A Review of Research Studies on Factors Affecting Consumers’ use of Nutritional Labels| Juniperpublishers
Nutrition and Food Science International Journal- Juniper Publishers
Abstract
Objective: This paper aims to
summarise and draw roles of various demographical and situational factors
affecting usage of nutrition label in consumer purchase decision. In addition,
it also rationalises various types of label formats that could influence use of
nutritional label. Design: A systematic review was conducted by searching
databases online. To identify the articles online, researchers have searched
journal articles and conference proceedings. Total 60 articles were extracted
out of which 50 were selected based on the topic specification. Results:
Nutrition label is one of the most important sources of nutrition information
about product. Nutrition labels are considered as one of the trustworthy source
of information as it is given by manufacturer and approve by government
agencies. Demographic factors like education and income have positive relation
with usage of nutrition label. Females and married consumers are more likely to
use nutrition label as compared to respective counterpart. Age, frequency of
purchasing a product, time availability and household size are negatively
related to the usage of nutrition label. One of the most effective ways of
simplifying the nutrition label is to introduce a simple, easy to understand
and unified labelling system. Conclusion: The demographic factors affect the
usage of nutrition label, it’s the responsibility of food producer to elicit
label according to the requirement of potential customers. The chances of usage
of nutrition label can increase if the labelling designs by considering
demographic and situational factors of target market.
Keywords: Nutritional; Labels;
Health risks; Ingredients; Net quantity; Shelf life; Grade/quality;
Manufacturer; Dealer; Importer; Food standards
Introduction
The diet-related health issues
have been increased intensely from last few years across the globe. Now, it’s
really important to take corrective steps in this field considering the fact
that the people suffer a lot from the health risks like blood pressure, cardio
disease, and high body mass index. In response to this serious issue of health
risk, the governments of various countries has raise the concern about
different issues like eating habit of people, physical activity, and attitude
towards healthy living. In this situation, self-discipline on the consumption
of food is really very important. The nutrition and calories requirement varies
from person to person based on their physic. It became really important that
the consumer must have knowledge of the product they are consuming.
The best way to inform the
consumer about the product and the nutrients it carries is to provide
information about the product. Food label on the product plays the role of
informing the consumer about the product, its ingredients and nutrients it
contains. A label serves the following three primary functions:
It provides basic product
information (including common name, list of ingredients, net quantity, shelf
life, grade/quality, vegetarian society logo, country of origin, name and
address of manufacturer, dealer or importer and food standards agency.
It provides health, safety, nutrition
information which includes instructions for safe storage, handling, nutrition
information such as quantity of fats, protein, carbohydrate, vitamins &
minerals and preservatives, colors, if used any, quantity per serving of stated
size of food (in the nutrition facts table) and specific information on
products for special dietary use.
It also acts as a vehicle for
food marketing promotion and advertising promotional information and claims
such as ‘low fat’, ‘cholesterol free’, ‘high source of fiber’, ‘natural’,
‘organic’, ‘no preservatives added’ and the like. Labels help people sometimes
in some cases if they have the knowledge or motivation to use the information,
which may or may not be in a format they can understand. Food labeling is found
to be a very vital public health tool aimed at providing consumers with
information which may influence their purchasing decisions. According to the
FDA in the USA, a label is the primary point of contact between the producer
and the purchaser and should be thought of as an integral part of the
producer’s marketing plan. According to the FDA (1998), a label should clearly
and minimally state the name of the product, the net weight, the nutrition
facts panel (nutrition label), the name and address of the manufacturer, and
the brand name. According to the Federal Food, Drug, and Cosmetic Act, the
labeling is “a written, printed, or graphic matter:
Upon any article or any of its
containers or wrappers or
Accompanying such article at any
time while a device is held for sale after shipment or delivery for shipment in
interstate commerce”. The food labels act as a signaling mechanism by which
food companies assure their potential consumers regarding their sound quality
control practices.
One of the most important
components of a food label is nutrition label which is available on the packed
food product. Nutrition label alone is likely to offer limited success to
public health communication method but it can make a small but important contribution
towards making informed food choices. Consumers can use health claims, which
appear on the food packages to identify foods with certain nutrition qualities
related to risk factors and wellness. Consumers’ ability to choose their diets
somewhat depends on the quantity and quality of information available through a
variety of sources, including nutrition panel food labels [1].
According to the FDA (1998),
nutrition information on food items help consumers to eat a variety of foods,
maintain a healthy weight, choose a diet with low saturated fat and
cholesterol, choose a diet with plenty of vegetables, fruits, and grain
products, and use sugars, salt and sodium only in moderation. Nutrition label
act as a platform to convey foodrelated information based on which consumers
can make dietary intake-related decisions [2]. It allows consumers to compare
the nutrition values of similar food products and to make healthy food choices
based on the relevant nutrition information.
Nutrition label plays an important
role in providing the appropriate information to consumers. The inclusion of a
nutrition label on food items may be an important packaging decision. Nutrition
labels can simplify the whole concept of healthy eating. It also allows
consumers to make an informed judgment of a product's overall value. The food
labels are there to inform the nutritional composition of product [3]. The
objective of nutrition food labeling is to provide consistent, understandable,
and usable labels that can help consumers to make informed and healthier food
choices [4]. Nutrition labelling is found to affect the consumer purchase
behaviour significantly. Some evidence reveals that provision of nutrition
information may allow consumers to switch consumption away from 'unhealthy'
products in those food categories toward 'healthy' products in food categories
more easily [5].
That’s how nutrition label helps
the consumer, manufacturer and government. With the help of nutrition label
consumer can choose healthy food and can easily maintain a healthy diet. With
the help of it, the manufacturer can differentiate their product easily and it
becomes easy for them to win the trust of the consumer by providing the right
information. It gives the opportunity to the food manufacturer to lead in this
field as they can influence the consumer attitude and perception which
ultimately change the purchasing behavior with the help of the better
information in a simple format [6].
The government can have control
over the quality of food, with the help of nutrition label and can also save
certain cost which is incured by non-communal disease most probably generated
by an unhealthy diet, which is again caused by unhealthy food choice. Mandatory
nutrition label information is to allow consumers to make healthy dietary
decisions [7]. The government should encourage the people to take care of their
own health and also help them to improve their attitude towards nutrition label
by emphasizing health promotion and advocating the use of nutrition label, to have
control on spending on a various decision related to diet [2]. The policy maker
should emphasize on providing easy to read, simple to understand information
that makes customer reliable on information [6]. Majority of the consumers are
able to retrieve the simple information and make an easy comparison between
products by using the numerical information. As the majority of people found it
very difficult to understand the nutrition information, there is a need of
taking educational activities to make labelling simple [8]. According to
Priyadarshini V [9] the marketers and Government should encourage consumers to
use nutrition label by
Developing a policy to impart
nutrition education at school level,
Spreading awareness among
consumer about the relation between diet and its impact on health,
Making nutrition label easy
readable and understandable, and
Delivering the right content in
the product
Materials and Methods
The research is limited to the
paper published from January 2000 to October 2017. The majority of research was
from US, UK, New Zealand, Australia, India, Pakistan and Sri Lanka. The
databases used to search papers were Emerald Insight, PubMed, Springer Open,
Proquest and Science Direct. It was restricted to English language and pre-review
studies examine effects of various factors in the usage of food label. To
identify the articles online, we have searched journal articles and conference
proceedings. The search for paper was conducted in the month of November 2017.
The combination of the words used for search was “nutrition label” AND
“consumer” OR “food label” OR “ingredient list” OR “consumer health
consciousness” OR “health claim” OR “nutrition claim” OR “packaging policies”.
Total 60 articles extracted out of which 50 were selected based on the topic
specification.
Factors affecting usage of
nutrition label
There are many researches
conducted in various countries to find out the relationship between
demographical and situational factors of consumer and their understanding &
usage of the nutrition label. Demographical and situational factors like age,
gender, education, income, marital status, dietary status and number of members
in a family, BMI of consumer, area of residence, and health consciousness are
few on which various studies have been carried out.
Education
There is a significant
association between usage of nutrition label and the education level of the
consumers [10]. According to Priyadarshini [9] the awareness and usage of
prepacked food label were found to be significantly associated with the
education level. Level of education is one of the important factors affecting
knowledge and understanding nutrition label. The chances are higher than the
consumers having more year of education has greater nutrition knowledge [11].
It also plays an important role in one’s concern about health. The
well-educated consumers may possess good knowledge and understanding of
information related to health [12]. Consumers who have completed high school
were more concerned about us of nutrition label [13]. Consumers with higher
education found labels easier to read as compared to those who were not so
highly educated [14]. The consumer having bachelor and postgraduate degree were
more aware towards food labels [15]. The food planner’s educational status
positively affects the willingness to read food labels [16]. It may be possible
that the consumer with low education may face some difficulties in
understanding the nutrition label or its various technical components.
According to Carrillo E et al. [17] consumers with less education found the
nutritional label technical and difficult to understand.
There are few research having
contrast results i.e. there is a negative relationship between education level
and usage of the nutrition label. The level of education of family members does
not create awareness of observing nutritional labels [18]. There is no
relationship between the level of education and using nutrition label [19].
Consumers with higher education and perceived time pressure with greater
importance to the sensory aspects of the food products are less likely to read
a food label [6].
As from the review of literature, we can conclude that the relationship between education and usage of nutrition label is confusing. There may be other factors like attitude of consumers towards health and consumption of healthy food. The usage of nutrition label might be something which is not dependent on the education level of consumers.
Age
Age is one of the variables which
significantly affect the use of nutrition label. Nutrition knowledge differs
according to age [20]. There is a significant association between age and usage
of nutrition label [1]. Age of the consumer is one of the variables influenced
the probability of reading nutrition labels [21]. The awareness and usage of
pre-packaged food labeling are significantly associated with the age of
respondents [9]. The age and usage of nutrition label were negatively related
[13]. Chances of being more knowledgeable and locating information on the food
product are higher in the case of younger respondents than the older one [22].
There are fewer chances of reading nutrition label in the case of older age
group [12]. The research is at its infancy level where it different findings.
Both age group people, young and old gave similar attention to the nutrition
label [23]. As the age increases, there are higher chances of using nutrition
label for fat content [24] and for cholesterol content [25]. The elderly people
were more interested to eat healthy, but they have less nutrition knowledge
[26]. Old age respondents were concerned about fat, sugar or salt intake when
checking the nutrition facts [8].
There are very few researches
that found that the old age consumers are using nutrition label. The majority
of research found that the young age group are using nutrition label. Research
also revealed that the old age consumers wish to use nutrition label but
because of reasons like; small font size, complex terminologies and inability
to analyse and understand the label value is difficult.
Gender
Most of the study found that
gender plays an important role in purchasing decision. Nutrition knowledge
differs according to gender [20]. Females are more interested in eating healthy
food than men [26]. The percentage of women checking labels is a greater than a
man because they are more health conscious [19]. Females are more aware of the
nutrition label than the male consumer [9]. Females are more willing to read
food label [11,12,21,27]. There are higher chances that the females purchase
labeled products [28,29]. The women are reading nutrition labels and it also
affects their purchasing decisions [30]. Females as a family’s food gatekeeper
and they have a large share of the responsibility for their family’s health
that’s why they are willing to pay more for nutrition information [31]. Females
pay more attention to the nutrition label for the information like calories,
vitamins and minerals [25]. Women are also concerned about fat, sugar and salt
intake while checking the nutrition label [8]. Females with special diet are
also interested to read labels [32]. According to Aygen [13], there is no
significant impact of gender in the case of using nutrition labels.
It’s clear from the literature
review that nutrition label users are more female as compared to the
counterpart. There are few researches that found the reasons for such outcomes
like females are more health conscious and female are responsible for the food
consumption of household.
Marital Status
Marital status is again an
important variable creating an impact on consumer purchase decision. There is a
significant impact of marital status on the use of nutrition label [12]. There
may be variations in consideration of factors while purchasing food product
before and after marriage. The married people are more conscious in nutrition
label checking than singles [33,19]. The married consumers are more likely to
refer the nutrition label [34]. There is research carried out with the opposite
result, where there is no relationship between marital statuses on the usage of
the nutrition label. Marital status of respondent does not to have an effect on
usage of nutrition labels [12].
Income
Income of a consumer shows an
impact on their purchase decision as more income gives them freedom for
comparing more products with various quality factors. There is a significant
association between income level of consumer and usage of nutrition [35,10].
Individuals with higher earning are more likely to use nutrition label as
compared to its counter side [12]. The meal planners with higher household
income are more likely to use nutrition label as compared to the meal planner
with lower household income [21]. On the other side, there are contrasting
findings that reveals income level did not play a role in the usage of
nutritional labels by the consumers [14,31]. Consumer living in the high-income
area seems to use less of the nutrition label, the reason might be because of the
long working hour, they may spend less time for shopping and may not much
concerned about the nutrition label [13].
Household Size
The type of household plays an
important role in the usage of the nutrition label and purchasing decision.
There is a significant relationship between household size and the usage of the
nutrition label. The family structure creates an effect on the nutritional
status of adults [12]. The household size negatively influence usage of
nutrition information [25,31]. Increase in the member of the household or the
number of school going children decrease the chances of reading food labels.
[16]. The consumers from larger families are less likely to use health claims
[6]. On the other side, there are few researches having contrast results. The
size of the household did not play any role in the usage of nutritional labels
by the consumers [14].
Children in family
Children in family show an impact
on the purchase decision. Family normally take care of food when there are
children in the family. But no research found such relation; a number of
children in the family did not affect the usage of the nutritional label [14].
The family with or without preschool children, it doesn’t create awareness of
using nutrition label [18]. Presence of children in the family doesn’t affect
the usage of nutrition label [13]. There is a lower probability of purchasing
nutrition labeled food products in case of households with children compared to
the other households [28]. The household with preschool children more likely to
refer the nutrition label [34]. There may be the impact of the size of a family
on the decision to use nutrition label as [16] found in his research that a
member increase in the number of school children affect negatively to read food
labels. People having children less than 16 years at home have less interest in
healthy eating [26].
Special dietary status
A person with some health issue
may have to take care while selecting food that they eat. The person with such
issue needs to put more efforts in selecting right food. Consumers referred
nutritional labels to know about the content of fat or cholesterol in the
product. Amount of sugar was generally read by diabetics’ person [14]. Special
dietary status of a person has a significant effect on the willingness to pay
for nutrition information [31]. Respondents with the chronic diseases were more
aware about the nutrition label and used it more often [36].
Knowledge and usage of nutrition
label
Consumer’s awareness towards
nutrition label and depth of knowledge about nutrition label affects the usage
of nutrition label. Knowledge significantly affect the use of nutritional
information and nutritional & health claims on food labelling [17,6]. The
consumers’ knowledge about nutrition label supports to use label [29]. It may
be because the higher nutrition knowledge is associated with the better diet
quality [37]. Familiarity of consumer with the product affect whether they use
nutrition label or not [38]. Consumers with more knowledge towards nutrition
label and having favourable attitude towards nutrition label would more likely
to use nutrition label [20]. The consumers with higher nutritional knowledge
are more frequently use the nutrition label to choose low-fat food [17].
There exists research with
opposite results; there is no impact of knowledge on usage of nutrition label
on the usage of nutrition label [13]. People with lower nutrition knowledge
will be more affected by health consciousness in terms of their attitude
towards labelling [2].
Nutrition label usage and
purchase decision
There are many consumers who are
aware of the nutrition label and also reading it, the basic issue is, do they
make a decision based on the nutrition label? It’s really important to know the
impact of nutrition label on consumers’ purchase decision, because the degree
of usage of nutrition label is less than the degree of understanding of
nutrition label [26]. In the case of consumer’s first-time purchase of a
product, the food label plays a significant role [13,39,23,22,40]. Sometime
majority of the customer change their minds, deciding not to purchase the food
product [41,27].
Willingness to pay
Consumers’ willingness to pay for
the product that carry nutrition label is one of the important factor that
helps us to identify the importance of nutrition label to the consumers.
Individuals having age around 40 years, individuals with special dietary
status, higher education and smaller families are more willing to pay for
nutrition labels [31]. Price sensitive consumers are less interested in use of
labels [25].
Format of label
A nutrition label needs to be
simple and accurate so that the user can have easy understanding and trust on
it. Manufacturers need to make it easy-to-understand so the goal of usage of
nutrition label can be achieve. Updating the Nutrition Facts Panel, developing
a uniform labelling system and providing consumers with nutrition information
make it easy for consumer to become aware about nutrition label and motivated
to make healthier choices [42]. Mostly consumers prefer to have nutrition
information listed for 100 grams rather than per serving as its easier to
compare the product displayed with 100 grams nutrition label [32,27].
Traffic Light: According to
Grunert et al. [26] Traffic lights formate of nutrition label is upto some extent
selfexplanatory but the consumer may over interpret the severity of the
colours.
Front-of-packages: Consumers
prefer the front-ofpackages and consistent labelling of nutrition across all
products [43]. Front-of-pack nutrition labels can increase healthy choices
among consumers [44]. Consumers are generally positive about the front-of-pack
labelling as it helps to understand label easily [45]. Consumers face little
difficulty in understanding FOP nutrition information [26]. There are
researches with contrast findings; Consumer might be misleading by thinking
that the products with front-of-package symbol are healthier than those without
[46].
Guideline daily amount: A
Guideline Daily Amount (GDA) is a nutrition label that began in 1998, it’s a
joint effort of the UK government the food industry and consumer organizations.
There is high consumer understanding with the GDA [21] and they could apply the
figures given on the GDA in correct way [26]. The GDA coded by colour creates
more effect on the usage of nutrition label [47].
Most consulted information
The information, for which
consumer is referring label, gives insight about the importance given by
consumer to various components of the nutrition label. Information consulted
for purchasing product depends on the consumers’ health status, health
consciousness, demographic profile, the environment etc. The consumers prefer
to look the total fat, saturated fat, sugar and sodium from the nutrition label
[37,48]. According to Wade and Kennedy [27] females were more likely to refer
the total energy content while the males were more likely to refer the protein
related information.
Body Mass Index (BMI)
Body Mass Index is one of the
measurement criteria to infer the obesity of a person. It is obvious that a
person with higher BMI need to take care of his/her food. Some individuals with
higher body mass index may not be necessarily interested in dieting or may not
be health oriented; this result may have significant implications for health
and nutrition education programs [49]. Obese males and females reported more
nutrition label use compared with the non-obese males and females [47].
Consumer’s knowledge towards the nutrition label is affected by the body mass
index [20]. There are researches with opposite outcomes, people with a higher
BMI have less interest in healthy eating [26]. There is negative relationship
between time allocated for information search and BMI [50].
Area
Nutritional behaviors varied
across their residing regions. Consumer awareness and behavior vary across the
residing regions. Indian consumers in the urban area are more aware about the
food labels compared to the consumers in suburban area [15]. One of the reasons
may be lack of media and health education in rural areas that the people in rural
areas have limited access to the health-related information [12,51].
Health consciousness
It is expected that the
consumers’ concern toward their health is directly and positively related with
the consumption of healthy food. The consumer might be self-motivated to have
healthy food or it may be because of some disease they have to do so. Bandara
BES, et al. [3] has found that mostly consumers purchasing decision is more
influenced by the health consciousness. Health consciousness of the consumer affects
attitude towards usage of nutrition label [2]. The more respondents with heart
disease use nutrition label compared to the other part [29]. There is research
with the opposite results too, if we consider the gym users then they are more
health conscious as compared to the non-gym users. Wade & Kennedy [27] have
found that there was no significant difference between gym and non-gym users
[52-54].
Reason for non-use of labels
There are different reasons for
non-usage of purchasing packed food product. Out of many, few reasons are most
common to various segments of the consumers and few are segment specific.
Inability of consumer to understand the terminology is one of the main reasons
of non-use of nutrition label [11,35]. It is also have been found that lack of
interest and time to read and evaluate nutrition label is one of the reasons to
not refer nutrition label [27]. The small size of the print on nutrition label
information creates difficulty to read nutrition and that is also one of the
reasons to ignore nutrition label [14]. Many a times respondents found the
nutrition label misleading and because of that they don’t use it [27]. Other
reason for nonuser was, consumer don not believe in nutrition label and they
don’t have interest in it [11]. Few consumers don’t read nutrition label
because they found it complicated and too technical to understand [3,17]. The
consumers are familiar to the brand or product and that’s why they don’t read
the label [9]. Shoppers for whom taste is an important factor are less likely
to read nutrition label [6,8]. The most common reasons for non-use of labels
are lack of time, presentation style of information, lack of understanding of
terms and role of nutrients for health and concerns about accuracy of
information [55-58].
Conclusion
From the above review of
literature, it can be concluded that the demographic factors like education,
age, gender, marital status, income, household size, children in family,
special dietary status, knowledge of nutrition label, body mass index, residential
area, and health consciousness are factors play an important role in
understanding and usage of nutrition label. Education and income have positive
relation with usage of nutrition label. Males are less likely to use nutrition
label than females. Age has two opposite effects older respondents tended to
have more interest in healthy eating, but less nutrition knowledge. The
frequency of purchasing a product also plays important role in the same, there
are higher chance that consumer will go through the nutrition label if he/ she
purchase product for the first time. Married consumers are more likely to refer
nutrition label as compared to the counterpart. Household size is negatively
related with the use of nutrition label. Level of consumer involvement in purchasing
food product may affect positively, there are researchers who found that not
only understanding of nutrition label but motivation to use nutrition label is
also important. There are many researches carried out on the format of
nutrition label but no common outcome is derived so constructive conclusion on
this is not possible. There is strong need of a format of nutrition label that
can be easily understood by the consumers. It becomes more important when
people already have awareness of nutrition labels but because of lack time
availability, which is one of the major reasons of not reading label. One of
the most effective ways of simplifying the nutrition label is to introduce a
simple, easy to understand and unified labelling system.
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