Development of a Color-Coded Bilingual Food Label for Low-Literacy Latino Caretakers

Haldeman, Lauren; Pérez‐Escamilla, Rafael; Ferris, Ann M.; Drake, Linda; Himmelgreen, David; Bonello, Harby; González, Anir; Segura‐Millán, Sofia; Méndez, Ivette; Bermúdez, Ángela; Romero‐Daza, Nancy

doi:10.1016/s0022-3182(00)70543-7

Cited by 23 publications

(23 citation statements)

References 10 publications

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“…For example, in accordance with other studies, higher levels of education were associated with adequate comprehension. 6 The effects of education are mixed, as indicated by other studies. 28 The results do not suggest an association between age, education level and utilization, as reported in other studies, 29 but are consistent with the only published study that objectively measured utilization via an eye-tracking device.…”

Section: Discussionmentioning

confidence: 90%

“…Other studies have looked at either Nutrition Facts label use or comprehension among Latinos, within a specific sub-group including women 7 and caretakers 6 or have disproportionately focused on subjective self-assessment of their understanding. 2,17 …”

Section: Discussionmentioning

confidence: 99%

“…3,4 Research has demonstrated that utilization of the label is associated with healthier dietary habits 1,2,5,6 including reduction of fat and overall energy intake 4 and an increase in fruits and vegetables. 7 Yet, rates of utilization of the information on the label are low and limited comprehension of the label is the most commonly cited barrier to using it.…”

Section: Introductionmentioning

confidence: 99%

“…6 Thus, there is a need to better understand utilization and interpretation of the label among Latinos, both immigrants and native-born, considering that they are the fastest growing minority group in the United States and are disproportionately affected by obesity and chronic diseases. 5,6,12,13 Yet, overall there is a dearth of research on how the Nutrition Facts label is used and understood within minority and/or immigrant populations. The limited research available on label use and interpretation among immigrants, however, suggests low levels of awareness of the labels as well as language barriers that hinder comprehension.…”

Section: Introductionmentioning

confidence: 99%

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The Association between Nutrition Facts Label Utilization and Comprehension among Latinos in Two East Los Angeles Neighborhoods

Sharif¹,

Rizzo²,

Prelip³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

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Background The Nutrition Facts label can facilitate healthy dietary practices. There is a dearth of research on Latinos’ utilization and comprehension of the Nutrition Facts label. Objective To measure Nutrition Facts label use and comprehension and to identify their correlates among Latinos in East Los Angeles. Design Cross-sectional interviewer-administered survey using a computer assisted personal interview (CAPI) software conducted in either English or Spanish in the participant’s home. Participants/Setting Eligibility criteria were: living in a household within the block clusters identified, being age 18 or over, speaking English or Spanish, identifying as Latino and as the household’s main food purchaser and preparer. Analyses were based on 269 eligible respondents. Statistical analyses performed Chi-square test and multivariate logistic regression analysis assessed the association between the main outcomes and demographics. Multiple imputation addressed missing data. Results Sixty percent reported using the label; only 13% showed adequate comprehension of the label. Utilization was associated with being female, speaking Spanish and being below the poverty line. Comprehension was associated with younger age, not being married, and higher education. Utilization was not associated with comprehension. Conclusions Latinos who are using the Nutrition Facts label are not correctly interpreting the available information. Targeted education is needed to improve Nutrition Facts label use and comprehension, to directly improve diet, particularly among males, older Latinos, and those with less than a high school education.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Association between Nutrition Facts Label Utilization and Comprehension among Latinos in Two East Los Angeles Neighborhoods

Sharif¹,

Rizzo²,

Prelip³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

show abstract

“…Studies with Latino adults in the USA also reported lower rates of label use (23,51) . For example, a study comparing ethnic groups in the USA found that only half of the proportion of Latinos, compared with their African-American and 'white' respondents, had 'ever used' labels (39) .…”

Section: Income/educationmentioning

confidence: 96%

Nutrition labels on pre-packaged foods: a systematic review

Campos

Doxey

Hammond

2011

Public Health Nutr.

685

693

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Refugees’ Perceptions of Healthy Behaviors

Barnes

Almasy

2005

J Immigrant Health

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This descriptive study explored refugees' knowledge and perceptions of nutrition, physical activity and smoking behaviors using the Health Promotion and Transtheoretical Models. A one-time interview used both closed- and open-ended questions. The sample included 31 adults from Bosnia, Iran, and Cuba. Refugees had some knowledge of a healthy diet and physical activity, and were aware of both benefits and barriers for health behaviors. They had a realistic perception of their weight (55% overweight), and none thought obesity was a positive characteristic. Changes in diet, physical activity and smoking since arrival in the US have been positive for some and negative for others. For all categories discussed, refugees were in the pre-contemplation stage of change. There is a need to study refugees' health behaviors over time after arrival. Health behavior interventions must be specific to ethnicity in order to accurately document progress and to be culturally appropriate.

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Development of a Color-Coded Bilingual Food Label for Low-Literacy Latino Caretakers

Cited by 23 publications

References 10 publications

The Association between Nutrition Facts Label Utilization and Comprehension among Latinos in Two East Los Angeles Neighborhoods

The Association between Nutrition Facts Label Utilization and Comprehension among Latinos in Two East Los Angeles Neighborhoods

Nutrition labels on pre-packaged foods: a systematic review

Refugees’ Perceptions of Healthy Behaviors

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