Nutrition Label Numeracy: Disparities and Association with Health Behaviors
Nutrition Label Numeracy: Disparities and Association with Health Behaviors
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DOI：
10.5993/ajhb.40.4.4
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发表时间：
2016-07-01
影响因子：
2.3
通讯作者：
Oh, April
中科院分区：
文献类型：
--
作者：
Nogueira, Leticia M.;Thai, Chan L.;Oh, April
目的：我们研究了营养标签数字和社会人口特征在预测健康行为中的相对重要性。方法：对从国家癌症研究所健康信息国家趋势调查（HINTS 4，第 3 周期，2013 年）收集的数据进行二次数据分析。使用加权年龄调整序数逻辑回归来评估具有不同营养标签计算水平的个体的社会人口学特征。进行显性分析，按照健康行为预测因素的重要性顺序对营养标签数值和社会人口特征进行排序。结果：营养标签计算水平较低与年龄较大、黑人和西班牙裔人种/民族、失业、在美国境外出生、英语水平较低、教育成就较低、收入较低和居住在南方有关。营养标签上的数值和收入是健康行为最重要的预测因素，约占水果消费量差异的 50%，以及在寻求健康信息时所经历的努力程度、沮丧、担忧和困惑。结论：营养标签的计算能力在不同的社会人口群体之间存在显着差异，并且是健康行为的有力预测因子。在制定针对饮食行为的健康干预措施时，应考虑营养标签数值理解方面的差异。
Objective: We investigated the relative importance of nutrition label numeracy and sociodemographic characteristics in predicting health behaviors. Methods: Secondary data analysis of data collected from the National Cancer Institute's Health Information National Trends Survey (HINTS 4, cycle 3, 2013). Weighted age-adjusted ordinal logistical regression was used to evaluate sociodemographic characteristics among individuals with different nutrition label numeracy levels. Dominance analysis was conducted to rank nutrition label numeracy and sociodemographic characteristics in order of importance as predictors of health behavior. Results: Lower levels of nutrition label numeracy were associated with older age, black and Hispanic race/ethnicity, unemployment, being born outside of the United States, lower English proficiency, lower education achievement, lower income, and living in the South. Nutrition label numeracy and income were the most important predictors of health behaviors, accounting for about 50% of the variance in fruit consumption and level of effort, frustration, concern, and confusion experienced while seeking health information. Conclusions: Nutrition label numeracy differed significantly among sociodemographic groups and was a strong predictor of health behaviors. When developing health interventions targeting dietary behaviors, disparities in nutrition label numeracy comprehension should be considered.