Abstract
Objectives This study aims to examine food label use, specific reading behaviors and the awareness of dietary recommendations among U.S. pregnant women in comparison to non-pregnant women. Methods A cross-sectional data analysis was conducted using a representative national sample of U.S. women aged 16 to 44 years from the National Health and Nutrition Examination Survey 2005–2006 (n = 1875). Food label users were defined as woman who used the Nutrition Facts panel when making a food choice in the frequency of always, most of the time, or sometimes. Pregnancy status was assessed in relation to food label use, specific reading behaviors and the awareness of dietary recommendations by conducting hierarchical multivariable logistic regression models including covariates of SES and perceived health and weight variables. Results The prevalence of using food labels at purchase greatly differs by SES, perceived health and weight variables, and awareness of dietary recommendations but not by pregnancy: 68.6% of pregnant and 66.1% of non-pregnant women used food labels in the U.S. However, after controlling for SES and perceived health and weight status, pregnant women are more likely to read food labels than their counterparts (OR = 1.43, 95% CI = 1.07–1.89). Pregnant women were less likely to check cholesterol (OR = 0.58, 95% CI = 0.44–0.77) and calories from fat content (OR = 0.61, 95% CI = 0.42–0.89), after adjusting for SES variables. Pregnant women may not have a higher awareness of dietary recommendations compared to non-pregnant women in the U.S. Conclusions While pregnancy itself is a factor that appears to encourage the reading of food labels, pregnancy does not encourage positive reading behaviors. The findings suggest a great need for prenatal nutrition education programs in the U.S.
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References
Azman, N., & Sahak, S. Z. (2014). Nutritional label and consumer buying decision: a preliminary review. Procedia-Social and Behavioral Sciences, 130, 490–498. doi:10.1016/j.sbspro.2014.04.057.
Bao, W., Bowers, K., Tobias, D. K., et al. (2014). Prepregnancy low-carbohydrate dietary pattern and risk of gestational diabetes mellitus: a prospective cohort study. The American Journal of Clinical Nutrition, 99(6), 1378–1384. doi:10.3945/ajcn.113.082966.
Blitstein, J. L., & Evans, W. D. (2006). Use of nutrition facts panels among adults who make household food purchasing decisions. Journal of Nutrition Education and Behavior, 38(6), 360–364.
Centers for disease control and prevention. 2011 Pregnancy nutrition surveillance table 2D. http://www.cdc.gov/pednss/pnss_tables/tables_health_indicators.htm.
Everette, M. (2008). Gestational weight and dietary intake during pregnancy: perspectives of African American women. Maternal & Child Health Journal, 12(6), 718–724.
Fitzgerald, N., Damio, G., Segura-Pérez, S., et al. (2008). Nutrition knowledge, food label use, and food intake patterns among Latinas with and without type 2 diabetes. Journal of the American Dietetic Association, 108(6), 960–967.
Fowler, J. K., Evers, S. E., & Campbell, M. K. (2012). Inadequate dietary intakes among pregnant women. Canadian Journal of Dietetic Practice and Research, 73(2), 72–77.
Fowles, E. R. (2002). Comparing pregnant women’s nutritional knowledge to their actual dietary intake. American Journal of Maternal Child Nursing, 27(3), 171–177.
Fullmer, S., Geiger, C. J., & Parent, C. R. (1991). Consumers’ knowledge, understanding, and attitudes toward health claims on food labels. Journal of the American Dietetic Association, 91(2), 166–171.
Guthrie, J. F., Fox, J. J., Cleveland, L. E., et al. (1995). Who uses nutrition labeling, and what effects does label use have on diet quality? Journal of Nutrition Education, 27(4), 163–172. doi:10.1016/S0022-3182(12)80422-5.
Institute of medicine weight gain during pregnancy: reexamining the guidelines: Institute of Medicine 2009 Contract No: Report.
Kaiser, L. L., & Allen, L. (2002). Position of the American Dietetic Association: nutrition and lifestyle for a healthy pregnancy outcome. Journal of the American Dietetic Association, 102(10), 1479–1490.
Kim, S., & Douthitt, R. A. (2004). The role of dietary information in women’s whole milk and low-fat milk intakes. International Journal of Consumer Studies, 28(3), 245–254.
Kristal, A. R., Levy, L., Patterson, R. E., et al. (1998). Trends in food label use associated with new nutrition labeling regulations. American Journal of Public Health, 88(8), 1212–1215.
Lewis, J. E., Arheart, K. L., LeBlanc, W. G., et al. (2009). Food label use and awareness of nutritional information and recommendations among persons with chronic disease. The American Journal of Clinical Nutrition, 90(5), 1351–1357. doi:10.3945/ajcn.2009.27684.
Lewis, J. E., Arheart, K. L., LeBlanc, W. G., et al. (2009). Food label use and awareness of nutritional information and recommendations among persons with chronic disease. The American Journal of Clinical Nutrition, 90(5), 1351–1357.
Marietta, A. B., Welshimer, K. J., & Anderson, S. L. (1999). Knowledge, attitudes, and behaviors of college students regarding the 1990 Nutrition Labeling Education Act food labels. Journal of the American Dietetic Association, 99(4), 445–449.
Miller, L. M., & Cassady, D. L. (2012). Making healthy food choices using nutrition facts panels. The roles of knowledge, motivation, dietary modifications goals, and age. Appetite, 59(1), 129–139. doi:10.1016/j.appet.2012.04.009.
National Health and Nutrition Examination Survey. NHANES data file DBQ_D. Diet Behavior and Nutrition 2005–2006.
Nayga, R. M. Jr. (1996) Determinants of consumers’ use of nutritional information on food packages. Journal of Agricultural and Applied Economics.; 28(02), 303–312.
Nayga, R. M. (2000). Nutrition knowledge, gender, and food label use. Journal of Consumer Affairs, 34(1), 97–112.
Nayga, R. M., Lipinski, D., & Savur, N. (1998). Consumers’ use of nutritional labels while food shopping and at home. Journal of Consumer Affairs, 32(1), 106–120.
Neuhouser, M. L., Kristal, A. R., & Patterson, R. E. (1999). Use of food nutrition labels is associated with lower fat intake. Journal of the American Dietetic Association, 99(1), 45–53. doi:10.1016/s0002-8223(99)00013-9.
Neuhouser, M. L., Kristal, A. R., & Patterson, R. E. (1999). Use of food nutrition labels is associated with lower fat intake. Journal of the American Dietetic Association, 99(1), 45–53.
Nutrition Labeling and Education Act of 1990. (1990). 21 U.S.C. $343(q) and (r) Pub L. No. 101–535, 104 Stat 2353.
Ollberding, N. J., Wolf, R. L., & Contento, I. (2010). Food Label Use and Its Relation to Dietary Intake among US Adults. Journal of the American Dietetic Association, 110(8), 1233–1237. doi:10.1016/j.jada.2010.05.007.
Post, R. E., Mainous Iii, A. G., Diaz, V. A., et al. (2010). Use of the nutrition facts label in chronic disease management: results from the national health and nutrition examination survey. Journal of the American Dietetic Association, 110(4), 628–632. doi:10.1016/j.jada.2009.12.015.
Satia, J. A., Galanko, J. A., & Neuhouser, M. L. (2005). Food nutrition label use is associated with demographic, behavioral, and psychosocial factors and dietary intake among African Americans in North Carolina. Journal of the American Dietetic Association, 105(3), 392–402. doi:10.1016/j.jada.2004.12.006.
Shin, M.-K., Kim, Y.-S., Kim, J.-H., et al. (2015). Dietary patterns and their associations with the diet quality index-international (DQI-I) in Korean women with gestational diabetes mellitus. Clinical Nutrition Research, 4(4), 216–224.
Stran, K. A., & Knol, L. L. (2013). Determinants of Food Label Use Differ by Sex. Journal of the Academy of Nutrition and Dietetics, 113(5), 673–679. doi:10.1016/j.jand.2012.12.014.
Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., et al. (2005). Nutrition-related information-seeking behaviours before and throughout the course of pregnancy: consequences for nutrition communication. European Journal of Clinical Nutrition, 59(Suppl 1), S57–S65. doi:10.1038/sj.ejcn.1602175.
Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., et al. (2007). Nutrition awareness and pregnancy: implications for the life course perspective. European Journal of Obstetrics & Gynecology and Reproductive Biology, 135(1), 58–64. doi:10.1016/j.ejogrb.2006.11.012.
Wojcicki, J., & Heyman, M. (2012). Adolescent nutritional awareness and use of food labels: Results from the national nutrition health and examination survey. BMC Pediatrics, 12(1), 55.
Acknowledgements
Authors would like to thank Ms. Joyce Newman of the Office of Faculty Excellence, East Carolina University for her careful and constructive reviews. Without their help, this research would not have been made possible. This work was in part supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2011-330-B00190), and by Start-Up funding at East Carolina University.
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Kim, J., Imai, S. & Mathews, H. Does Pregnancy Increase Use and Awareness of Nutrition Information in Food Labels?. Matern Child Health J 21, 1387–1395 (2017). https://doi.org/10.1007/s10995-016-2245-0
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DOI: https://doi.org/10.1007/s10995-016-2245-0