Objective: Previous studies focused on a limited number of determinants of food label use. We therefore tested a comprehensive model of food label use consisting of sociodemographic, health-related and motivating variables. These three predictor groups were chosen based on the previous literature and completed with new predictors not yet examined in a comprehensive study of frequency of label use. Design: We sent questionnaires to a random sample of households in the Germanspeaking part of Switzerland. Setting: The respondents filled in the questionnaire at home and returned it by mail. Subjects: We analysed the data of 1162 filled-in questionnaires (response rate 5 38 %). Of the respondents, 637 were women (55 %), and their mean age was 53?54 (SD 15?68) years. Results: Health-related variables were the most important group of predictors of label use, followed by motivating factors and sociodemographic variables. Placing importance on health, healthy eating and nutritional value of food, perceived vulnerability for diet-related diseases, nutrition knowledge, numeracy and gender were positively associated with frequency of food label use whereas shopping habits and seeing eating as something positive were negative predictors of frequency of label use. Conclusions: People's health consciousness should be raised in order to increase the frequency of food label use. Furthermore, it should be stressed that reading labels and keeping a healthy diet do not contradict 'good eating', and that both of these aspects can be combined with the help of food labels.
Keywords
Food label Nutrition table Comprehensive model Predictors of food label useNutrition labels on food products are often praised as an important instrument for health promotion and prevention of diseases associated with overweight and obesity (1)(2)(3)(4) . To find out how this preventive strategy can be used optimally and where the potential starting points for further improvement could be, it is very important to understand what determines use of food labels. This knowledge would help public health communicators to decide to whom and how they need to promote food label use. However, to our knowledge, existing studies investigating food label use have focused mainly on either sociodemographic and economic variables or on health-related factors. No study has systematically included factors inhibiting label use. The aims of the present study were, therefore, to provide a comprehensive framework of determinants of nutrition label use and to shed light on the motivators and inhibitors of nutrition label use. Thereby, we paid attention to three groups of potential determinants of label use: (i) a person's sociodemographic and economic background; (ii) healthrelated aspects; and (iii) factors which discourage people from using food labels (see Fig. 1). We now discuss the relevant factors of each of these three determinants, based on previous studies. One difficulty of studying label use is the number of different labels in the different international marke...