Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis

Liao, Yinxia; Yang, Jianjun

doi:10.3389/fnut.2023.1097562

Cited by 12 publications

(6 citation statements)

References 60 publications

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“…However, this study only analyzed a short period (2014–2017) that did not include the pandemic period. In addition, studies conducted in China investigating the current food labeling knowledge, attitude, and practice 27 only conducted a survey in a single city with a small sample size (n = 636) and cross-sectional design, and were unable to demonstrate any trend changes. A study conducted in the USA analyzed the food labeling usage of participants with chronic diseases 28 .…”

Section: Discussionmentioning

confidence: 99%

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

Choi,

Kim,

Park

et al. 2024

Sci Rep

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Although food labeling on food packages is crucial for promoting a healthy diet, limited research has been conducted on how the COVID-19 pandemic (hereinafter “the pandemic”) has affected food labeling awareness. Therefore, this study aims to analyze the changes in trends in food labeling awareness, comprehension, and usage in South Korea during the pandemic. We utilized a nationwide, large-scale, and long-term dataset provided by the Korea Community Health Survey (KCHS) from 2014 to 2022 (total = 1,756,847 participants). This allowed the researchers to assess the long-term trends in the prevalence of food labeling awareness, comprehension, and usage. Furthermore, we investigated the factors associated with awareness specifically related to the pandemic. In total, 1,756,847 adults (54.19% women) participated in this study. The upward slope in overall food labeling awareness became less pronounced and even exhibited a downward slope during the pandemic (βdiff − 1.759; 95% CI − 1.874 to − 1.644). The upward slope in food labeling comprehension and usage became more pronounced during the pandemic (comprehension: βdiff 0.535; 95% CI 0.436–0.634; usage: βdiff 0.693; 95% CI 0.601–0.785). The vulnerability factors associated with lower food labeling awareness during the pandemic included older age, male, obesity, residing in rural areas, lower household income, lower educational level, smoking, and increased alcohol consumption. This study analyzed the 9-year trend in the prevalence of food labeling awareness, comprehension, and usage based on nationally representative data of adults in South Korea from 2014 to 2022. Our findings suggest that personalized nutrition strategies are needed to recognize vulnerable groups with risk factors and improve food labeling awareness among Korean adults during the pandemic.

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Section: Discussionmentioning

confidence: 99%

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

Choi,

Kim,

Park

et al. 2024

Sci Rep

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“…This finding indicates that the situation of healthy diet practices among middle-aged and older adults in southwestern China remains pessimistic. A cross-sectional study showed that although most residents had a positive attitude toward nutrition labeling, the awareness rate of nutrition labeling was only 32.7%, and the utilization rate was 38.5% [ 37 ]. Therefore, further strengthening healthy diet education for middle-aged and older adults, improving their awareness of and attention to healthy diets, and promoting the development of healthy diet habits are necessary.…”

Section: Discussionmentioning

confidence: 99%

Healthy Diet-Related Knowledge, Attitude, and Practice (KAP) and Related Socio-Demographic Characteristics among Middle-Aged and Older Adults: A Cross-Sectional Survey in Southwest China

Fu,

Shi,

et al. 2024

Nutrients

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Objective This study aimed to investigate the current status and influencing factors of healthy diet knowledge, attitude, and practice (KAP) among middle-aged and older adults aged 45–75 in Southwest China. Methods A questionnaire survey was conducted among 1822 middle-aged and older adults in Southwest China (including Guizhou, Sichuan, Yunnan, and Chongqing) from February to May 2021. Results The average score of healthy diet knowledge was (4.82 ± 2.98), with a passing rate of 7.6%. The mean score of healthy diet attitude was (21.26 ± 4.18), with a passing rate of 69.5%. The average score of healthy diet practice was (13.76 ± 2.84), with a passing rate of 55.5%. The score for healthy diet KAP was (39.85 ± 7.21), with a passing rate of 41.2%. Univariate analysis showed that the scores of healthy diet KAP were significantly different among participants of different ages, genders, ethnicities, residences, education levels, monthly household incomes, and regions, as well as varying according to whether several generations have lived in the same area (p < 0.05). The results of multiple linear regression showed that the healthy diet KAP of participants was influenced by age, gender, residence, education level, monthly household income, and region (p < 0.05). Conclusion The healthy diet KAP of middle-aged and older adults aged 45–75 in Southwest China shows room for improvement. The knowledge regarding healthy diet was relatively low, and certain specific healthy diet practices were not up to the standard. However, there was a positive trend in the attitude towards a healthy diet. Healthy diet education should be promoted for middle-aged and older adults.

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“…There were likely several other environmental and social factors that should have been considered in this study. However, previous studies demonstrated that the KAP theory could effectively explain behaviors such as influenza vaccine uptake among healthcare workers (R 2 = 0.69) [ 29 ] and nutrition labeling among residents (R 2 = 0.545) [ 31 ]. The disparity in results could be attributed to the dietary behavior being a relatively ingrained habit formed over a long period, influenced by various social, cultural, environmental, financial, and traditional factors [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary knowledge-attitude-practice status in hemodialysis patients: a latent profile analysis

Chen,

Xu,

Chen

et al. 2024

BMC Public Health

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Background Hemodialysis patients require a reasonable dietary intake to manage their disease progression effectively. However, there is limited research on these patients’ overall dietary knowledge, attitude, and practice (KAP) status. This study aimed to investigate the dietary KAP status and latent profiles in hemodialysis patients and identify sociodemographic and disease-related factors associated with these profiles and dietary practice. Methods A multicenter cross-sectional study involving 425 hemodialysis patients was conducted. A dietary KAP questionnaire in hemodialysis patients was used to evaluate the dietary KAP of the patients. A structural equation model was employed to analyze the correlations between dietary knowledge, attitude, and practice. Multiple linear regression analysis was used to identify factors associated with dietary practice scores. Latent profile analysis was conducted to determine the latent profiles of dietary KAP, and binary logistic regression was used to explore the sociodemographic and disease-related characteristics associated with each KAP profile in hemodialysis patients. Results The normalized average scores for dietary knowledge, attitude, and practice in hemodialysis patients were 0.58, 0.82, and 0.58, respectively. The structural equation model revealed significant positive correlations between dietary knowledge and attitude, and attitude and practice. Attitude played an indirect effect between knowledge and practice. Gender, cerebrovascular disease, and dietary attitude scores were identified as independent influencing factors for dietary practice scores. Two dietary KAP profiles were developed: a profile with general knowledge and attitude but low practice (40.2%) and a profile with general knowledge and attitude and high practice (59.8%). Binary logistic regression analysis indicated gender and monthly income per household significantly predicted membership in each KAP profile. Conclusions The dietary practice of hemodialysis patients requires improvement. It is necessary to develop more individualized dietary interventions for these patients. Further exploration is needed to understand the motivation of patients to change their dietary behavior.

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Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis

Cited by 12 publications

References 60 publications

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014–2022

Healthy Diet-Related Knowledge, Attitude, and Practice (KAP) and Related Socio-Demographic Characteristics among Middle-Aged and Older Adults: A Cross-Sectional Survey in Southwest China

Dietary knowledge-attitude-practice status in hemodialysis patients: a latent profile analysis

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