title: Environmental and individual factors affecting menu labeling utilization: a qualitative research study.
abstract: Obesity is a prominent public health concern that disproportionally affects low-income and minority populations. Recent policies mandating the posting of calories on menus in fast-food chain restaurants have not proven to uniformly influence food choice. This qualitative research study used focus groups to study individual and environmental factors affecting the use of these menu labels among low-income minority populations. Ten focus groups targeting low-income residents (n=105) were held at various community organizations throughout New York City over a 9-month period in 2011. The focus groups were conducted in Spanish, English, or a combination of both languages. In late 2011 and early 2012, transcripts were coded through the process of thematic analysis using Atlas.ti for naturally emerging themes, influences, and determinants of food choice. Few participants used menu labels, despite awareness. The most frequently cited as barriers to menu label use included: price and time constraints, confusion and lack of understanding about caloric values, as well as the priority of preference, hunger, and habitual ordering habits. Based on the individual and external influences on food choice that often take priority over calorie consideration, a modified approach may be necessary to make menu labels more effective and user-friendly.
authors: BLH Technologies, Inc, Rockville, MD, USA.
authors: Jennifer
authors: J
authors: Schindler
authors: Kamila
authors: K
authors: Kiszko
authors: Courtney
authors: C
authors: Abrams
authors: Nadia
authors: N
authors: Islam
authors: Brian
authors: B
authors: Elbel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D003365:Costs and Cost Analysis; D003657:Decision Making; D004032:Diet / Q000191:economics / Q000523:psychology* / Q000706:statistics & numerical data; D002149:Energy Intake / Q000502:physiology*; D004777:Environment; D005260:Female; D017144:Focus Groups; D005515:Food Labeling; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D009519:New York City; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control*; D011203:Poverty; D011634:Public Health; D036301:Qualitative Research; D012147:Restaurants; D055815:Young Adult
references: Health Aff (Millwood). 2009 Nov-Dec;28(6):w1110-21
references: 19808705
references: BMJ. 2011 Jul 26;343:d4464
references: 21791497
references: JAMA. 2012 Feb 1;307(5):491-7
references: 22253363
references: Am J Prev Med. 2007 Oct;33(4 Suppl):S240-5
references: 17884571
references: Am J Public Health. 2008 Aug;98(8):1457-9
references: 18556597
references: Soc Sci Med. 2007 Dec;65(12):2458-63
references: 17761378