A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection

Health Check (HC) was a voluntary nutrition labeling program developed by the Heart and Stroke Foundation of Canada as a guide to help consumers choose healthy foods. Items meeting nutrient criteria were identified with a HC symbol. This study examined the impact of the program on differences in con...

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Main Authors: Christine M. White, Heather G. Lillico, Lana Vanderlee, David Hammond
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:Preventive Medicine Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335516301061
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author Christine M. White
Heather G. Lillico
Lana Vanderlee
David Hammond
author_facet Christine M. White
Heather G. Lillico
Lana Vanderlee
David Hammond
author_sort Christine M. White
collection DOAJ
description Health Check (HC) was a voluntary nutrition labeling program developed by the Heart and Stroke Foundation of Canada as a guide to help consumers choose healthy foods. Items meeting nutrient criteria were identified with a HC symbol. This study examined the impact of the program on differences in consumer awareness and use of nutritional information in restaurants. Exit surveys were conducted with 1126 patrons outside four HC and four comparison restaurants in Ontario, Canada (2013). Surveys assessed participant noticing of nutrition information, influence of nutrition information on menu selection, and nutrient intake. Significantly more patrons at HC restaurants noticed nutrition information than at comparison restaurants (34.2% vs. 28.1%; OR = 1.39; p = 0.019); however, only 5% of HC restaurant patrons recalled seeing the HC symbol. HC restaurant patrons were more likely to say that their order was influenced by nutrition information (10.9% vs. 4.5%; OR = 2.96, p < 0.001); and consumed less saturated fat and carbohydrates, and more protein and fibre (p < 0.05). Approximately 15% of HC restaurant patrons ordered HC approved items; however, only 1% ordered a HC item and mentioned seeing the symbol in the restaurant in an unprompted recall task, and only 4% ordered a HC item and reported seeing the symbol on the item when asked directly. The HC program was associated with greater levels of noticing and influence of nutrition information, and more favourable nutrient intake; however, awareness of the HC program was very low and differences most likely reflect the type of restaurants that “self-selected” into the program. Keywords: Nutrition labeling, Restaurants, Nutrition policy, Health communication, Diet
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spelling doaj.art-43125f665ff24b169aba226c98b528062022-12-21T21:57:49ZengElsevierPreventive Medicine Reports2211-33552016-12-014474480A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selectionChristine M. White0Heather G. Lillico1Lana Vanderlee2David Hammond3School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, CanadaSchool of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, CanadaSchool of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, CanadaCorresponding author at: University of Waterloo, School of Public Health and Health Systems, 200 University Avenue West, Waterloo, ON N2L 3G1, Canada.; School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, CanadaHealth Check (HC) was a voluntary nutrition labeling program developed by the Heart and Stroke Foundation of Canada as a guide to help consumers choose healthy foods. Items meeting nutrient criteria were identified with a HC symbol. This study examined the impact of the program on differences in consumer awareness and use of nutritional information in restaurants. Exit surveys were conducted with 1126 patrons outside four HC and four comparison restaurants in Ontario, Canada (2013). Surveys assessed participant noticing of nutrition information, influence of nutrition information on menu selection, and nutrient intake. Significantly more patrons at HC restaurants noticed nutrition information than at comparison restaurants (34.2% vs. 28.1%; OR = 1.39; p = 0.019); however, only 5% of HC restaurant patrons recalled seeing the HC symbol. HC restaurant patrons were more likely to say that their order was influenced by nutrition information (10.9% vs. 4.5%; OR = 2.96, p < 0.001); and consumed less saturated fat and carbohydrates, and more protein and fibre (p < 0.05). Approximately 15% of HC restaurant patrons ordered HC approved items; however, only 1% ordered a HC item and mentioned seeing the symbol in the restaurant in an unprompted recall task, and only 4% ordered a HC item and reported seeing the symbol on the item when asked directly. The HC program was associated with greater levels of noticing and influence of nutrition information, and more favourable nutrient intake; however, awareness of the HC program was very low and differences most likely reflect the type of restaurants that “self-selected” into the program. Keywords: Nutrition labeling, Restaurants, Nutrition policy, Health communication, Diethttp://www.sciencedirect.com/science/article/pii/S2211335516301061
spellingShingle Christine M. White
Heather G. Lillico
Lana Vanderlee
David Hammond
A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
Preventive Medicine Reports
title A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
title_full A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
title_fullStr A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
title_full_unstemmed A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
title_short A voluntary nutrition labeling program in restaurants: Consumer awareness, use of nutrition information, and food selection
title_sort voluntary nutrition labeling program in restaurants consumer awareness use of nutrition information and food selection
url http://www.sciencedirect.com/science/article/pii/S2211335516301061
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