ArticleNutrients2021
Barriers and Facilitators to Implementing Reduced-Sodium Salts as a Population-Level Intervention: A Qualitative Study.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Knowledge, attitudes, and behaviours related to reduced-sodium salt: a systematic review.Journal of human hypertension · 2026Pooled it
- Assessing the implementation of national sodium reduction policies in Nigeria: an interim qualitative evaluation of stakeholder perspectives.Frontiers in nutrition · 2026Article
- Evaluation of Population-Based Sodium Reduction Strategies in China: Protocol for a Study Using a Combined Quantitative and Qualitative Approach.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Stakeholder perspectives on scaling up potassium-enriched salt to reduce cardiovascular disease in Australia: a qualitative study.BMC public health · 2025Article
- Health Claims, Product Features and Instructions for Use on the Labels of Potassium-enriched Salt Products: A Content Analysis.Current developments in nutrition · 2024Article
- Cost-effectiveness analysis of low-sodium potassium-rich salt substitutes in Indonesia: an equity modelling study.The Lancet regional health. Southeast Asia · 2024Article
- The potential for current sodium and potassium production to support a global switch to the use of potassium-enriched salt: a desktop research study.Public health nutrition · 2024Article
- Barriers and Facilitators to Dietary Salt Reduction Among Patients With Hypertension in Southern Nigeria: A Hospital-based Qualitative Study.Health services insights · 2024Article
- Article
- India's tryst with salt: Dandi march to low sodium salts.The Indian journal of medical research · 2023Review
- Stakeholder perspectives on Nigeria's national sodium reduction program: Lessons for implementation and scale-up.PloS one · 2023Article
- Implementation of a salt substitute intervention using social marketing in resourced-limited communities in Peru: a process evaluation study.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
14 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Widespread use of reduced-sodium salts can potentially lower excessive population-level dietary sodium intake. This study aimed to identify key barriers and facilitators to implementing reduced-sodium salt as a population level intervention. Semi-structured interviews were conducted with key informants from academia, the salt manufacturing industry, and government. We used the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to inform our interview guides and data analysis. Eighteen key informants from nine countries across five World Health Organization regions participated in the study from January 2020 to July 2020. Participants were concerned about the lack of robust evidence on safety for specific populations such as those with renal impairment. Taste and price compared to regular salt and an understanding of the potential health benefits of reduced-sodium salt were identified as critical factors influencing the adoption of reduced-sodium salts. Higher production costs, low profit return, and reduced market demand for reduced-sodium salts were key barriers for industry in implementation. Participants provided recommendations as potential strategies to enhance the uptake. There are presently substantial barriers to the widespread use of reduced-sodium salt but there are also clear opportunities to take actions that would increase uptake.
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