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Instituto Nacional de Salud Pública

2019, Número 1

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salud publica mex 2019; 61 (1)


Desarrollo de una escala de actitudes, uso y comprensión de etiquetas nutricionales en español

Flores-Villalba D, Ayala-Gaytán EA, Quintanilla-Domínguez CM

Idioma: Ingles.
Referencias bibliográficas: 51
Paginas: 63-71
Archivo PDF: 436.55 Kb.


RESUMEN

Objetivo. Describir el desarrollo de una medida confiable y válida de las actitudes, uso y comprensión de etiquetas nutricionales en poblaciones de habla hispana. Material y métodos. Las dimensiones abarcadas en este instrumento son las actitudes, la comprensión y el uso, combinando medidas subjetivas y objetivas acerca del conocimiento sobre nutrición. Se evaluó la validez del contenido, el análisis de los ítems, la repetición y confiabilidad interna y la validez convergente y divergente en una muestra de 185 individuos. Resultados. Los coeficientes alfa de Cronbach (mayores a 0.9) presentan consistencia interna, mientras que el factor de análisis confirmatorio y exploratorio muestra que la escala tiene validez convergente y divergente. Conclusiones. El instrumento final de 25 ítems es una medida válida y confiable de uso, comprensión y actitud hacia las etiquetas nutricionales diseñada para las poblaciones de habla hispana.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Secretaría de Economía, Secretaría de Salud. NOM-051-SCFI/SSA1- 2010. Especificaciones generales de etiquetado para alimentos y bebidas no alcohólicas preenvasados – Información comercial y sanitaria. México: Diario Oficial de la Federación, 2010.

  2. Hernández-Ávila M, Rivera J, Shamah Levy T, Cuevas L, Gómez L, Gaona E, et al. Encuesta Nacional de Salud y Nutrición de Medio Camino. Informe final de resultados [internet]. Cuernavaca: INSP, 2016. Available from: https://www.gob.mx/cms/uploads/attachment/file/209093/ENSANUT.pdf

  3. De la Cruz-Góngora V, Villapando S, Rodríguez-Ontiveros G, Castillo- García M, Mundo-Rosas V, Meneses-Navarro S. Use and understanding of the nutrition information panel of pre-packaged foods in a sample of Mexican consumers. Salud Publica Mex. 2012;54(2):158-66. https://doi. org/10.1590/S0036-36342012000200012

  4. Campos S, Doxey J, Hammond D. Nutrition labels on prepackaged foods: a systematic review. Public Health Nutrition. 2011:14(8):1496-506. https://doi.org/10.1017/S1368980010003290

  5. Drichoutis AC, Lazaridis P, Nayga RM. Consumer’s use of nutritional labels: A review of research studies and issues. Academy of Marketing Science Review. 2006;2006(9).

  6. Variyam JN, Cawley J. Nutrition labels and obesity.NBER Working Papers Series No 11956[internet].Cambridge, MA: National Bureau of Economic Research Inc, 2006. https://doi.org/10.3386/w11956

  7. Gorton D. Nutrition labelling: Update of scientific evidence on consumer use and understanding of nutrition labels and claims. Auckland, 2007. Available from: https://www.foodsafety.govt.nz/elibrary/industry/ signposting-nutrition-study-research-projects/signs-literature-reviewreport_ final-2.pdf

  8. Wills J, Schmidt DB, Pillo-Blocka F, Cairns G. Exploring global consumer attitudes toward nutrition information on food labels. Nutr Rev. 2009;67(1):102-6. https://doi.org/10.1111/j.1753-4887.2009.00170.x

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

  10. Sapp SG, Jensen HH. Reliability and validity of nutrition knowledge and diet-health awareness test developed from the 1989-1991 Diet and Health Knowledge Survey. J Nutr Educ. 1997;29(2):63-72. https://doi. org/10.1016/S0022-3182(97)70157-2

  11. Coffman M, LaRocque S. Development and testing of the Spanish nutrition literacy scale. Hisp Health Care Int.2012;10(4):168-74. https:// doi.org/10.1891/1540-4153.10.4.168

  12. Fitzgerald N, Damio G, Segura-Pérez S, Pérez-Escamilla R. Nutrition knowledge, food label use, and food intake patterns among Latinas with and without type 2 diabetes. J Am Diet Assoc. 2008;108(6):960-7. https:// doi.org/10.1016/j.jada.2008.03.016

  13. De la Cruz-Góngora V, Torres P, Contreras-Manzano A, Jáuregui de la Mota A, Mundo-Rosas V, Villalpando S, Rodríguez-Ontiveros, G. Understanding and acceptability by Hispanic consumers of four front-of-pack food labels. Int J Behav Nutr Phys Act. 2017;14:28. https://doi.org/10.1186/ s12966-017-0482-2

  14. González-Roa MC, Calatrava-Requena J. Food labeling use and differentiated consumers behavior: A survey analysis in spanish food market. 12th Congress of the European Association of Agricultural Economists (EAAE)2008. Ghent, Belgium, 2018 [cited July 27, 2018]. Available at: http://ageconsearch.umn.edu/bitstream/43541/2/097.pdf

  15. Barreiro J, GraciaA, de Magistris T. Does nutrition information on food products lead to healthier food choices? Food Policy. 2010;35(3):221-9. https://doi.org/10.1016/j.foodpol.2009.12.006

  16. de Magistris T, Gracia RoyoA, Barreiro J. Effects of the nutritional labels use on healthy eating habits in Spain. Agric Econ – Czech. 2010;56(11):540-51. https://doi.org/10.17221/11/2010-AGRICECON

  17. Van den Wijngaart AW. Nutrition labelling: purpose, scientific issues and challenges. Asia Pac J Clin Nutr. 2002;11(2):S68-S71. https://doi. org/10.1046/j.1440-6047.2002.00001.x

  18. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: INSP, 2006.

  19. Barquera S, Campos-Nonato I, Hernández-Barrera L, Pedroza A, Rivera- Dommarco JA. Prevalencia de obesidad en adultos mexicanos 2000- 2012. Salud Publica Mex. 2013;55(2):151-60. https://doi.org/10.21149/spm. v55s2.5111

  20. Organization for Economic Cooperation and Development. Obesity and the economics of prevention: Fit not fat key facts - Mexico, Update 2014. Paris, France: OECD, 2014. Available from: https://www.oecd.org/ mexico/Obesity-Update-2014-MEXICO_EN.pdf

  21. Philipson T. The World-Wide Growth in Obesity: An Economic Research Agenda. Health Econ. 2001;10:1-7. https://doi.org/10.1002/1099- 1050(200101)10:1<1::AID-HEC586>3.0.CO;2-1

  22. Loureiro ML, Gracias A, Nayga RM. Do consumers value nutritional labels? Eur Rev Agric Econ. 2006;33(2):249-68. https://doi.org/10.1093/erae/jbl005

  23. Burton S, Garretson JA, Velliquette AM. Implications of accurate usage of nutrition facts panel information for food product evaluations and purchase intentions. J Acad Mark Sci. 1999;27(4):470-80. https://doi. org/10.1177/0092070399274006

  24. McArthur L, Chamberlain V, Howard AB. Behaviors, attitudes, and knowledge of low-income consumers regarding nutrition labels. J Health Care Poor Underserved. 2001;12(4):415-28. https://doi.org/10.1353/ hpu.2010.0772

  25. Moorman C. The effects of stimulus and consumer characteristics on the utilization of nutrition information. J Consum Res. 1990;17:362-74. https://doi.org/10.1086/208563

  26. Burton S, Biswas A, Netemeyer R. Effects of alternative nutrition label formats and nutrition reference information on consumer perceptions, comprehension, and product evaluations. Journal of Public Policy and Marketing. 1994;13(1):36-47.

  27. Burton S, Andrews C. Age, product nutrition, and label format effects on consumer perceptions and product evaluations. J Consum Aff. 1996;30(1):68-88. https://doi.org/10.1111/j.1745-6606.1996.tb00726.x

  28. Levy AS, Fein SB, Schucker RE. Performance characteristics of seven nutrition label formats. Journal of Public Policy and Marketing. 1996;15(1):1-15.

  29. Rothman RL, Housam R, Weiss H, Davis D, Gregory R, Gebretsadik T, et al. Patient understanding of food labels: the role of literacy and numeracy. AmJ Prev Med. 2006;31(5):391-8. https://doi.org/10.1016/j. amepre.2006.07.025

  30. Feunekes GIJ, Gortemaker IA, Willems AA, Lios R, van den Kommer M. Front-of-pack nutrition labelling: Testing the effectiveness of different nutrition labelling formats front-of-pack in four European countries. Appetite. 2008;50(1):57-70. https://doi.org/10.1016/j.appet.2007.05.009

  31. Grunert KG, Fernández-Celemín L, Willis JM, Storcksdieck genannt Bonsman S, Nureeva L. Use and understanding of nutrition information on food labels in six European countries. J Public Health. 2010;18:261-77. https://doi.org/10.1007/s10389-009-0307-0

  32. Moorman C. A quasi experiment to assess the consumer and informational determinants of nutrition information processing activities: The case of the Nutritional Labeling and Education Act. Journal of Public Policy and Marketing. 1996;15:28-44.

  33. Sykman lR, Bloom PN, Levy AS. A proposed model of the use of package claims and nutrition labels. Journal of Public Policy and Marketing. 1997;15(2):228-41.

  34. Neuhouser ML, Kristal AR, Patterson RE. Use of food nutrition labels is associated with lower fat intake. J Am Diet Assoc. 1999;99:45-50. https://doi.org/10.1016/S0002-8223(99)00013-9

  35. Grunert KG, Wills JM. A review of European research on consumer response to nutrition information on food labels. J Public Health. 2007;15:385-99. https://doi.org/10.1007/s10389-007-0101-9

  36. Levy AS, Fein SB. Consumers’ ability to perform tasks using nutrition labels. J Nutr Educ. 1998;30(4):210-7. https://doi.org/10.1016/S0022- 3182(98)70321-8

  37. Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005;8(1):21-8. https:// doi.org/10.1079/PHN2005666

  38. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. https://doi.org/10.1093/ intqhc/mzm042

  39. Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970;1(3):185-216. https://doi.org/10.1177/135910457000100301

  40. Brislin RW. The wording and translation of research instruments. Field methods in cross-cultural research. In: Lonner WJ, Berry JW (eds). Field methods in cross-cultural research, Cross-cultural research and methodology series. 8. Thousand Oaks, CA, US: Sage Publications Inc,1986:137-64.

  41. Parmenter K, Wardle J. Development of a general nutrition knowledge questionnaire for adults. Eur J Clin Nutr. 1999;53:298-308. https://doi. org/10.1038/sj.ejcn.1600726

  42. Peterson R. Constructing effective questionnaires. Thousand Oaks, CA, US: Sage Publishing Inc,2000. https://doi.org/10.4135/9781483349022

  43. Mackison D, Wrieden WL, Anderson AS. Validity and reliability testing of a short questionnaire developed to assess consumer’s use, understanding and perception of food labels. Eur J Clin Nut. 2010;64:210-7. https:// doi.org/10.1038/ejcn.2009.126

  44. Drennan J. Cognitive interviewing: verbal data in the design and pretesting of questionnaires. J Adv Nurs. 2003;42(1):57-63. https://doi. org/10.1046/j.1365-2648.2003.02579.x

  45. Flesch R. A new readability yardstick. J Appl Psychol. 1948;32:221-33. https://doi.org/10.1037/h0057532

  46. Fornell C, Larcker DF. Evaluating structural equations models with unobservable variables and measurement error. J Mark Res. 1981;18:39- 50. https://doi.org/10.2307/3151312

  47. Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychol Bull. 1988;103(3):411-23. https://doi.org/10.1037/0033-2909.103.3.411

  48. Domino G, Domino ML. Psychological testing: An introduction. New York: Cambridge University Press, 2006. https://doi.org/10.1017/ CBO9780511813757

  49. Kline P. A Handbook of Test Construction: Introduction to Psychometric Design. New York: Meuthen, 1986.

  50. Carey LM. Measuring and evaluating school learning. Boston, MA: Allyn & Bacon,2001.

  51. Steenkamp JE, de Jong MG, Baumgartner H. Socially desirable response tendencies in survey research. J Mark Res. 2010;47(2):199-214. https://doi. org/10.1509/jmkr.47.2.199




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