Evidence map›Paper›PMID 36284083›Full record

ArticlePublic health nutrition2023

A five-country study of front- and back-of-package nutrition label awareness and use: patterns and correlates from the 2018 International Food Policy Study.

Jasmin Bhawra, Sharon I Kirkpatrick, Marissa G Hall, Lana Vanderlee, James F Thrasher, Alejandra Jáuregui de la Mota, David Hammond

Open access · goldAbstract read
In one paragraph

Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Bridging Voices Through Food: Sub-Saharan African Young People's Perspectives of Food and Nutrition Policy in Victoria, Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Jasmin BhawraSchool of Occupational and Public Health, Faculty of Community Services, Toronto Metropolitan University, Toronto, ON, Canada.ORCID 0000-0001-9926-8442
Sharon I KirkpatrickSchool of Public Health Sciences, Faculty of Health, University of Waterloo, Waterloo, ONN2L 3G1, Canada.ORCID 0000-0001-9896-5975
Marissa G HallDepartment of Health Behavior, Gillings School of Global Public Health, and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Lana VanderleeÉcole de Nutrition, Centre Nutrition, Santé et Société (Centre NUTRISS) and Institut Sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, Canada.
James F ThrasherDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Alejandra Jáuregui de la MotaDepartment of Physical Activity and Healthy Lifestyles, National Institute of Public Health, Cuernavaca, Mexico.ORCID 0000-0001-9158-2007
David HammondSchool of Public Health Sciences, Faculty of Health, University of Waterloo, Waterloo, ONN2L 3G1, Canada.ORCID 0000-0001-8197-6010
University of Waterloo · CAInstituto Nacional de Salud Pública · MXToronto Metropolitan University · CAUniversité Laval · CAUniversity of North Carolina at Chapel Hill · USUniversity of South Carolina · US

Funding

Designing and Evaluating High-Impact Pictorial Health Warnings for Food ProductsK01HL147713 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALL, MARISSA · 2019 to 2023
$738k
NHLBI NIH HHS K01 HL147713
6 · The paper itself

Abstract

objectiveThis study aimed to identify correlates of nutrition label awareness and use, particularly subgroup differences among consumers. Two label types were assessed: (1) nutrition facts tables (NFt) in Australia, Canada, Mexico, UK, and USA and (2) front-of-package (FOP) labels, including mandatory Guideline Daily Amounts (Mexico), voluntary Health Star Ratings (Australia) and voluntary Traffic Lights (UK).

designRespondents were recruited using Nielsen Consumer Insights Global Panel (

settingAustralia, Canada, Mexico, UK and USA.

participantsAdults (≥18 years).

resultsRespondents from the USA, Canada and Australia reported significantly higher NFt use and awareness than those in Mexico and the UK. Mexican respondents reported the highest level of FOP label awareness, whereas UK respondents reported the highest FOP label use. NFt use was higher among females, 'minority' ethnic groups, those with higher nutrition knowledge and respondents with 'adequate literacy' compared with those with 'high likelihood of limited literacy'. FOP label use was higher among those with a 'high likelihood of limited literacy' compared with 'adequate literacy' across countries.

conclusionsLower use of mandatory Guideline Daily Amount labels compared with voluntary FOP labelling systems provides support for Mexico's decision to switch to mandatory 'high-in' warning symbols. The patterns of consumer label use and awareness across sociodemographic and knowledge-related characteristics suggest that simple FOP labels may encourage broader use across countries.

Indexed as

Consumer BehaviorFoodAdultChoice BehaviorDietFemaleFood LabelingFood PreferencesHumansNutrition PolicyNutritive ValueFood policyInternationalLabel awarenessLabel useNutrition labelling

Identifiers

PMID36284083
PMCPMC11077451
OpenAlexW4307336629

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.