Knowledge, attitude, and practice of using food labels among medical students: A cross-sectional study in Haiphong, Vietnam 10.55131/jphd/2023/210323

Main Article Content

Duc Cap Minh
Duyen Pham Thi
Hoa Ho Van
Tham Nguyen Thi
Tan Chu Khac

Abstract

Food labeling is an essential tool that provides consumers with dietary guidelines. The increased use of food labels can improve people’s health and prevent nutrition-related problems. In Vietnam, more evidence is needed regarding the practice of reading of food labels, particularly among medical students. A cross-sectional study was conducted using a self-administered structured questionnaire from January 25 to February 30, 2022, on 1,120 medical students at Haiphong University of Medicine and Pharmacy in Vietnam. The study revealed that only about 20% of respondents understood the information on ingredients, nutritional facts, and allergens. 99.1% of respondents believed that food labels are helpful for consumers. 80% of respondents considered reading food labels necessary or very necessary. Only 2.9% strongly believed, and 33.8% believed in food labels. When purchasing foods, the percentage of respondents who often and always read food labels was 23% and 7.5%, respectively. Nearly 80% of respondents often or always prioritize buying food with labels. In addition, the price was the most critical factor in product choice for 78.7% of respondents. Multivariate logistic regression analysis showed that type of residence and nutrition knowledge were associated with reading food labels. Few Vietnamese medical students read food labels despite considering it necessary. Medical training programs should emphasize the importance of reading food labels for future doctors to improve the population’s health.

Article Details

How to Cite
1.
Cap Minh D, Pham Thi D, Ho Van H, Nguyen Thi T, Chu Khac T. Knowledge, attitude, and practice of using food labels among medical students: A cross-sectional study in Haiphong, Vietnam: 10.55131/jphd/2023/210323. J Public Hlth Dev [Internet]. 2023 Oct. 10 [cited 2024 Nov. 21];21(3):300-14. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/264986
Section
Original Articles
Author Biographies

Duc Cap Minh, Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

Duyen Pham Thi, Hong Phuc General Hospital, Haiphong, Vietnam

Hong Phuc General Hospital, Haiphong, Vietnam

 

Hoa Ho Van, Laval University, Canada

Laval University, Canada

Tham Nguyen Thi, Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

 

Tan Chu Khac, Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam

 

References

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-22. doi: 10.1016/S0140-6736(20)30925-9.

World Health Organization. Noncommunicable diseases. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed March 16, 2023

World Health Organization. World Health Organization-noncommunicable diseases (NCD) country profiles 2018. Available from: https://www.who.int/nmh/countries/2018/vnm_en.pdf?ua=1. Accessed March 25, 2022

World Health Organization. State of play of WHO guidance on Front-of-the-Pack labeling. Available from: https://www.who.int/news/item/27-09-2021-state-of-play-of-who-guidance-on-front-of-the-pack-labelling. Accessed December 21, 2022

Kleef EV, Dagevos H. The growing role of front-of-pack nutrition profile labeling: a consumer perspective on key issues and controversies. Crit Rev Food Sci Nutr. 2015;55(3):291-303. doi: 10.1080/10408398.2011.653018.

Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005;8(1):21-8. doi: 10.1079/phn2005666.

U.S. Food and Drug Administration. Food Labeling Guide. Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-food-labeling-guide. Accessed December 13, 2021

Miller LM, Cassady DL, Applegate EA, Beckett LA. Relationships among food label use, motivation, and dietary quality. Nutrients. 2015;7(2):1068-80. doi: 10.3390/nu7021068.

Anastasiou K, Miller M, Dickinson K. The relationship between food label use and dietary intake in adults: A systematic review. Appetite. 2019;138:280-91. doi: 10.1016/j.appet.2019.03.025.

Drichoutis AC, Lazaridis P, Nayga RM. Consumers' use of nutritional labels: a review of research studies and issues. Academy of Marketing Science. 2006;2006(9):1-22.

Variyam JN. Do nutrition labels improve dietary outcomes? Health Econ. 2008;17(6):695-708. doi: 10.1002/hec.1287.

Kim HS, Oh C, No JK. Can nutrition label recognition or usage affect nutrition intake according to age? Nutrition. 2016;32(1):56-60. doi: 10.1016/j.nut.2015.07.004.

Xazela N, Chinyamurindi WT, Shava H. The relationship between nutrition reading and label use and nutrition knowledge amongst a sample of rural youth studying at a university in South Africa. Health SA. 2019;24:1320. doi: 10.4102/hsag.v24i0.1320.

Pongutta S, Tantayapirak P, Paopeng C. Packaged food consumption and understanding of front-of-pack labels in urban Thailand. Public Health. 2019;172:8-14. doi: 10.1016/j.puhe.2019.04.004.

Al-Barqi R, Al-Salem Y, Mahrous L, Abat EA. Understanding barriers towards the use of food labels among Saudi female college students. Malaysian Journal of Nutrition. 2020;26(1):19-30. doi:10.31246/mjn-2019-0117.

Pham Bich Diep, Tran Phuong Thao, Nguyen Thi Hong Diem, Le Thi Hoan. Customers’ awareness about nutrition label and some related factors in 5 cities in Vietnam, 2019. Viet Nam Journal of Preventive Medicine. 2020;30(7):94.

Chopera P, Chagwena DT, Mushonga NG. Food label reading and understanding in parts of rural and urban Zimbabwe. Afr Health Sci. 2014;14(3):576-84. doi: 10.4314/ahs.v14i3.12.

Malek Mahdavi A, Abdolahi P, Mahdavi R. Knowledge, Attitude and Practice between Medical and Non-Medical Sciences Students about Food Labeling. Health Promot Perspect. 2012;2(2):173-9. doi: 10.5681/hpp.2012.020. eCollection 2012.

U.S. Food and Drug Administration. How to Understand and Use the Nutrition Facts Label. Available from: https://www.fda.gov/food/new-nutrition-facts-label/how-understand-and-use-nutrition-facts-label. Accessed June 15, 2023

Wei H, Jiang K, Liu B, Hu Z, Zhao Y, Xu H, et al. Understanding and Use of Nutrition Labels of Prepackaged Food by University Students: A Cross-Sectional Study in Chongqing, China. Nutrients. 2022;14(19):4189. doi: 10.3390/nu14194189.

Hoteit M, Yazbeck N, Al-Jawaldeh A, Obeid C, Fattah HA, Ghader M, et al. Assessment of the knowledge, attitudes and practices of Lebanese shoppers towards food labeling: The first steps in the Nutri-score roadmap. F1000Res. 2022;11:84. doi: 10.12688/f1000research.75703.2.

Casale S, Lecchi S, Fioravanti G. The association between psychological well-being and problematic use of Internet communicative services among young people. J Psychol. 2015;149(5):480-97. doi: 10.1080/00223980.2014.905432.

Statista. Internet usage in Vietnam - statistics & facts. Available from: https://www.statista.com/topics/6231/internet-usage-in-vietnam/#topicOverview. Accessed April 16, 2023

Datareportal. DIGITAL 2022: VIETNAM. Available from: https://datareportal.com/reports/digital-2022-vietnam. Accessed March 20, 2023

International Trade Administration. Selling Factors and Techniques. Available from: https://www.trade.gov/country-commercial-guides/vietnam-selling-factors-and-techniques. Accessed April 11, 2023

Liao Y, Huang J, Duan X, Zhou J, Dai X, Zhang X, et al. Survey on the behavior and attitude of nutrition labels by Chengdu fast food and light meal takeaway merchants. Wei Sheng Yan Jiu. 2020;49(6):902-7. doi: 10.19813/j.cnki.weishengyanjiu.2020.06.005.

Linkedin. Groceries shopping in Vietnam – value is about more than just the lowest price. Available from: https://www.linkedin.com/pulse/groceries-shopping-vietnam-value-more-than-just-price-roberto. Accessed May 11, 2023

Wenjuanxing. Questionnaire Star. Available from: https://www.wjx.cn. Accessed 20 July, 2022

Shahrabani S. Determinants of Israeli consumers' decision to use food label information more frequently: a national survey study. Isr J Health Policy Res. 2021;10(1):25. doi: 10.1186/s13584-021-00462-0.

Song J, Huang J, Chen Y, Zhu Y, Li H, Wen Y, et al. The understanding, attitude and use of nutrition label among consumers (China). Nutr Hosp. 2015;31(6):2703-10. doi: 10.3305/nh.2015.31.6.8791.

Vemula SR, Gavaravarapu SM, Mendu VV, Mathur P, Avula L. Use of food label information by urban consumers in India - a study among supermarket shoppers. Public Health Nutr. 2014;17(9):2104-14. doi: 10.1017/S1368980013002231.

Wojcicki JM, Heyman MB. Adolescent nutritional awareness and use of food labels: results from the National Nutrition Health and Examination Survey. BMC Pediatr. 2012;12:55. doi: 10.1186/1471-2431-12-55.

Miller LM, Cassady DL. The effects of nutrition knowledge on food label use. A review of the literature. Appetite. 2015;92:207-16. doi: 10.1016/j.appet.2015.05.029.

Cooke R, Papadaki A. Nutrition label use mediates the positive relationship between nutrition knowledge and attitudes towards healthy eating with dietary quality among university students in the UK. Appetite. 2014;83:297-303. doi: 10.1016/j.appet.2014.08.039.

Huang Z, Li H, Huang J. Analysis of Chinese Consumers' Nutrition Facts Table Use Behavior Based on Knowledge-Attitude-Practice Model. Int J Environ Res Public Health. 2021;18(22):12247. doi: 10.3390/ijerph182212247.

Huang Z, Li H, Huang J. Determinants of Nutrition Facts Table Use by Chinese Consumers for Nutritional Value Comparisons. Int J Environ Res Public Health. 2022;19(2):673. doi: 10.3390/ijerph19020673.

Miller LM, Cassady DL. The effects of nutrition knowledge on food label use. A review of the literature. Appetite. 2015;92:207-16. doi: 10.1016/j.appet.2015.05.029.

Smed S, Edenbrandt AK, Jansen L. The effects of voluntary front-of-pack nutrition labels on volume shares of products: the case of the Dutch Choices. Public Health Nutr. 2019;22(15):2879-90. doi: 10.1017/S1368980019001423.

Fisher G. Nutrition labeling reduces valuations of food through multiple health and taste channels. Appetite. 2018;120:500-4. doi: 10.1016/j.appet.2017.09.013.