This paper examines the impact of consumer confusion on nutrition knowledge, literacy, and dietary behavior. While previous research largely focuses on understanding why consumers might not respond to healthy eating communications, this paper seeks to uncover the various behavioral responses to such campaigns, particularly those that contravene health communication objectives. Using an interpretive methodology, findings suggest that most participants do respond to health communications by striving to eat healthily, but inadequate nutrition information derived from unreliable sources, flawed baseline nutrition knowledge, and poor nutrition literacy hinder participants' efforts. Inconsistent, incomplete, and contradictory information leaves many participants feeling confused about how to implement healthy eating habits. Further, a lack of ability to differentiate between credible and unreliable sources of nutrition information means that many participants blame their confusion on policy-makers, and express frustration and cynicism towards vague and often contradictory communications. This, in turn, increases participants' reliance on food adverts, product labels, and other commercial sources of ambiguous yet appealing information. The paper's theoretical contribution includes a consumer confusion framework for healthy eating, and policy implications highlight that health campaigns seeking to increase consumer awareness of healthy eating are not enough. Policymakers must become the most credible sources of information about healthy eating, and distinguish themselves from competing and unreliable sources of nutrition information.Keywords: Nutrition Knowledge; Nutrition Literacy; Consumer Confusion.
The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary BehaviorThe aim of this research is to explore whether consumer confusion regarding healthy eating and nutrition information has a negative impact on nutrition knowledge and literacy, as well as on dietary behaviors. Healthy eating can be defined as the eating behaviors that enable a person to achieve "a state of complete physical, mental, and social wellbeing, and not merely the absence of disease or infirmity" (World Health Organization [WHO], 2007). The best health outcomes are associated with balanced dietary patterns that boast high intakes of fruits, vegetables and grains, not just eating or avoiding a single food (Nestle, 2007;Wansink, 2007). Nutrition literacy is essential to healthy eating: it can be seen as the end result of many pushes and pulls, and a response to multiple forces that create an overall nutrition environment (Blaylock, Smallwood, Kassel, Variyam & Aldrich, 1999). One such pull is the rise of healthy eating communications, and social marketing campaigns devised by policy-makers who seek to encourage healthier dietary habits among consumers. Indeed, the dramatic rise in obesity over the past decade (Finkelstein et al., 2012;Stevens et al., 2012) has prompted academic discourse to assist the development of interv...