In a qualitative study of 375 consumers in France, Quebec, Spain and the US, respondents are asked to choose between pairs of actual food labels and to describe the reason(s) for their choice. The food labels included sustainability labels (eco-labels, Fair Trade, origin) as well as product attribute (e.g. quality, kosher) and health/nutrition labels. Respondents' reasons were coded in the original language using the same coding system across all four nations to examine their preferences for label message, design and source. We also examined the role of consumers' values, beliefs and experiences on their label choices. The coding system was drawn from a review of theoretical and empirical literature and provides a conceptual framework we call the Label Consumer Interaction model for evaluating consumers' food label preferences. Although this is case study, the results point to substantial differences across nations in terms of preferred labels, as well as the rationale for their choice in terms of attributes of the labels and consumer characteristics.

Whether antiplatelet therapy is associated with better outcomes among patients with infective endocarditis (IE) remains controversial. A retrospective study was conducted concerning all patients with IE, treated in a tertiary-care centre of Canada between 1991 and 2006, who satisfied the modified Duke criteria for a definite or possible IE. The primary outcome was all-cause mortality within 90 days of diagnosis. A secondary outcome was the development of major systemic embolism. In total, 241 patients satisfied the inclusion criteria, 75 of whom had been on chronic antiplatelet therapy prior to developing endocarditis. Seventy-one (29.5%) patients died. According to multivariate analysis, age, a high Charlson score, aortic valve involvement, myocardial infarction and presence of a perivalvular abscess were strongly associated with mortality. Undergoing valvular replacement (adjusted OR (AOR) 0.28, 95% CI 0.09-0.84) and chronic antiplatelet therapy before IE (AOR 0.27, 95% CI 0.11-0.64) correlated with lower mortality. There was a trend for lower mortality among patients started on antiplatelet drugs after admission (AOR 0.29, 95% CI 0.08-1.13). The effect of aspirin on mortality was much the same in patients who received 325 or 80 mg daily. Chronic antiplatelet therapy was not associated with a significantly lower risk of major embolism. In conclusion, chronic antiplatelet therapy was associated with lower mortality among patients with IE, independently of any effect on major embolism. Whether or not a beneficial effect could be replicated by initiating antiplatelet therapy at the time of diagnosis remains unproven.

Purpose Previous research has extensively examined “food deserts,” where access to healthy food is limited. However, little is known of the buying behavior at the individual household level in terms of buying habits and consumption in these areas. The purpose of this paper is to determine to what extent other factors than access can account for the purchase of healthy food products, namely, fruits and vegetables. Design/methodology/approach This paper proposes to partially fill this gap through a qualitative (n=55) and quantitative (n=512) study of those people who are in charge of their household purchases in two food deserts in the city of Montreal. Findings Results show that geographical access to supermarkets is not the main factor fostering the purchase of healthy foods (fruits and vegetables). Indeed, food education (e.g. information, simple recipes, cooking classes), associated with a changing mediation process through product diversification (e.g. availability of local products in bulk) and supply (e.g. farmers) seems to be more significant. Research limitations/implications Future studies could compare the results obtained through this study in different socio-demographic contexts. Longitudinal analyses could also increase the understanding of the social and commercial challenges. Originality/value In contrast to previous studies, the results show that geographical access to supermarkets is not the main factor fostering the purchase of fruits and vegetables. Indeed, food education (e.g. information, simple recipes, cooking classes), associated with a changing mediation process through product diversification (e.g. products in bulk) and supply (e.g. farmers) seem to be more significant.

The consumption of local food, a major trend in industrialized countries around the world has experienced an unprecedented craze in the pandemic context that we are experiencing. Since the beginning of the crisis and in various media, communication about local food seems inconsistent. However, companies would have every interest in better communicating the multifaceted areas of the locality that customers value or adopting the same language if they wish to collaborate with each other. This research aims to identify and evaluate the “fit” or the “gap” of the different local food’ meanings of Canadian agri-food stakeholders through data mining of one of their communication media: Twitter. Using tweets by over 1300 Twitter accounts from Canadian agri-food companies and a popular hashtag, we analyze a sample of their tweets in 2019 and 2020 by creating and using a local food’ keyword dictionary based on the concept of proximity. Term frequency and multivariate analysis of variance of 16,585 tweets about local food show significant differences in dimensions of proximity used in communications. This study shows the interest of using the concept of proximity to better define and understand the valuation of local food products. In addition, it offers a methodology capable of distinguishing the nuances of meaning of the locality of products using natural data that is accessible via social media.