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Subject: AEJ 95 KennyJ INTL Eating, drinking habits on HongKong TV
From: Elliott Parker <[log in to unmask]>
Reply-To:AEJMC Conference Papers <[log in to unmask]>
Date:Tue, 24 Oct 1995 16:12:51 EDT
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Running on Empty:
Cultivating Eating and Drinking Habits on Hong Kong TV
 
 
James F. Kenny
&
Yung Chun, Heidi
 
 
 
 
 
 
 
Address:
Dr. James F. Kenny
Dept. of Journalism & Communication
Chinese University of Hong Kong
Shatin, N.T.
Hong Kong
 
Tel: 852-609-8708
Fax: 852-603-5007
E-mail: [log in to unmask]
Running on Empty:
Cultivating Eating and Drinking Habits on Hong Kong TV
 
Abstract
 
     This study examines the nutritional messages in Hong Kong dramatic
 
           television programs and conducts an exploratory study of its impact
on
 
            local high school students.  The researchers took a cultivational
 
         analysis approach beginning with a message analysis of television
 
         dramas and sit coms in prime time and ending with a cultivation study
 
            of the correspondence between eating attitudes and behaviors
exhibited
 
            on television and eating attitudes and behaviors among heavy and
light
 
            television viewers.  These findings confirm, first of all, that the
 
           nutritional messages in Hong Kong television dramas are generally
 
         unhealthy, particularly with regard to the portrayal of the eating
 
          habits of the young.  Secondly, it demonstrates significant positive
 
            relationships between television viewing and poor eating habits, and
 
            between television viewing and perceptions and intentions regarding
 
           alcohol consumption.
 
 
 
                              Running on Empty:
            Cultivating Eating and Drinking Habits on Hong Kong TV
 
 
     Overeating and being improperly nourished are widely recognized
 
        problems in advanced countries, particulary in the United States and
 
            Western Europe.  Recently, many countires in Asia have been
 
   experiencing an economic boom which has made its peoples more affluent
 
            and more able to afford a variety of local and imported foods
 
     previously unavailable to most of the public.  As a result, eating
 
          habits are changing (Chen and Chao, 1989). This is particularly true
 
            among the young who are not as focused on improving their standard
of
 
            living as their parents were, but rather are increasingly concerned
 
           with upgrading their lifestyles.  In the omnipresent malls of Hong
 
          Kong fast food restaurants, whether McDonalds or local noodle chains,
 
            are springing up like bamboo shoots in the spring.  Obesity is a
 
        growing problem among the youth of Hong Kong as their spending power
 
            increases (Leung, 1990), and there is concern among health
 
  professionals that the diseases associated with poor eating habits
 
          will not be far behind.
     Television, a medium which has been said to be a major source of
 
         information for health information in the West, has fast become the
 
           major medium for information and entertainment in Asia as well.
Until
 
            recently Hong Kong only had two broadcast channels, both of which
are
 
            commercial.  However, STAR Television, which is now owned by Rupert
 
           Murdoch, began satellite broadcasts in Hong Kong and throughout the
 
           Asian region in 1991 and Wharf Cable began wiring the territory in
 
          1993.  Today, television ownership stands at 98 percent and viewership
 
            is at around 3 hours per day.  The two commercial broadcast
channels,
 
            which at this time still claim the vast majority of the audience,
 
         offer a variety of mostly entertainment programs, including dramas,
 
           sitcoms, and variety, gossip and game shows, and some information
 
         programs.   Although the extent to which these programs contain
 
       health-related messages and the type of messages which they convey has
 
            never been examined, it would seem important to do so given the
curren
 
            t status of television and its potential for influence on changing
 
          eating habits, particularly among the young.
     Studies in the United States have shown that both television ads and
 
            programs contain frequent food references, the majority of which
 
        either directly or indirectly promote non-nutritional eating habits.
 
            Lank et al. (1992), for example, found that most commercials aired
 
          during soap operas made confusing nutritional appeals to viewers,
 
         advertising the product as "low in cholestrol" but failing to mention
 
            that they were high in fat.  Other studies (Taylor and Guthrie,
1988;
 
            Tucker and Bagwell, 1991; Larso, 1991) offer additional support to
the
 
            inaccurate and misleading nature of nutrition messages in both
 
      commercials and programs.  Story & Faulkner (1990) conducted an
 
       extensive study of the types of food and eating behaviors in prime
 
          time programs and commercials and found that there was an average of
 
            4.8 food references per 30 minutes of programming time and that over
 
            half of these references were for low nutrient foods and beverages.
     Researchers in the west have also focused on the eating behavior of
 
            television characters because they are potential role models for
 
        eating behavior among viewers.  Kaufman (1980) discovered that most
 
           television characters engage in eating foods which are non-nutritious
 
            and fattening.  However, most of these same characters are slim and
 
           healthy.  Thus, the message is that there is no price to pay for an
 
           unhealthy diet. In fact, eating had its rewards in that it was found
 
            to be a good way to socialize or serve emotional needs.  Gerbner,
 
         Gross, Morgan & Signorielle (1981) did a message analysis of prime
 
          time eating behavior and discovered that such behavior was anything
 
           but balanced or relaxed.  Snacking was as frequent as meals and
 
       healthy snacks were practically non-existent.  In the Story & Faulkner
 
            study (1990) three-fourths of eating behaviors took place between
 
         meals at a rate of 2.2 times per half hour.  Meals, on the other hand,
 
            were only seen at a rate of .86 times per half hour.  Sweets and
salty
 
            snack foods were the most frequently consumed snack foods, together
 
           accounting for nearly 70 percent of the snacks eaten by television
 
          characters.  Coffee (43 percent), alcohol (28 percent) and soft drinks
 
            (17 percent) were the most popular beverages among television
 
     characters.
     The extent to which characters on Hong Kong television engage in
 
         similar types of "bad" eating behavior is unknown.  Certainly, wide
 
           variations in eating behaviors might be expected between Asian and
 
          Western cultures.  The Asian diet has traditionally consisted of less
 
            meat and more vegetables.  Rice and noodles are typically staples of
 
            the Asian diet.  Alcohol consumption has been less central to the
 
         culture, particularly among the young.  However, increasing
 
   urbanization in Asia and growing inroads made by multinational snack
 
            food companies, as well as local entrepreneurs, has altered the
nature
 
            of the eating experience in these cultures as well as the choices of
 
            foods.  Hong Kong is an international city which offers tourists and
 
            daring locals a wide spectrum of cuisine from around the world from
 
           pricey restaurants to fast food chains like Kentucky Fried Chicken
and
 
            convenience stores like Seven-Eleven.  Although the traditional
 
       Chinese restaurant remains the most popular choice among the local
 
          population, the young are increasingly venturing into non-traditional
 
            alternative eateries.  If these young people are regularly exposed
to
 
            television characters who consistently eat non-nutritous food
between
 
            meals, then modeling and and social learning theory would suggest
that
 
            their eating habits may be influenced.
     Several studies have examined the relation between exposure to
 
       commercials and food preferences and nutritional knowledge.  In an
 
          experiment reported by Atkin and Gibson (1978) frequent exposure to
 
           television commercials contributed little to 4 to 7 year old
 
    children's incorrect understanding of a what constituted a "balanced
 
            breakfast."  Donohue, Meyer and Henke (1978) found that 7 out of 10
 
           children thought that fast foods were more nutritious than the food
 
           that they had at home.  One highly controlled study (Gorn and
 
     Goldberg, 1982) at a Canadian summer camp revealed that over a two
 
          week period children's snack and beverage choices were significantly
 
            affected after being exposed to food messages on television.
 
     Interestingly, they also found that children knew what they should
 
          eat, but that their behaviors were more related to the commercials
 
          that they had seen.  Two other studies (Dietz and Gortmaker, 1985;
 
          Dietz, 1989) revealed a relationship between time spent watching
 
        television and obesity among children and adolescents.
     This study examines the nutritional messages in Hong Kong dramatic
 
           television programs and conducts an exploratory study of its impact
on
 
            local high school students.  The researchers took a cultivational
 
         analysis approach beginning with a message analysis of television
 
         dramas and sit coms in prime time and ending with a cultivation study
 
            of the correspondence between eating attitudes and behaviors
exhibited
 
            on television and eating attitudes and behaviors among heavy and
light
 
            television viewers.  As Signorielle (1990) points out the health
 
        messages imbedded in television entertainment programs are ubiquitous
 
            and audiences who are not seeking such information are exposed
images
 
            which are often in serious conflict with realistic health
guidelines.
 
            Television creates images which may be considered as normative by
many
 
            viewers.
     The Hong Kong television context may be an ideal laboratory for
 
        testing the cultivation hypothesis contention that continued exposure
 
            to consistent messages will shape one's world view, particularly
when
 
            one has little direct experience with the subject of the message.
The
 
            fact that there are only two channels in Hong Kong indicates
 
    programming may be even more homogenous than that found in the United
 
            States.  This hommogeneity is further enhanced by the fact that
 
       programs in Hong Kong run Monday through Friday rather than once a
 
          week as they do in the United States.  Unlike Europe where it has been
 
            difficult to find cultivation effects,  Hong Kong television is
almost
 
            entirely commercial and relies on formula plots and program types.
 
           Secondly, the influx of fast food chains is relatively recent and
 
         principally geared toward the young.  Children, therefore, must look
 
            to television for guidance in dealing with the new types of food and
 
            related eating behaviors since it is new to their parents as well.
 
Methodology
 
Content Analysis
     The first part of this study was a content analysis of 30 half hour
 
            samples of dramatic television programs examining the prevalence of
 
           certain categories of food and the types of eating behavior
portrayed.
 The programs were randomly selected from the prime time schedules of
 
            the two Chinese broadcast channels, TVB Jade and ATV Home, between
 
          November 7 to December 4, 1993.  STAR TV and Wharf Cable were excluded
 
            because they command only very small portion of the audience at this
 
            time.  This can also be said of the two English channels, TVB Pearl
 
           and ATV World.  All of the programs were regularly scheduled, locally
 
            produced dramatic series featuring regular characters.  These
included
 
            realistic dramas, melodramas, action dramas and sitcoms.  It was
 
        decided that "ancient dramas," historical dramas based loosely on
 
         Chinas legendary heroes, should be excluded from the analysis as well
 
            since their fantastic characters and situations have little
 
   resemblance to modern Hong Kong and little bearing on modern nutritio
 
            nal eating habits.  A total of 30 episodes taken from 10 programs
were
 
            sampled and analyzed.
     The main units of analysis were food related scenes and eating
 
       characters.  Scenes with food references included those with either a
 
            visual or verbal reference to food in addition to scenes in which
food
 
            is actually consumed or implied that it has been or will be
consumed.
 
            An example of an implied consumption scene would be one in which a
 
          character has an open bag of potato chips in her hand or is stirring a
 
            cup of coffee.  Visual and verbal reference scenes in which no
 
      consumption takes place but where food is visible or characters may
 
           talk about food were considered important in measuring the magnitude
 
            of the presence of food in television dramas.
     Eating characters, on the other hand, were only those who were
 
       involved in actual or implied consumption of food.  Within each scene
 
            coders recorded the number of eating characters, the kind of meal
and
 
            the types of food consumed.  The number of eating characters
 
    establishes the social context of these scenes and the amount of
 
        attention that characters pay to what they eat.  Meals were coded as
 
            breakfast, lunch, dinner or between meal snacking.  If snacking is
as
 
            prevalent in this study as it is in the U.S. studies, then this
would
 
            be considered as promoting unhealthy eating habits.   It was also
 
         important to code by general food group categories the types of food
 
            mentioned or consumed by characters to be able to judge their
 
     nutritional value.
     Within each food consumption reference scene, each eating character
 
            was recorded and two main kinds of information were noted about that
 
            character: the characteristics of the eating character and their
 
        eating behavior.  Characteristics included whether the character had a
 
            major, submajor or minor role, the likability of the character, as
 
          well as sex, age and body size.  Each of these characteristics has
 
          implications for the extent of the character's potential impact.  A
 
           character's prominence (i.e, major, submajor or minor roles) in the
 
           story makes them more or less prominent in the viewers' minds.
 
       Similarly, a liked character was more likely to invite identification
 
            and, therefore, would be a more likely role model for eating
behaviors
 
            than a disliked or even neutral character.  The sex and age of
 
      characters also provide markers for audience members who may identify
 
            more with characters who are of a similar age or gender.  Young
 
       people, for example, may be more likely to imitate the eating
 
     behaviors of young characters.  Body size, on the other hand, not only
 
            has implications for viewer identification, but also for vicarious
 
          reinforcement of eating behaviors.  Previous studies have shown that
 
            despite the nonnutritious eating behavior portrayed on television
very
 
            few characters were fat or obese.  The absence of negative
 
  reinforcement might indicate that eating nonnutritious foods has no
 
           negative consequences and would therefore encourage such behavior.
     A character's eating behavior was recorded along a number of
 
     dimensions, including the activity associated with food consumption,
 
            the eating location, the types and quantity of food consumed, and
his
 
            or her emotional state while eating.  Activities associated with
 
        eating were coded as social, relaxing, thinking, problem solving or
 
           explicitly paying attention to what they eat.  If more than one
 
       activity occurred, coders were asked to choose the predominant one.
 
            On one level this is a test of character's attentiveness to their
 
         food.  According to nutritionists, we should pay full attention to
 
          what we eat.  On another level activities associated with eating may
 
            tell us the portrayed uses of eating and drinking for television
 
        characters.  Eating location indicates whether characters are taking
 
            time to eat or whether they are eating "on the go."   Coding
locations
 
            included home, restaurant, bar/club, fast food shop, work place, or
on
 
            the street.  Coders were also asked to judge whether characters were
 
            overeating by consuming large quantities of food.  Finally, the
 
       character's emotional state while eating was recorded to determine if
 
            characters use food and drink to fulfill certain emotional needs.
 
          Emotional states included excitement/ happy, normal, angry, or in a
 
           difficult position/ being frustrated.
     Four independent coders were provided instruction and instruction
 
          sheets at a training session regarding the definition of categories.
 
            Each program was viewed by two coders.  The coding instruments were
 
           refined twice after each of the two pilot tests until a minimum of
.75
 
            reliability coefficient was reached for each variable.
 
Cultivation Analysis
     This portion of the study was based on the cultivation premise that
 
            television dominates the symbolic environment of modern life
(Gerbner
 
            et al., 1980).  It sought to determine if there is a relationship
 
         between amount of television viewing and having knowledge, attitudes
 
            and behaviors which correspond television images of eating and
 
      drinking behaviors.  Of course, according to this premise the greater
 
            the viewing the greater the correspondence will be between
television
 
            beliefs, attitudes and behaviors and personal beliefs, attitudes and
 
            behaviors.
 
     This study then tested five related hyptheses:
H1:       Television viewing is positively related to having poor eating
 
            habits.
H2:       Nutritional knowledge is positively related to both television
 
            viewing and poor       eating habits acting as an intervening
variable.
H3:  Television viewing  is positively related to unhealthy conceptions
 
            about food.
H4:  There is a positive relationship between television exposure and
 
            intention to      drink alcohol when older.
H5:  Those who watch more television tend to perceive more social and
 
            emotional    uses of drinking alcohol.
 
     The target population were junior secondary students ranging in age
 
            from 11 to 14 years of age.  These students were targeted because in
 
            the Hong Kong school system primary school students generally eat
 
         lunch at home and so have less food choices.  As students begin their
 
            junior secondary schooling they eat lunch on their own and,
therefore,
 
            for the first time must make food selections without parental
 
     guidance.  In this situation television would theoretically have more
 
            of an opportunity to have an impact on their eating behaviors.  A
 
         convenience sample of 232 junior secondary students from six classes
 
            (i.e, three classes from Form One and three from Form Two) was
 
      surveyed.  All classes came from one secondary school which is fairly
 
            typical of public secondary schools in Hong Kong.
     The survey instrument contained 37 items which could be roughly
 
        divided into seven categories: television exposure, bad eating habits,
 
            nutritional knowledge, perceived normative dietary behavior, future
 
           intention of drinking alcoholic beverages, social models and
 
    demographic data.  An additive poor eating habits index was formed
 
          from their responses to eight items which included frequency of eating
 
            in fast food shops, snacking while watching television, studying,
and
 
            playing, eating breakfast, having midnight snacks as well as their
 
          favorite snack and beverage choices.  Each item received a score from
 
            1 to 5 with one being the most desirable choice in each case and
five
 
            being the least desirable choice.
     A nutritional knowledge index was created from a set of ten questions
 
            which tested respondents knowledge of useful nutritional
information,
 
            such as whether breakfast, lunch or dinner was the most important
one
 
            according to nutritionists and the benefits of Vitamin C.  The index
 
            was computed on the basis of the number of correct responses.  For
 
          both the nutritional knowledge index and the poor eating habits index
 
            the homogeneity of the responses were acceptable.
     Perceived normative dietary behavior index was also created using
 
          five items, each of which asked for respondents opinions regarding
 
          their perceptions of certain eating behaviors.  Each question could be
 
            associated with a "TV answer" which would be more reflective of
 
       television reality as opposed to attitudes which would lead to
 
      healthier eating habits.  Homogeneity, however, was not present among
 
            these responses so that an index could not be formed.  They were,
 
         therefore, analyzed independently.
     A number questions regarding drinking alcoholic beverages were also
 
            included.  According to the cultivation hypothesis, children are
more
 
            likely to accept repeated messages about things outside their
 
     immediate experience.  Drinking alcohol is not common among the young,
 
            particularly among this age group.  The potential impact of drinking
 
            behaviors then could be quite large.  Six questions were used to
 
        measure any impact.  One asked their intentions to drink alcohol when
 
            they are older and the other five asked them what are the social
 
        functions of drinking alcohol.  The latter five were used to form a
 
           social contribution index.
     Students were also directly asked from what source they received
 
         their nutritional knowledge to discover which social models they
 
        thought had the greatest influence on their eating habits, attitudes
 
            and knowledge.  Two questions were used to determine influential
 
        sources of nutritional information.  The first asked the frequency of
 
            receiving information from each source.  The second asked them to
name
 
            the main source of information on nutritional matters.
 
Results
 
Content Analysis
     Television dramas in Hong Kong clearly contain frequent references to
 
            food.  There are a total of 232 food references in the thirty
sampled
 
            half-hour dramas.  Table 1 shows that visual and/or verbal
references
 
            to food without showing consumption appear in approximately half of
 
           all food references, while actual food consumption accounts for
 
       approximately the other half.   On average, a scene showing one or
 
          more characters consuming food occurs at a rate of 7.3 per hour.
     It is important to note that Hong Kong TV characters are most
 
      frequently seen or are talking about snacking between meals rather
 
          than eating or talking about main meals.  Nearly two-thirds (62.6%) of
 
            food references fall within the category "not main meals."  The
 
       remaining 37.4% food references are split between dinner (16.6%),
 
         lunch (16%) and breakfast (4.8%).
 
Table 1:  Food references in Hong Kong TV dramas
                                 N        %
     Visual reference only                27       11.6
     Verbal reference only                60       25.9
     Visual and verbal reference          35       15.1
     Consumption reference         110        47.4
     Total                         232       100.0
 
     Table 2 illustrates that the type of food most frequently referred to
 
            are beverages.  Except for dairy products most of the other food
 
        categories range between 13.5 and 17.7 percent.  The dominance of
 
         beverage references are similar to that found in the American prime
 
           time diet (Story & Faulkner, 1990).  However, snacks and sweets are
 
           less visible in Hong television than they are in American programs
 
          where they ranked second almost twice as prevalent as the third place
 
            meats, seafood, poultry food group.
 
     Table 3:  Food group references in Hong Kong dramas
                                N         %
     Beverages                 96       31.0
     Meat, seafood, poultry         55       17.7
     Cereals and grains             53       17.1
     Desserts and sweets            51       16.5
     Fruits and vegetables               42       13.5
     Dairy products                 13         4.2
     Total                         310       100.0
 
     Within each of these groups there are some noteworthy findings.  The
 
            most frequent type of beverage references are alcohol (33.7%) and
tea
 
            (32.6%).  Meat (beef and pork) and poultry are the most frequently
 
          seen in the meat category and snack chips (39.2%) and Chinese Dim Sum
 
            (25.5%) are the most frequent snacks of choice in TV dramas.  It
 
        should also be noted that most frequent consumers of desserts and
 
         sweets were young people below the age of 16.  Eighty percent of this
 
            age groups' food choices were desserts and sweets.  Interestingly,
 
          alcohol is slightly less prevalent in American prime time programs
 
          taking second place to coffee.  On the other hand, beef and pork are
 
            far more visible than either poultry or seafood in the U.S.  (Story
&
 
            Faulkner, 1990).
     There were a total of 231 eating characters in the sampled dramas.
 
            They were predominantly male (58%) and between the ages of 25 and 44
 
            (60%) which probably reflects the gender and distribution of Hong
Kong
 
            television characters in general.  A vast majority of the characters
 
            (84.8%) were classified as "medium" in the body size.  None were
 
        classified as "obese" and only 11.7 percent could be said to be "fat."
 Thus, although there is a good deal of eating non-nutritious foods
 
           between meals on Hong Kong television very few characters are
 
     overweight.  Of those who are overweight they are more likely to be
 
           disliked.  In fact, 20 percent of "fat" characters were judged to be
 
            disliked by coders as compared to 5 percent of "medium" characters
and
 
            none of the "thin" characters (p<.000, gamma=.54).
     Most food consumption in Hong Kong dramas took place outside the home
 
            (54.3%).  In addition, the younger the character the less likely
they
 
            were to eat at home.  Only 30 percent of those characters under 25
 
          years of age were seen eating at home as compared to 68 percent of
 
          characters over 44 years of age.  The locations of choice outside the
 
            home for young people under 25 years old were restaurants (29.5%),
 
          fastfood shops (19.6%) and on the street (16.4%).  For those between
 
            the ages of 25 to 44 it was the restaurant (26.1%) and the workplace
 
            (13.4%) which were the most popular location to eat outside the
home.
 
            Those over 44 years old were primarily seen in restaurants (20%)
when
 
            not eating at home.
     Television characters in Hong Kong rarely eat alone (10.8%).  Table 4
 
            clearly shows that eating is most commonly a social activity.  It is
 
            also useful for thinking, problem solving or relaxing.  Only 14.3
 
         percent of the time do characters appear to eat to satisfy hunger or
 
            to even pay full attention to what they eat.
 
     Table 4:  Predominant contexts/activities associated with eating
                                     N          %
     Socializing                        143        61.9
     Thinking                        24       10.4
     Problem solving                      18         7.9
     Relaxing                        13         5.6
     Satisfy hunger/paying attention           33       14.3
     Total                              231       100.0
 
     Most TV characters were either in a normal (57.6%) or happy (25.1%)
 
            frame of mind when they engaged in eating activities.  The remaining
 
            17.3 percent were either angry or in a difficult position. In Table
5
 
            the amount that characters eat is crosstabulated with their
emotional
 
            state.  Generally characters could only be seen eating large
 
    quantities of food 15.2 percent of the time.  However, this type of
 
           eating behavior is mostly portrayed when characters are either angry
 
            (44.4%), in a difficult position (25.8%) or happy (22.4%).
Characters
 
            in a normal frame of mind are significantly less likely to overeat
 
          (7.5%).  Food in this light functions as a means of giving vent to
 
          one's emotions whether excited, angry or frustrated.
 
     Table 5:  Characters eating large quantities by their emotional state
 
 
Excitement/
happy
Normal
Angry
In a difficult
position
Row
total
Eats a large quantity
13
     22.4
10
7.5
4
44.4
8
25.8
35
15.2
Does not eat a large quantity
45
77.6
123
92.5
5
55.6
23
74.2
196
84.2
Column total
58
25.1
133
57.6
9
3.9
31
13.4
231
100.0
Chi-Square: 17.15   2-tail prob.:  .001 Gamma:  -0.4
 
     As mentioned previously, alcohol is the most frequently consumed
 
         beverage in Hong Kong dramas.  Similar to food consumption drinking
 
           alcohol is also often portrayed as a social activity (32.1%), but
 
         almost equally as often it is engaged in while thinking (32.1%) and
 
           problem solving (25.0%).  In addition, drinking is significantly
 
        associated with characters' emotional states.  From the
            crosstabulation of emotional state by alcohol consumption in Table 6
 
            it is evident that characters usually drink when they are angry
 
       (44.4%) or in a difficult position (38.7%).  As in the case with
 
        consuming large quantities of food, drinking alcohol is portrayed as a
 
            way of releasing emotions or coping with problems.  However, in the
 
           case of alcohol consumption the emotions associated with drinking are
 
            only negative ones.
 
     Table 6:  Alcohol consumption by emotional state
 
Alcohol consumption
Excitement/
happy
Normal
Angry
In a difficult
position
Row
total
No
57
98.3
122
91.7
5
55.6
19
61.3
203
87.9
Yes
1
1.7
11
8.3
4
44.4
12
38.7
28
12.1
Column total
58
25.1
133
57.6
9
3.9
31
13.4
231
100.0
Chi-Square: 37.14   2-tail prob.:  .000 Gamma:  .76
 
     In summary the content analysis results indicate that the Hong Kong
 
            television diet largely consists of foods low in nutritional value.
 
            In addition, television characters tend not to pay full attention to
 
            what they eat nor do they eat explicitly to satisfy their hunger.
 
          Instead, they are more likely to snack between meals, eat on the go
 
           and use food primarily for the satisfaction of their social and
 
       emotional needs.  The patterns of food choice and eating behavior on
 
            television, in short, are similar to patterns usually associated in
 
           real life with problems in weight control and nutrition.
     Characters who eat on television, however, are never depicted as
 
         obese, and fat body types are represented far less frequently than are
 
            medium and thin body types.  In addition to their greater
 
 representation, thin and medium body types are also more often
 
      associated with a positive personal image.  As a result, television
 
           presents viewers with a misleading message.  It suggests that people
 
            can eat in ways to easily get fat, but yet at the same time they
will
 
            remain slim and healthy.
     In particular it is younger people who are most likely to be
 
     presented as having poor eating habits in Hong Kong television.  They
 
            are the ones who are most often seen frequenting fast food shops in
 
           which they consume high caloric foods.  They are also the group most
 
            often portrayed as eating on the street and choosing desserts and
 
         sweets between main meals.
     Finally, alcohol is the most frequently consumed beverage on Hong
 
          Kong television.  Drinking is portrayed as both a social activity and
 
            as a means to deal with anger and frustration.  Characters' use of
 
          both alcohol and food to vent emotions is no doubt a dramatic device,
 
            but it may send the wrong message particularly to the young who are
at
 
            a stage of development when both emotional control and nutritional
 
          habits are important issues.
 
Cultivation Survey
     The sample of 232 junior secondary school students had nearly equal
 
            representations of Forms One and Two grades and of boys and girls.
 
           Most of the these students (56%) say that they watch three or more
 
          hours of television per night.  Nearly 80 percent watch over two hours
 
            per night.  It would also appear that most of their attention during
 
            viewing is directed to messages from programs rather than
commercials.
 When asked what they do during commercials 69 percent said that they
 
            either go away and do other things or change to another channel.
Most
 
            students also say that their main source of nutritional knowledge is
 
            the mass media (33%), followed by parents (21%), books (18%),
 
     doctors(16%), teachers (10%) and friends (1%).
     Of the students in our sample 32 percent perceived themselves to be
 
            too fat or a little fat, while 48 percent saw themselves as medium,
 
           and 20 percent said that they were a little thin or too thin. The
 
         girls were more likely (38%) to think that they were overweight than
 
            the boys (26%).  Overall, their eating habits are less than healthy.
 
            On average students say that they frequent fast food shops 2.25
times
 
            per week.  Most of their food choices during non-main meals are low
in
 
            nutrition with chocolates, candies, chips, french fries, icecream
and
 
            instant noodles (high in MSG) comprising 61 percent of their
 
    selections.  Soft drinks (36%) and sugared fruit juices (21%) are
 
         their favorite beverages.  For most snacking is an activity associated
 
            with watching television (56%) and less frequently with studying
(32%)
 
            and playing (30%).  In addition, less than half of the respondents
 
          have breakfast every morning (44%) and most will have a midnight snack
 
            at least occasionally (57%).
     Our sample's nutritional knowledge is also less than adequate.  In
 
           responding to ten knowledge questions on nutrition, none had a
perfect
 
            score and only two had all nine correct.  The mean number of correct
 
            responses was 5.3.  One of the questions revealed some confusion
with
 
            regard to drinking alcohol.  Almost half  (48%) thought that beer
was
 
            a kind of stimulant and 26 percent said that there was not enough
 
         alcohol in beer to make someone drunk.  In a second set of five
 
       questions asking respondents perceptions of normative dietary behavior
 
            students exhibited a mix of healthy and unhealthy attitudes toward
 
          eating and drinking.  Only 20 percent felt that one should pay full
 
           attention to one's food while eating, 53 percent said that many
people
 
            will not get fat even though they select a high fat diet and 68
 
       percent believed that having some alcohol  and food during a business
 
            discussion can increase efficiency.  However, 76 percent did not
think
 
            that most meals should have some meat.  This latter response, of
 
        course, is reflective of the Asian diet.
     A third set of five questions examined students' perception of the
 
           functions of drinking alcohol.  A quarter of the students felt that
it
 
            no function while a sizable number thought that it was a way to let
 
           off one's negative personal feelings (42%) and to divert oneself from
 
            boredom (30%). Many felt that it was indispensible in social
 
    situations (44%).  When asked whether they will drink occasionally
 
          when they get older 57 percent said that it was either possible or
 
          very possible while 33 percent that it was probably impossible and 10
 
            percent were adamant that it was impossible.
 
Tests of the hypotheses
 
H1:  Television viewing is positively related to having poor eating
 
           habits.
     As can be seen in Table 7, there is a significant positive and
 
       moderately strong relationship between television exposure and poor
 
           eating habits.  For this table and subsequent ones those viewing an
 
           hour or less of television per night were classified under light
 
        exposure while 2 to 3 hours constituted medium exposure and 4 hours
 
           and above was considered heavy exposure.  The poor eating habits
index
 
            was formed from the eight items described earlier.
 
     Table 7:  Poor eating habits by television exposure
 
Eating habits index
Light
exposure
Medium exposure
Heavy
exposure
Row total
Better eating habits
20
41.7
32
27.4
9
17.0
61
28.0
Average eating habits
18
37.5
42
35.9
15
28.3
75
34.4
Poor eating habits
10
20.8
43
36.8
29
54.7
82
37.6
Column totals
48
22.0
117
53.7
53
24.3
218
100.0
Chi-Square: 14.04   2-tail prob.:  .007 Gamma:  .35
 
     A second factor was also found to have a significant positive and
 
          moderately strong relationship (p<.000, Gamma:  .42) to poor eating
 
           habits, namely the amount of pocket money students carried with them.
 
            In other words, the more pocket money that students had the worse
 
         their eating habits were.  Given the strength of this relationship the
 
            first relationship between television exposure and eating habits was
 
            retested this time controlling on the factor of pocket money.  For
 
          this test students were divided into two groups, those having more and
 
            those having less pocket money.  Among those with less pocket money
 
           the relationship between television exposure and eating habits was no
 
            longer significant, but it became slightly stronger among those with
 
            more pocket money (p<.000, Gamma:  .44).  Thus, students who carry a
 
            lot of pocket money have more opportunity to indulge in the poor
 
        eating habits which are associated with being heavily exposed to
 
        television.  Television exposure will make little difference when st
 
           udents do not have enough cash to snack at their discretion.
 
H2:  Nutritional knowledge is positively related to both television
 
           viewing and poor           eating habits acting as an intervening
 
         variable.
     Nutritional knowledge was found not to be related to either
 
    television viewing or poor eating habits.  Thus, viewing television
 
           appears to have no relation to having high or low levels of
 
   nutritional knowledge.  It can also be said that knowledge of these
 
           nutrition knowledge items has no relation to students eating habits.
 
H3:  Television viewing is positively related to unhealthy conceptions
 
            about food.
     No significant relationship was found between television exposure and
 
            the eating attitude index, which was constructed from five attitude
 
           questions described earlier, but since items lacked homogeneity items
 
            were tested separately.  Only one of the items was significantly
 
        related to television exposure (p<.005, Gamma:  .24).  Greater
 
      exposure to television was associated with believing that having some
 
            alcoholic drinks and food can enhance efficiency in business
meetings.
 
H4:  There is a positive relationship between television exposure and
 
            intention to drink alcohol when older.
     There was a significant positive and moderately strong relationship
 
            between television exposure and intention to drink when older.
 
       Therefore, the more students were exposed to television the more
 
        likely it was that they would say that they would drink alcohol when
 
            they became older.  It should be noted that this relationship was
 
         equally strong for both males and females.
 
     Table 8:  Future intention to drink alcohol by television exposure
 
Future intention
to drink alcohol
Light
exposure
Medium exposure
Heavy
exposure
Row total
Impossible
36
72.0
72
57.6
23
40.4
131
56.5
Possible
14
28.0
53
42.4
34
59.6
101
43.5
Column totals
50
21.6
125
53.9
57
24.6
232
100.0
Chi-Square: 11.00   2-tail prob.:  .004 Gamma:  .37
 
H5:  Those who watch more television tend to perceive more social and
 
            emotional uses of drinking alcohol.
     A significant positive and moderate relationship was found between
 
           exposure to television and the number of social and emotional
 
     contributions which students believed drinking alcohol made to
 
      people's lives.  For this test students who agreed with the statement
 
            that drinking alcohol made no contribution were categorized as "no
 
          contribution," whereas those who disagreed with that statement and
 
          selected one contribution of drinking were categorized as "little
 
         contribution" and those who disagreed and chose two contributions or
 
            more were categorized as "more contributions."  (see Table 9)   It
 
          should be noted that the one contribution which was most strongly
 
         related to television exposure was that drinking is an indispensible
 
            part of social situations (p<.014, Gamma:  .33).
 
     Table 9:  Perceived contributions of drinking alcohol by TV exposure
 
Perceived
contributions
Light
exposure
Medium exposure
Heavy
exposure
Row total
No contribution
20
40.0
21
24.8
8
14.0
59
25.4
Little contribution
18
36.0
55
44.0
23
40.4
96
41.4
More contributions
12
24.0
39
31.2
26
45.6
77
33.2
Column totals
50
21.6
125
53.9
57
24.6
232
100.0
Chi-Square: 11.75   2-tail prob.:  .019 Gamma:  .30
 
Therefore, light viewers are more likely to think of drinking as being
 
            generally useless.  Heavy viewers, on the other hand, can see a
number
 
            of social and emotional contexts where it could be quite useful.
 
Discussion
 
     These findings confirm, first of all, that the nutritional messages
 
            in Hong Kong television dramas are generally unhealthy, particularly
 
            with regard to the portrayal of the eating habits of the young.
 
        Secondly, it demonstrates significant positive relationships between
 
            television viewing and poor eating habits, and between television
 
         viewing and perceptions and intentions regarding alcohol consumption.
     It appears, therefore, that the non-nutritional behaviors portrayed
 
            on television are related to similar behaviors in young viewers.
The
 
            more they watch the more likely it is that they will eat in fast
food
 
            shops, consume low nutrition foods, snack between meals, have
midnight
 
            snacks and not eat breakfast.  As was illustrated in the content
 
        analysis findings, these are the same activities which are likely to
 
            be seen on Hong Kong prime time television.  It is not unreasonable
to
 
            conclude then that the type of behaviors being modeled in these
 
       television dramas may to some extent be having an impact on young
 
         people, particularly those who view frequently and among those who
 
          have sufficient pocket money to indulge in the modeled behavior.  The
 
            influence of modeling may be strong since the television characters
 
           most likely to engage in poor eating habits are the young and viewers
 
            would be more likely to identify with these characters.  Modeling is
 
            further encouraged since there appear to be no negative consequences
 
            (i.e, weight gain or health problems) to eating foods high in
 
     cholestrol and fat content.
     It is also apparent that young people in Hong Kong spend a lot of
 
          time with television and are, therefore, saturated with its frequent
 
            food references, most of which as we have seen are undesirable.
 
        Television's portrayals of drinking alcohol are equally undesirable in
 
            that drinking is the beverage of choice among television characters
 
           and it is used as a dramatic device to show characters using alcohol
 
            to deal with their problems.  Unlike eating behaviors students do
not
 
            engage in drinking alcoholic beverages at this age.  Therefore, it
is
 
            necessary to rely upon their intentions to drink when they are older
 
            as a predictor of the future behavior.  Once again, higher levels of
 
            television viewing are associated with higher intended levels of
 
        alcohol consumption behavior.  Drinking is a frequently modelled
 
        behavior on Hong Kong television and young viewers are shown that it
 
            can be useful in a variety of social and emotional situations.
 
       Characters who drink then not only model the behavior but demonstrate
 
            its potential benefits and rewards.  This type of modeling can be
 
         particularly potent among young people who have had no previous
 
       experience with a behavior like drinking alcohol.
     It is problematical that no relationship was found between either
 
          television viewing and nutritional knowledge or between television
 
          viewing and nutritional perceptions.  According to the cultivation
 
          hypothesis (Gerbner et al., 1980), one would expect that the symbolic
 
            television world would create similar perceptions of the real world
in
 
            viewers.  These television perceptions are most directly reflected
in
 
            the nutritional perceptions rather than in the nutritional knowledge
 
            measures.  Although one of the individual perception measures was
 
         significant and two approached significance, their relationship with
 
            television viewing is spotty and weak at best.  It is possible that
 
           not enough attitude measures were included or that these were the
 
         wrong ones in that they were not perceptions which could be primarily
 
            derived from television.  There is also a possibility that
television
 
            has a more immediate and direct impact on easily accessible
behaviors
 
            such as snacking on junk food (provided one has the money) as
opposed
 
            to the complex formulation of general perceptions of the world.
Both
 
            the light television viewer and the heavy television viewer may
share
 
            similar perceptions of eating behaviors, but it is the heavy viewer
 
           who receives repeated reinforcement of the extent and benefits of
 
         these behaviors.
     This same argument could also be used to explain the absence of a
 
          relationship between nutritional knowledge and eating behavior.
 
        Actually, this kind of weak association between nutrition knowledge
 
           and nutrition behavior is not unusual.  In a Harris poll (1984) of
 
          1700 people in the U.S. two out of three Americans thought that they
 
            could be healthier if they changed their diet, but said that they
 
         would probably not do so.  Perhaps even more pertinent is the Born and
 
            Goldberg study (1982) mentioned earlier in which nutritional
knowledge
 
            seemed to make no difference in the impact of commercials on their
 
          eating behaviors.  Among Hong Kong students heavy and light viewers
 
           may be equally informed or uninformed about nutritional facts, but
 
          their behavior is less a function of their knowledge than their
 
       exposure to models exhibiting immediately gratifying behavior.
     In the case of alcohol consumption a relationship was found between
 
            television viewing and perceptions of the positive contributions of
 
           drinking.  The difference between these measures and the attitudes
 
          toward food measures is that the contributions of alcohol measures are
 
            more directly related to the rewards of the activity.  In addition,
as
 
            cultivation advocates would point out there is ample room for
 
     television to have an impact on these perceptions since young people
 
            have no prior experience with drinking.
 
 References
 
Atkin, C., & Wallack, L. (1990).  Mass Communication and Public Health
 
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Chen J.D., Chao G.H. (1989).  Exercise and weight control, Chinese
 
          Journal of Sports   Medicine, 8, 167-72.
 
Dietz, W.H. (1990).  You are what you eat -- What you eat is what you
 
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Dietz, W.H. & Gortmaker, S.L. (1985).  Do we fatten our children at
 
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