulation media coverage in five key periods from 2007, when the food bill was first introduced in Congress, to 2018, when the second phase of the law was implemented (N = 1295). We found that most of the law coverage was through elite press. Half of the sources were from the food industry (26.7%) and government (26.2%), while other stakeholders, were less prevalent. Frames were mostly competing, except for cooperation with the law. The main food industry frame used during the discussion of the law was the “economic threat” (41.9%), whose prevalence decreased at the post-implementation period (13%, p < 0.01). No other relevant stakeholders changed their framing. Our results highlight that there are several aspects of public health communication, such as the type of media used, the involvement of scholars and civil society, and the framing, that could be improved to advance food environment policies.
Keywords: obesity prevention; food environment regulation; framing; food industry; Chile Labelling Law
2019
Mediano, Fernanda; Corvalán, Camila; Reyes, Marcela
Prevalence of child-directed marketing on breakfast cereal packages before and after Chile’s food marketing law: A pre-post quantitative content analysis. Artículo de revista
En: Int. J. Environ. Res. Public Health., 2019.
@article{nokeyq,
title = {Prevalence of child-directed marketing on breakfast cereal packages before and after Chile’s food marketing law: A pre-post quantitative content analysis.},
author = {Fernanda Mediano and Camila Corvalán and Marcela Reyes},
doi = {10.3390/ijerph16224501},
year = {2019},
date = {2019-00-00},
urldate = {2019-00-00},
journal = {Int. J. Environ. Res. Public Health.},
abstract = {- Otros autores: Smith TL, Correa T, Carpentier FRD.
- Cómo citar: Mediano Stoltze F, Smith TL, Correa T, Carpentier FRD. Prevalence of child-directed marketing on breakfast cereal packages before and after Chile’s food marketing law: A pre-post quantitative content analysis. Int. J. Environ. Res. Public Health. 2019;16(22). pii: E4501. doi: 10.3390/ijerph16224501. PMID: 31731577. ISSN: 1660-4601. IF [JCR]: 3.390. Q1 - Resumen: Food marketing has been identified as a contributing factor in childhood obesity, prompting global health organizations to recommend restrictions on unhealthy food marketing to children. Chile has responded to this recommendation with a restriction on child-directed marketing for products that exceed certain regulation-defined thresholds in sugars, saturated fats, sodium, or calories. Child-directed strategies are allowed for products that do not exceed these thresholds. To evaluate changes in marketing due to this restriction, we examined differences in the use of child-directed strategies on breakfast cereal packages that exceeded the defined thresholds vs. those that did not exceed the thresholds before (n = 168) and after (n = 153) the restriction was implemented. Photographs of cereal packages were taken from top supermarket chains in Santiago. Photographed cereals were classified as “high-in” if they exceeded any nutrient threshold described in the regulation. We found that the percentage of all cereal packages using child-directed strategies before implementation (36%) was significantly lower after implementation (21%), p < 0.05. This overall decrease is due to the decrease we found in the percentage of “high-in” cereals using child-directed strategies after implementation (43% before implementation, 15% after implementation), p < 0.05. In contrast, a greater percentage of packages that did not qualify as “high-in” used child-directed strategies after implementation (30%) compared with before implementation (8%), p < 0.05. The results suggest that the Chilean food marketing regulation can be effective at reducing the use of child-directed marketing for unhealthy food products.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Mediano Stoltze F, Smith TL, Correa T, Carpentier FRD. Prevalence of child-directed marketing on breakfast cereal packages before and after Chile’s food marketing law: A pre-post quantitative content analysis. Int. J. Environ. Res. Public Health. 2019;16(22). pii: E4501. doi: 10.3390/ijerph16224501. PMID: 31731577. ISSN: 1660-4601. IF [JCR]: 3.390. Q1 - Resumen: Food marketing has been identified as a contributing factor in childhood obesity, prompting global health organizations to recommend restrictions on unhealthy food marketing to children. Chile has responded to this recommendation with a restriction on child-directed marketing for products that exceed certain regulation-defined thresholds in sugars, saturated fats, sodium, or calories. Child-directed strategies are allowed for products that do not exceed these thresholds. To evaluate changes in marketing due to this restriction, we examined differences in the use of child-directed strategies on breakfast cereal packages that exceeded the defined thresholds vs. those that did not exceed the thresholds before (n = 168) and after (n = 153) the restriction was implemented. Photographs of cereal packages were taken from top supermarket chains in Santiago. Photographed cereals were classified as “high-in” if they exceeded any nutrient threshold described in the regulation. We found that the percentage of all cereal packages using child-directed strategies before implementation (36%) was significantly lower after implementation (21%), p < 0.05. This overall decrease is due to the decrease we found in the percentage of “high-in” cereals using child-directed strategies after implementation (43% before implementation, 15% after implementation), p < 0.05. In contrast, a greater percentage of packages that did not qualify as “high-in” used child-directed strategies after implementation (30%) compared with before implementation (8%), p < 0.05. The results suggest that the Chilean food marketing regulation can be effective at reducing the use of child-directed marketing for unhealthy food products.
2017
Mediano, Fernanda; Corvalán, Camila; Reyes, Marcela
Prevalence of child-directed and general audience marketing strategies on the front of beverage packaging: the case of Chile Artículo de revista
En: Public Health Nut. , 2017.
@article{nokey,
title = {Prevalence of child-directed and general audience marketing strategies on the front of beverage packaging: the case of Chile},
author = {Fernanda Mediano and Camila Corvalán and Marcela Reyes},
doi = {doi: 10.1017/S1368980017002671},
year = {2017},
date = {2017-11-02},
journal = {Public Health Nut. },
abstract = {- Otros autores: Barker JO, Kanter R, Taillie LS, Dillman Carpentier FR.
- Cómo citar: Mediano Stoltze F, Barker JO, Kanter R, Corvalán C, Reyes M, Taillie LS, Dillman Carpentier FR. Prevalence of child-directed and general audience marketing strategies on the front of beverage packaging: the case of Chile. Public Health Nutr. 2018 Feb;21(3):454-464. doi: 10.1017/S1368980017002671. Epub 2017 Nov 2. PMID: 29094661; PMCID: PMC10260837.
- Resumen: Objective: Front-of-package (FOP) marketing strategies of a wide variety of beverages were catalogued to examine the prevalence of each strategy prior to a sweeping Chilean restriction of child-directed marketing aimed at reducing obesity-related disease among Chile's youth.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
- Cómo citar: Mediano Stoltze F, Barker JO, Kanter R, Corvalán C, Reyes M, Taillie LS, Dillman Carpentier FR. Prevalence of child-directed and general audience marketing strategies on the front of beverage packaging: the case of Chile. Public Health Nutr. 2018 Feb;21(3):454-464. doi: 10.1017/S1368980017002671. Epub 2017 Nov 2. PMID: 29094661; PMCID: PMC10260837.
- Resumen: Objective: Front-of-package (FOP) marketing strategies of a wide variety of beverages were catalogued to examine the prevalence of each strategy prior to a sweeping Chilean restriction of child-directed marketing aimed at reducing obesity-related disease among Chile's youth.