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

ObjectiveUnhealthy foods were a major contributor to the occurrence of chronic non-communicable diseases. The promotion of nutrition labeling in the community can effectively help residents to choose healthy foods, which plays an important role in the prevention of chronic diseases. However, the pub...

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Main Authors: Yinxia Liao, Jianjun Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1097562/full
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author Yinxia Liao
Jianjun Yang
Jianjun Yang
author_facet Yinxia Liao
Jianjun Yang
Jianjun Yang
author_sort Yinxia Liao
collection DOAJ
description ObjectiveUnhealthy foods were a major contributor to the occurrence of chronic non-communicable diseases. The promotion of nutrition labeling in the community can effectively help residents to choose healthy foods, which plays an important role in the prevention of chronic diseases. However, the public awareness of this measure is not clear. Our study used a structural equation model based on the KAP theory to analyze the interaction mechanisms among knowledge, attitude, and practice and aimed to evaluate the relationships among nutrition knowledge, attitude, and practice of residents, which can provide the basis of policy formulation for nutrition education and behavior intervention.MethodsWe carried out a cross-sectional study from May 2022 to July 2022 in the “Community Health Service Center”, and each “Community Service Station” in Yinchuan use a self-designed questionnaire and convenience sampling to evaluate resident nutrition labeling KAP status. This study adopted the structural equation modeling approach to analyze a survey of Chinese individuals through the cognitive processing model, interrelated nutrition knowledge, nutrition label knowledge, attitude, and practice.ResultsAccording to the principle of sample size estimation, a total of 636 individuals were investigated, with the ratio of male to female being 1:1.2. The average score of community residents' nutrition knowledge was 7.48 ± 3.24, and the passing rate was 19.4%. Most residents had a positive attitude toward nutrition labeling, but the awareness rate was only 32.7% and the utilization rate was 38.5%. Univariate analysis showed that women had higher knowledge scores than men (p < 0.05), and young people had higher scores than older adults (p < 0.05), and the difference was significant. Based on the KAP structural equation model (SEM), residents' nutrition knowledge will directly affect their attitude toward nutrition labeling. Attitude played a greater role as an indirect effect between knowledge and behavior, while trust limits residents' practice of nutrition labeling and then affects their practice. It could be explained that nutrition knowledge was the prerequisite for label reading behavior, and attitude was the intermediary effect.ConclusionThe nutrition knowledge and nutrition labeling knowledge of respondents hardly directly support the practice of nutrition labeling, but it can influence the use behavior by forming a positive attitude. The KAP model is suitable for explaining residents' use of nutrition labeling in the region. Future research should focus on better understanding the motivations of residents to use nutrition labeling and the opportunity to use nutrition labeling in real-life shopping settings.
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spelling doaj.art-72620e917b96452498bc6295d3a9df472023-04-17T05:26:50ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-04-011010.3389/fnut.2023.10975621097562Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysisYinxia Liao0Jianjun Yang1Jianjun Yang2School of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia, ChinaSchool of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia, ChinaNingxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, Ningxia, ChinaObjectiveUnhealthy foods were a major contributor to the occurrence of chronic non-communicable diseases. The promotion of nutrition labeling in the community can effectively help residents to choose healthy foods, which plays an important role in the prevention of chronic diseases. However, the public awareness of this measure is not clear. Our study used a structural equation model based on the KAP theory to analyze the interaction mechanisms among knowledge, attitude, and practice and aimed to evaluate the relationships among nutrition knowledge, attitude, and practice of residents, which can provide the basis of policy formulation for nutrition education and behavior intervention.MethodsWe carried out a cross-sectional study from May 2022 to July 2022 in the “Community Health Service Center”, and each “Community Service Station” in Yinchuan use a self-designed questionnaire and convenience sampling to evaluate resident nutrition labeling KAP status. This study adopted the structural equation modeling approach to analyze a survey of Chinese individuals through the cognitive processing model, interrelated nutrition knowledge, nutrition label knowledge, attitude, and practice.ResultsAccording to the principle of sample size estimation, a total of 636 individuals were investigated, with the ratio of male to female being 1:1.2. The average score of community residents' nutrition knowledge was 7.48 ± 3.24, and the passing rate was 19.4%. Most residents had a positive attitude toward nutrition labeling, but the awareness rate was only 32.7% and the utilization rate was 38.5%. Univariate analysis showed that women had higher knowledge scores than men (p < 0.05), and young people had higher scores than older adults (p < 0.05), and the difference was significant. Based on the KAP structural equation model (SEM), residents' nutrition knowledge will directly affect their attitude toward nutrition labeling. Attitude played a greater role as an indirect effect between knowledge and behavior, while trust limits residents' practice of nutrition labeling and then affects their practice. It could be explained that nutrition knowledge was the prerequisite for label reading behavior, and attitude was the intermediary effect.ConclusionThe nutrition knowledge and nutrition labeling knowledge of respondents hardly directly support the practice of nutrition labeling, but it can influence the use behavior by forming a positive attitude. The KAP model is suitable for explaining residents' use of nutrition labeling in the region. Future research should focus on better understanding the motivations of residents to use nutrition labeling and the opportunity to use nutrition labeling in real-life shopping settings.https://www.frontiersin.org/articles/10.3389/fnut.2023.1097562/fullprepackaged foodnutrition labelingknowledge-attitude-practice modelresidentsstructural equation model
spellingShingle Yinxia Liao
Jianjun Yang
Jianjun Yang
Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
Frontiers in Nutrition
prepackaged food
nutrition labeling
knowledge-attitude-practice model
residents
structural equation model
title Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
title_full Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
title_fullStr Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
title_full_unstemmed Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
title_short Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis
title_sort status of nutrition labeling knowledge attitude and practice kap of residents in the community and structural equation modeling analysis
topic prepackaged food
nutrition labeling
knowledge-attitude-practice model
residents
structural equation model
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1097562/full
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AT jianjunyang statusofnutritionlabelingknowledgeattitudeandpracticekapofresidentsinthecommunityandstructuralequationmodelinganalysis