ArticleThe Journal of nutrition2022
Correlates of Self-Reported and Functional Understanding of Nutrition Labels across 5 Countries in the 2018 International Food Policy Study.
Article in The Journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Calorie (energy) labelling for changing selection and consumption of food or alcohol.The Cochrane database of systematic reviews · 2025Pooled it
- Effects of front-of-package nutrition labelling systems on objective understanding and purchase intention in El Salvador: results from a multi-arm parallel-group randomised controlled trial.European journal of nutrition · 2025Trial
- Status and predictors of parental food literacy: an Egyptian insight to highlight gaps and challenges.BMC public health · 2026Article
- Youth exposure to unhealthy digital food marketing in relation to race/ethnicity and income adequacy in Canada.BMC nutrition · 2025Article
- Racial and Ethnic Differences in Sodium Sources and Sodium Reduction Behaviors Among US Adults: NHANES 2017 to 2020 Prepandemic.Journal of the American Heart Association · 2025Article
- Effects of front-of-package nutrition labels in Latine and limited English proficiency populations: A randomized trial.medRxiv : the preprint server for health sciences · 2025Article
- Examining differences in exposure to digital marketing of unhealthy foods reported by Canadian children and adolescents in two policy environments.BMC nutrition · 2025Article
- Impact of different front-of-package labeling models on food choices among residents in Shanghai, China: a randomized controlled trial.Frontiers in nutrition · 2025Article
- Association between nutritional literacy and nutrition label use in Chinese community residents.Frontiers in nutrition · 2024Article
- Sociodemographic differences in nutrition labels effect on Chilean and Mexican youth.Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- Review
- Awareness, use and understanding of nutrition labels among children and youth from six countries: findings from the 2019 - 2020 International Food Policy Study.The international journal of behavioral nutrition and physical activity · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundNutrition labels on prepackaged foods are an important source of nutrition information; however, differences in comprehension of varying label formats can limit their use and effectiveness.
objectivesThis study examined levels and correlates of consumers' self-reported understanding of Nutrition Facts tables (NFts) and front-of-package (FOP) labels, as well as functional NFt understanding.
methodsAdults (≥18 y) in Australia (n = 3901), Canada (n = 4107), Mexico (n = 4012), the United Kingdom (n = 5121), and the United States (n = 4445) completed online surveys in November/December 2018. Descriptive statistics summarized sample profiles by country. Linear regression models examined the association between label understanding (self-reported NFt and FOP, functional NFt) and consumer dietary behaviors, functional nutrition knowledge, and sociodemographic characteristics. NFt understanding was measured in all countries, with FOP labeling assessed only in Mexico, Australia, and the United Kingdom.
resultsSelf-reported and functional NFt understanding was significantly higher in the United States and Canada (P < 0.0001). In adjusted analyses, functional NFt understanding was significantly higher among women compared to men (P < 0.0001); respondents from the "majority" ethnic group in their respective countries compared with minority ethnic groups (P < 0.0001); those with higher education levels (P < 0.0001) and functional nutrition knowledge compared with their lower education and nutrition knowledge counterparts (P < 0.0001), respectively; and those making efforts to consume less sodium, sugar, or fat compared with those not reporting dietary efforts (P < 0.0001). Self-reported FOP label understanding was significantly higher for interpretive labeling systems in Australia (health star ratings) and the United Kingdom (traffic lights) compared with Mexico's Guideline Daily Amounts (GDAs) (P < 0.0001).
conclusionsNutrition labels requiring greater numeracy skills (i.e., NFts, GDAs) were more difficult for consumers to understand than interpretive FOP labels (i.e., traffic lights). Differences in NFt and FOP label understanding by income adequacy and education suggest potential disparities in labeling policy effects among vulnerable subgroups.
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