Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]

Background: Food labeling is a fundamental educational tool for advocating for public awareness. It emphasizes knowledge of the nutrient content of food and thus directs the choice towards the healthiest food products. This cross-sectional survey aimed to assess the knowledge, attitudes, and practic...

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Main Authors: Maha Hoteit, Marwa Ghader, Ayoub Al-Jawaldeh, Hala Mohsen, Cecile Obeid, Nour Yazbeck, Heba Abdul Fattah
Format: Article
Language:English
Published: F1000 Research Ltd 2022-05-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/11-84/v2
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author Maha Hoteit
Marwa Ghader
Ayoub Al-Jawaldeh
Hala Mohsen
Cecile Obeid
Nour Yazbeck
Heba Abdul Fattah
author_facet Maha Hoteit
Marwa Ghader
Ayoub Al-Jawaldeh
Hala Mohsen
Cecile Obeid
Nour Yazbeck
Heba Abdul Fattah
author_sort Maha Hoteit
collection DOAJ
description Background: Food labeling is a fundamental educational tool for advocating for public awareness. It emphasizes knowledge of the nutrient content of food and thus directs the choice towards the healthiest food products. This cross-sectional survey aimed to assess the knowledge, attitudes, and practices (KAP) regarding nutrition label use in Lebanon through a valid questionnaire. Methods: Overall, 768 participants (mean age: 30.8 ±12, males: 60.2%) were recruited randomly between February and May 2020. We used word of mouth and social media to recruit our sample population. Results: Social media was the most accessed tool to attain nutrition information by responders (39.8%). More than half the participants expressed positive attitudes to check information related to sugars (66.4%), vitamins (64.9%), total fats (61.7%), proteins (59.1%), and calories (58.7%) on the food label. Expiry date, price, and brand name were the top three considerations while reading food labels. About half (46.5%) reported to “always” look at the food label. Responders reported reading labels related primarily to sugars (44.3%), calories (38.8%), and total fats (36.8%). The optimal total KAP score was 46; our findings revealed a mean KAP score of 14.46 ±7 (31.4%). When categorizing the KAP scores, 15% had high scores, and 85% scored low. Spearman’s coefficients showed positive correlations between knowledge-attitude, knowledge-practice, and attitude-practice scores, with p<0.001. The regression analysis revealed that gender, age, BMI, residency area, educational level, university degree, health and diet statuses, and activity level were significant predictors of the KAP score. Being on a diet had the highest odds (OR=3.107, CI=1.904-5.072, p<0.001). Conclusion: The low awareness of food labels leads Lebanese people to choose unhealthy food options. A planned educational program is recommended to ease the interpretation of these labels.
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spelling doaj.art-e24462fc613a4ff498e50201a78148392022-12-22T02:44:46ZengF1000 Research LtdF1000Research2046-14022022-05-0111131276Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]Maha Hoteit0https://orcid.org/0000-0001-7392-4835Marwa Ghader1Ayoub Al-Jawaldeh2https://orcid.org/0000-0001-7387-8277Hala Mohsen3Cecile Obeid4Nour Yazbeck5Heba Abdul Fattah6https://orcid.org/0000-0003-0028-494XFaculty of Public Health, Lebanese University, Beirut, 961, LebanonFaculty of Public Health, Lebanese University, Beirut, 961, LebanonWorld Health Organization Regional Office for the Eastern Mediterranean, World Health Organization, Cairo, 11371, EgyptFaculty of Public Health, Lebanese University, Beirut, 961, LebanonFaculty of Nursing and Health Sciences, Notre Dame University, Zouk Mosbeh, LebanonFaculty of Public Health, Lebanese University, Beirut, 961, LebanonFaculty of Public Health, Lebanese University, Beirut, 961, LebanonBackground: Food labeling is a fundamental educational tool for advocating for public awareness. It emphasizes knowledge of the nutrient content of food and thus directs the choice towards the healthiest food products. This cross-sectional survey aimed to assess the knowledge, attitudes, and practices (KAP) regarding nutrition label use in Lebanon through a valid questionnaire. Methods: Overall, 768 participants (mean age: 30.8 ±12, males: 60.2%) were recruited randomly between February and May 2020. We used word of mouth and social media to recruit our sample population. Results: Social media was the most accessed tool to attain nutrition information by responders (39.8%). More than half the participants expressed positive attitudes to check information related to sugars (66.4%), vitamins (64.9%), total fats (61.7%), proteins (59.1%), and calories (58.7%) on the food label. Expiry date, price, and brand name were the top three considerations while reading food labels. About half (46.5%) reported to “always” look at the food label. Responders reported reading labels related primarily to sugars (44.3%), calories (38.8%), and total fats (36.8%). The optimal total KAP score was 46; our findings revealed a mean KAP score of 14.46 ±7 (31.4%). When categorizing the KAP scores, 15% had high scores, and 85% scored low. Spearman’s coefficients showed positive correlations between knowledge-attitude, knowledge-practice, and attitude-practice scores, with p<0.001. The regression analysis revealed that gender, age, BMI, residency area, educational level, university degree, health and diet statuses, and activity level were significant predictors of the KAP score. Being on a diet had the highest odds (OR=3.107, CI=1.904-5.072, p<0.001). Conclusion: The low awareness of food labels leads Lebanese people to choose unhealthy food options. A planned educational program is recommended to ease the interpretation of these labels.https://f1000research.com/articles/11-84/v2Food labels knowledge attitude practices Lebanoneng
spellingShingle Maha Hoteit
Marwa Ghader
Ayoub Al-Jawaldeh
Hala Mohsen
Cecile Obeid
Nour Yazbeck
Heba Abdul Fattah
Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
F1000Research
Food labels
knowledge
attitude
practices
Lebanon
eng
title Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
title_full Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
title_fullStr Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
title_full_unstemmed Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
title_short Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap [version 2; peer review: 2 approved]
title_sort assessment of the knowledge attitudes and practices of lebanese shoppers towards food labeling the first steps in the nutri score roadmap version 2 peer review 2 approved
topic Food labels
knowledge
attitude
practices
Lebanon
eng
url https://f1000research.com/articles/11-84/v2
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