Australian survey on community knowledge and attitudes regarding the fortification of food with folic acid.
BACKGROUND
In response to the proposal that mandatory fortification be introduced in Australia to reduce the incidence of NTDs, the purpose of this study was to establish, for the adult community, baseline data on knowledge, attitudes, and behaviors towards the fortification of foods with folic acid.


METHODS
A cross-sectional, Computer Assisted Telephone Interviewing survey with respondents recruited randomly from the electronic version of the Western Australian telephone directory was used. One thousand members of the community aged 18 years or older were interviewed for the study.


RESULTS
Interviews were conducted in September 2006, with a response rate of 76%. Half the respondents were aware folate is currently added to some breakfast cereals (59%) and some breads (53%), but awareness of other food types that may be voluntarily fortified with folate was much lower. Only 13% of respondents were concerned about folate being added to bread, 10% believed folate should not be added to foods, and 9% said they would avoid foods with added folate. Generally, around half the respondents were uncertain about the benefits of fortifying foods with folate and around a quarter were uncertain about any risks or concerns with this practice.


CONCLUSIONS
The community appears no more concerned about the fortification of bread with folate than they are about other existing fortification programs in Australia, and appear more likely to support rather than oppose the fortification of foods with folate, particularly if they are informed of the benefits of such a program.
Office of Population Health Genomics, Health Policy and Clinical Reform Division, Department of Health, Perth, Western Australia.
Caron
C
Molster
Carol
C
Bower
Peter
P
O'Leary
D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia; D001939:Bread / Q000032:analysis; D003625:Data Collection; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage; D005527:Food, Fortified / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009436:Neural Tube Defects / Q000517:prevention & control / Q000523:psychology; D011247:Pregnancy
D005492:Folic Acid