Menu labels, for better, and worse? Exploring socio-economic and race-ethnic differences in menu label use in a national sample

Menu labels, for better, and worse? Exploring socio-economic and race-ethnic differences in menu label use in a national sample
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DOI:
10.1016/j.appet.2018.06.015
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发表时间:
2018-09-01
期刊:
影响因子:
5.4
通讯作者:
Fox, Ashley
Fox, Ashley
中科院分区:
医学2区
文献类型:
--
作者:
Feng, Wenhui;Fox, Ashley

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菜单卡路里标签旨在使顾客能够做出更健康的食物选择,但研究人员质疑标签是否会使那些具有更高健康素养,识字或算术能力的人获得更多,可能会加强肥胖的种族种族或社会经济不平等。这项研究的目的是调查在看到和使用餐馆菜单卡路里标签方面的差异,以及差异是否随着时间的推移而加剧。使用2007-2014年期间三轮国家健康和营养调查的数据,我们调查了随着时间的推移,菜单标签使用的种族种族和社会经济差异,调整了性别,虽然菜单标签的使用量随着时间的推移而增加,但并非所有组的使用量都相同。虽然我们发现黑人和西班牙裔在坐下来的餐馆里比白人更多地使用标签,但与其他群体相比,受教育程度更高的人,收入更高的群体和白人在某些环境中看到和/或使用标签的程度都有所增加。这项研究加强了人们的担忧,即菜单卡路里标签可能会加剧社会经济和某些种族种族的肥胖差异。随着菜单标签政策在联邦政府实施,可能需要将更多的注意力转移到伴随执行的教育运动上,并改进标签,使信息更易于使用。
Menu calorie labeling aims to empower customers to make healthier food choices, but researchers have questioned whether labels will empower those with greater health literacy, literacy or numeracy more, possibly reinforcing race-ethnic or socioeconomic inequalities in obesity. The goal of this study was to investigate differences in seeing and using restaurant menu calorie labels and whether differences have compounded over time.Using data from three rounds of the National Health and Nutrition Examination Survey covering the period 2007-2014, we investigate race-ethnic and socio-economic differences in menu label usage over time adjusting for sex, age and body weight.While menu label usage increased over time, not all groups increased their use equally. While we find that Blacks and Hispanics use labels more than Whites in sit-down restaurants, more educated individuals, higher income groups and Whites each increased the degree to which they saw and/or used labels in certain settings compared with other groups.This study reinforces concerns that menu-calorie labeling may exacerbate socio-economic and certain race-ethnic obesity differences.As menu labeling policy moves forward to be implemented federally, more attention may need to be diverted to educational campaigns accompanying the implementation and improving the labels so the information is easier to use.