PMID- 37139447
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230505
IS  - 2296-861X (Print)
IS  - 2296-861X (Electronic)
IS  - 2296-861X (Linking)
VI  - 10
DP  - 2023
TI  - Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents 
      in the community and structural equation modeling analysis.
PG  - 1097562
LID - 10.3389/fnut.2023.1097562 [doi]
LID - 1097562
AB  - OBJECTIVE: Unhealthy foods were a major contributor to the occurrence of chronic 
      non-communicable diseases. The promotion of nutrition labeling in the community 
      can effectively help residents to choose healthy foods, which plays an important 
      role in the prevention of chronic diseases. However, the public awareness of this 
      measure is not clear. Our study used a structural equation model based on the KAP 
      theory to analyze the interaction mechanisms among knowledge, attitude, and 
      practice and aimed to evaluate the relationships among nutrition knowledge, 
      attitude, and practice of residents, which can provide the basis of policy 
      formulation for nutrition education and behavior intervention. METHODS: We 
      carried out a cross-sectional study from May 2022 to July 2022 in the "Community 
      Health Service Center", and each "Community Service Station" in Yinchuan use a 
      self-designed questionnaire and convenience sampling to evaluate resident 
      nutrition labeling KAP status. This study adopted the structural equation 
      modeling approach to analyze a survey of Chinese individuals through the 
      cognitive processing model, interrelated nutrition knowledge, nutrition label 
      knowledge, attitude, and practice. RESULTS: According to the principle of sample 
      size estimation, a total of 636 individuals were investigated, with the ratio of 
      male to female being 1:1.2. The average score of community residents' nutrition 
      knowledge was 7.48 +/- 3.24, and the passing rate was 19.4%. Most residents had a 
      positive attitude toward nutrition labeling, but the awareness rate was only 
      32.7% and the utilization rate was 38.5%. Univariate analysis showed that women 
      had higher knowledge scores than men (p < 0.05), and young people had higher 
      scores than older adults (p < 0.05), and the difference was significant. Based on 
      the KAP structural equation model (SEM), residents' nutrition knowledge will 
      directly affect their attitude toward nutrition labeling. Attitude played a 
      greater role as an indirect effect between knowledge and behavior, while trust 
      limits residents' practice of nutrition labeling and then affects their practice. 
      It could be explained that nutrition knowledge was the prerequisite for label 
      reading behavior, and attitude was the intermediary effect. CONCLUSION: The 
      nutrition knowledge and nutrition labeling knowledge of respondents hardly 
      directly support the practice of nutrition labeling, but it can influence the use 
      behavior by forming a positive attitude. The KAP model is suitable for explaining 
      residents' use of nutrition labeling in the region. Future research should focus 
      on better understanding the motivations of residents to use nutrition labeling 
      and the opportunity to use nutrition labeling in real-life shopping settings.
CI  - Copyright (c) 2023 Liao and Yang.
FAU - Liao, Yinxia
AU  - Liao Y
AD  - School of Public Health and Management, Ningxia Medical University, Yinchuan, 
      Ningxia, China.
FAU - Yang, Jianjun
AU  - Yang J
AD  - School of Public Health and Management, Ningxia Medical University, Yinchuan, 
      Ningxia, China.
AD  - Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, 
      Yinchuan, Ningxia, China.
LA  - eng
PT  - Journal Article
DEP - 20230417
PL  - Switzerland
TA  - Front Nutr
JT  - Frontiers in nutrition
JID - 101642264
PMC - PMC10149812
OTO - NOTNLM
OT  - knowledge-attitude-practice model
OT  - nutrition labeling
OT  - prepackaged food
OT  - residents
OT  - structural equation model
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2023/05/04 06:42
MHDA- 2023/05/04 06:43
PMCR- 2023/01/01
CRDT- 2023/05/04 02:18
PHST- 2022/11/14 00:00 [received]
PHST- 2023/03/20 00:00 [accepted]
PHST- 2023/05/04 06:43 [medline]
PHST- 2023/05/04 06:42 [pubmed]
PHST- 2023/05/04 02:18 [entrez]
PHST- 2023/01/01 00:00 [pmc-release]
AID - 10.3389/fnut.2023.1097562 [doi]
PST - epublish
SO  - Front Nutr. 2023 Apr 17;10:1097562. doi: 10.3389/fnut.2023.1097562. eCollection 
      2023.