Evidence map›Paper›PMID 40105995›Full record

ArticleEuropean journal of nutrition2025

Consumer attitudes towards dietary behaviors: a mediator between socioeconomic status and diet quality in European adults.

Urte Klink, Timm Intemann, Leonie H Bogl, Lauren Lissner, Wencke Gwozdz, Stefaan De Henauw, Dénes Molnár, Artur Mazur, Luis A Moreno, Valeria Pala and 7 more

Abstract read
In one paragraph

Article in European journal of nutrition, 2025. 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
–field-weighted citation impact
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.

  1. From Sustainability Consciousness to Sustainable Dietary Behaviours: The Mediating Roles of Food Waste and Food Preference.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 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

17 authors.

Urte KlinkDepartment of Prevention and Health Promotion, Institute for Public Health and Nursing Research, University of Bremen, 28359, Bremen, Germany. uklink@uni-bremen.de.ORCID http://orcid.org/0000-0001-8963-711X
Timm IntemannLeibniz Institute for Prevention Research and Epidemiology, BIPS, 28359, Bremen, Germany.ORCID http://orcid.org/0000-0001-7836-3643
Leonie H BoglSchool of Health Professions, Bern University of Applied Sciences, 3008, Bern, Switzerland.ORCID http://orcid.org/0000-0003-4316-2619
Lauren LissnerDepartment of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 413 90, Gothenburg, Sweden.
Wencke GwozdzDepartment of Consumer Research, Communication and Food Sociology, Justus-Liebig-University Giessen, 35390, Giessen, Germany.ORCID http://orcid.org/0000-0001-7176-708X
Stefaan De HenauwDepartment of Public Health and Primary Care, Ghent University, 9000, Ghent, Belgium.
Dénes MolnárDepartment of Pediatrics, Medical School, University of Pécs, 7624, Pécs, Hungary.
Artur MazurInstitute of Medical Sciences, Medical College, University of Rzeszów, 35-959, Rzeszów, Poland.
Luis A MorenoGENUD (Growth Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, 50009, Saragossa, Spain.
Valeria PalaDepartment of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale dei Tumori, 20133, Milan, Italy.ORCID http://orcid.org/0000-0001-5438-970X
Paola RussoInstitute of Food Sciences, National Research Council, Avellino, Italy.ORCID http://orcid.org/0000-0002-3603-0143
Michael TornaritisEducation Institute of Child Health, Strovolos, Cyprus.
Toomas VeidebaumCenter of Health and Behavioral Science, National Institute for Health Development, 11619, Tallinn, Estonia.
Garrath WilliamsDepartment of Politics, Philosophy and Religion, Lancaster University, Lancaster, UK.ORCID http://orcid.org/0000-0002-6583-8133
Antje Hebestreit *Leibniz Institute for Prevention Research and Epidemiology, BIPS, 28359, Bremen, Germany.ORCID http://orcid.org/0000-0001-7354-5958
Benjamin Schüz *Department of Prevention and Health Promotion, Institute for Public Health and Nursing Research, University of Bremen, 28359, Bremen, Germany.ORCID http://orcid.org/0000-0002-0801-498X
I.Family consortium

Funding

European Commission 266044
6 · The paper itself

Abstract

backgroundSocioeconomic disparities in dietary behaviors are well-known, but underlying mechanisms are not fully understood. We investigated whether consumer attitudes toward dietary behaviors mediate the relationship between socioeconomic factors and diet quality.

methodsThis analysis included 4051 adult participants from eight European countries of the I.Family study (2013/2014). Dietary intake was assessed using a food frequency questionnaire, and diet quality was measured by adherence to dietary recommendations using the Healthy Dietary Adherence Score. Socioeconomic factors included education, income, and social vulnerabilities (migrant background, experiencing unemployment in the household, single parenthood). Structural equation modeling was used to model pathways between predictors, outcome, and mediators, which also allowed for accounting of the clustered study design, incorporating random intercepts for country.

resultsEducation and income were positively, and unemployment was negatively associated with diet quality. Attitudes reflecting favorable dietary behaviors were positively associated with diet quality, while unfavorable attitudes were inversely associated. Analysis of the path between socioeconomic factors and attitudes revealed a heterogeneous association pattern. Trusting food advertisements and frequently using ready-to-eat foods partially mediated the association between education, income, and diet quality. The association between single parenthood and diet quality was fully mediated by comparing food labels, valuing organic products, and using ready-to-eat foods.

conclusionOur findings suggest a mediating role of consumer attitudes in the association between socioeconomic factors and diet quality, but results were not consistent across socioeconomic factors. Our findings may inform the development of interventions and regulations promoting healthy diet, such as restricting food advertisments.

Indexed as

Consumer BehaviorDietDiet, HealthyFeeding BehaviorSocial ClassAdultEuropeFemaleHumansMaleMiddle AgedSocioeconomic FactorsSurveys and QuestionnairesAttitudeConsumer BehaviorHealthy dietMediation analysisSocioeconomic factors

Identifiers

PMID40105995
PMCPMC11922978

What OpenQuestion holds

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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.