FOODLIT-PRO: Food Literacy Domains, Influential Factors and Determinants-A Qualitative Study

Raquel Rosas, Filipa Pimenta, Isabel Leal, Ralf Schwarzer, Raquel Rosas, Filipa Pimenta, Isabel Leal, Ralf Schwarzer

Abstract

Poor eating habits are increasing the prevalence of weight-related issues, such as diabetes and cardiovascular diseases. Given the demand to improve individuals' food knowledge and competencies aiming at healthier behaviours, the current investigation explores the concept of food literacy. Considering the lack of a shared understanding of food literacy, this study aims to explore food literacy's domains, influential factors and determinants. Using a qualitative deductive-dominant content analysis, 30 experts from food-related fields were interviewed. The obtained outcomes were compared to available food literacy frameworks. Agreement among inter-raters was nearly perfect (k = 0.82). Yielding a total of 184 codes nested within 19 categories, identified domains were Origin, Safety, Choice and Decision, Select and Acquire, Plan, Preserve, Prepare, Cook, and Knowledge; influential factors included Nutrition, Psychological, Health, Learning Contexts, Policy, Industry, Sustainability, and Social and Cultural; External determinants were "Access to Food-Related Information", "Perishable and/or Unreliable Food-Related Information", "Family Dynamic and/or Identity", and "Professionals' Unpreparedness on Food-Related Expertise", and Internal determinants included "Prioritise Food", "Convenience and Practicality", "Time and Financial Management", "Previous Food-Related Habits", and "Innate and Learned Flavour Preferences". In conclusion, more than half of the identified attributes (62.5%) are corroborated by the current literature. However, the manifested content unmatched with the current frameworks of food literacy literature express food-literacy-related fields of action, knowledge, competencies, and determinants that have not yet been explored. As such, this study provides new and useful information concerning food literacy definition and development, by identifying its domains, factors of influence, and potential determinants. Moreover, this work paves the way for new measurements and interventions within this field.

Keywords: definition; determinants; food literacy; influential factors; qualitative.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. World Health Organization . European Food and Nutrition Action Plan 2015—2020. World Health Organization; Geneva, Switzerland: 2015.
    1. Bifulco M., Caruso M.G. From the Gastronomic Revolution to the New Globesity Epidemic. J. Am. Diet. Assoc. 2007;107:2058–2060. doi: 10.1016/j.jada.2007.09.012.
    1. Vidgen H.A., Gallegos D. Defining food literacy and its components. Appetite. 2014;76:50–59. doi: 10.1016/j.appet.2014.01.010.
    1. Pendergast D., Garvis S., Kanasa H. Insight from the Public on Home Economics and Formal Food Literacy. Fam. Consum. Sci. Res. J. 2011;39:415–430. doi: 10.1111/j.1552-3934.2011.02079.x.
    1. Swinburn B.A., Sacks G., Hall K.D., McPherson K., Finegood D.T., Moodie M.L., Gortmaker S.L. The global obesity pandemic: Shaped by global drivers and local environments. Lancet. 2011;378:804–814. doi: 10.1016/S0140-6736(11)60813-1.
    1. Slater J. Is cooking dead? The state of Home Economics Food and Nutrition education in a Canadian province: Is cooking dead? Int. J. Consum. Stud. 2013;37:617–624. doi: 10.1111/ijcs.12042.
    1. Slater J., Falkenberg T., Rutherford J., Colatruglio S. Food literacy competencies: A conceptual framework for youth transitioning to adulthood. Int. J. Consum. Stud. 2018;42:547–556. doi: 10.1111/ijcs.12471.
    1. Krause C., Sommerhalder K., Beer-Borst S., Abel T. Just a subtle difference? Findings from a systematic review on definitions of nutrition literacy and food literacy. Health Promot. Int. 2016;33:378–389. doi: 10.1093/heapro/daw084.
    1. Palumbo R. Sustainability of Well-being through Literacy. The Effects of Food Literacy on Sustainability of Well-being. Agric. Agric. Sci. Procedia. 2016;8:99–106. doi: 10.1016/j.aaspro.2016.02.013.
    1. Sumner J. Reading the world: Food literacy and the potential for food system transformation. Stud. Educ. Adults. 2015;47:128–141. doi: 10.1080/02660830.2015.11661680.
    1. Velardo S. The Nuances of Health Literacy, Nutrition Literacy, and Food Literacy. J. Nutr. Educ. Behav. 2015;47:385–389. doi: 10.1016/j.jneb.2015.04.328.
    1. Azevedo Perry E., Thomas H., Samra H.R., Edmonstone S., Davidson L., Faulkner A., Petermann L., Manafò E., Kirkpatrick S.I. Identifying attributes of food literacy: A scoping review. Public Health Nutr. 2017;20:2406–2415. doi: 10.1017/S1368980017001276.
    1. Thomas H., Azevedo Perry E., Slack J., Samra H.R., Manowiec E., Petermann L., Manafò E., Kirkpatrick S.I. Complexities in Conceptualizing and Measuring Food Literacy. J. Acad. Nutr. Diet. 2019;119:563–573. doi: 10.1016/j.jand.2018.10.015.
    1. Ronto R., Ball L., Pendergast D., Harris N. What is the status of food literacy in Australian high schools? Perceptions of home economics teachers. Appetite. 2017;108:326–334. doi: 10.1016/j.appet.2016.10.024.
    1. Gréa Krause C., Beer-Borst S., Sommerhalder K., Hayoz S., Abel T. A short food literacy questionnaire (SFLQ) for adults: Findings from a Swiss validation study. Appetite. 2018;120:275–280. doi: 10.1016/j.appet.2017.08.039.
    1. Poelman M.P., Dijkstra S.C., Sponselee H., Kamphuis C.B.M., Battjes-Fries M.C.E., Gillebaart M., Seidell J.C. Towards the measurement of food literacy with respect to healthy eating: The development and validation of the self-perceived food literacy scale among an adult sample in the Netherlands. Int. J. Behav. Nutr. Phys. Act. 2018;15:54. doi: 10.1186/s12966-018-0687-z.
    1. Truman E., Elliott C. Barriers to Food Literacy: A Conceptual Model to Explore Factors Inhibiting Proficiency. J. Nutr. Educ. Behav. 2019;51:107–111. doi: 10.1016/j.jneb.2018.08.008.
    1. Palumbo R., Adinolfi P., Annarumma C., Catinello G., Tonelli M., Troiano E., Vezzosi S., Manna R. Unravelling the food literacy puzzle: Evidence from Italy. Food Policy. 2019;83:104–115. doi: 10.1016/j.foodpol.2018.12.004.
    1. Wijayaratne S.P., Reid M., Westberg K., Worsley A., Mavondo F. Food literacy, healthy eating barriers and household diet. Eur. J. Mark. 2018;52:2449–2477. doi: 10.1108/EJM-10-2017-0760.
    1. Truman E., Raine K., Mrklas K., Prowse R., Hoed R.C.D., Watson-Jarvis K., Loewen J., Gorham M., Ricciardi C., Tyminski S., et al. Promoting children’s health: Toward a consensus statement on food literacy. Can. J. Public Health. 2017;108:e211–e213. doi: 10.17269/CJPH.108.5909.
    1. Desjardins E., Azevedo E., Davidson L., Samra R., Dunbar J., Thomas H., Ann Munoz M., King B., Maxwell T., Wong-McGraw P., et al. Locally Driven Collaborative Project Food Skills. Public Health Ontario; Windsor, ON, Canada: 2013. Making something out of nothing: Food literacy among youth, young pregnant women and young parents who are at risk for poor health.
    1. Ronto R., Ball L., Pendergast D., Harris N. Adolescents’ perspectives on food literacy and its impact on their dietary behaviours. Appetite. 2016;107:549–557. doi: 10.1016/j.appet.2016.09.006.
    1. Cullen T., Hatch J., Martin W., Higgins J.W., Sheppard R. Food Literacy: Definition and Framework for Action. Can. J. Diet. Pract. Res. 2015;76:140–145. doi: 10.3148/cjdpr-2015-010.
    1. Truman E., Lane D., Elliott C. Defining food literacy: A scoping review. Appetite. 2017;116:365–371. doi: 10.1016/j.appet.2017.05.007.
    1. Amouzandeh C., Fingland D., Vidgen H.A. A Scoping Review of the Validity, Reliability and Conceptual Alignment of Food Literacy Measures for Adults. Nutrients. 2019;11:801. doi: 10.3390/nu11040801.
    1. Graça P., Gregório M.J., Mendes de Sousa S., Camolas J. Alimentação saudável: Desafios e estratégias. Ministério da Saúde, Direção-Geral da Saúde; Lisboa, Portugal: 2018.
    1. Elo S., Kyngäs H. The qualitative content analysis process. J. Adv. Nurs. 2008;62:107–115. doi: 10.1111/j.1365-2648.2007.04569.x.
    1. Hsieh H.-F., Shannon S.E. Three Approaches to Qualitative Content Analysis. Qual. Health Res. 2005;15:1277–1288. doi: 10.1177/1049732305276687.
    1. VERBI Software . MAXQDA 2018 Software. VERBI Software; Berlin, Germany: 2018.
    1. Warrens M.J. New Interpretations of Cohen’s Kappa. J. Math. 2014;2014:1–9. doi: 10.1155/2014/203907.
    1. Cohen J. A Coefficient of Agreement for Nominal Scales. Educ. Psychol. Meas. 1960;20:37–46. doi: 10.1177/001316446002000104.
    1. McHugh M.L. Interrater reliability: The kappa statistic. Biochem. Med. 2012;22:276–282. doi: 10.11613/BM.2012.031.
    1. FAO . Bioversity International Guidelines on Assessing Biodiverse Foods in Dietary Surveys. FAO; Rome, Italy: 2017.
    1. Barbosa C., Pimenta P., Real H. Roda da Alimentação Mediterrânica e Pirâmide da Dieta Mediterrânica: Comparação entre os dois guias alimentares. Acta Port. Nutr. 2017;11:6–14. doi: 10.21011/apn.2017.1102.
    1. van Dooren C., Marinussen M., Blonk H., Aiking H., Vellinga P. Exploring dietary guidelines based on ecological and nutritional values: A comparison of six dietary patterns. Food Policy. 2014;44:36–46. doi: 10.1016/j.foodpol.2013.11.002.
    1. Medina F.X. Food consumption and civil society: Mediterranean diet as a sustainable resource for the Mediterranean area. Public Health Nutr. 2011;14:2346–2349. doi: 10.1017/S1368980011002618.
    1. Fabbri A.D.T., Crosby G.A. A review of the impact of preparation and cooking on the nutritional quality of vegetables and legumes. Int. J. Gastron. Food Sci. 2016;3:2–11. doi: 10.1016/j.ijgfs.2015.11.001.
    1. Block L.G., Grier S.A., Childers T.L., Davis B., Ebert J.E.J., Kumanyika S., Laczniak R.N., Machin J.E., Motley C.M., Peracchio L., et al. From Nutrients to Nurturance: A Conceptual Introduction to Food Well-Being. JPP M. 2011;30:5–13. doi: 10.1509/jppm.30.1.5.
    1. Grier S.A., Kumanyika S.K. The Context for Choice: Health Implications of Targeted Food and Beverage Marketing to African Americans. Am. J. Public Health. 2008;98:1616–1629. doi: 10.2105/AJPH.2007.115626.
    1. Langford R., Bonell C., Jones H., Pouliou T., Murphy S., Waters E., Komro K., Gibbs L., Magnus D., Campbell R. The World Health Organization’s Health Promoting Schools framework: A Cochrane systematic review and meta-analysis. BMC Public Health. 2015;15:130. doi: 10.1186/s12889-015-1360-y.
    1. Surgenor D., McMahon-Beattie U.S.M., Burns A., Hollywood L.E. Promoting Creativity in the Kitchen: Digital Lessons from the Learning Environment. J. Creat. Behav. 2016;50:186–192. doi: 10.1002/jocb.143.
    1. FAO. IFAD. UNICEF. WFP. WHO . The State of Food Security and Nutrition in the World 2019. Safeguarding against Economic Slowdowns and Downturns. FAO; Rome, Italy: 2019.
    1. FAO Gate to Farm Animal Welfare. [(accessed on 25 October 2019)]; Available online:
    1. FAO . Towards a Concept of Sustainable Animal Diets, by Harinder P. S. Makkar & Philippe Ankers. FAO Animal Production and Health Report. FAO; Rome, Italy: 2014.
    1. Willett W., Rockström J., Loken B., Springmann M., Lang T., Vermeulen S., Garnett T., Tilman D., DeClerck F., Wood A., et al. Food in the Anthropocene: The EAT–Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019;393:447–492. doi: 10.1016/S0140-6736(18)31788-4.
    1. Sabaté J., Soret S. Sustainability of plant-based diets: Back to the future. Am. J. Clin. Nutr. 2014;100:476S–482S. doi: 10.3945/ajcn.113.071522.
    1. Clark M., Tilman D. Comparative analysis of environmental impacts of agricultural production systems, agricultural input efficiency, and food choice. Environ. Res. Lett. 2017;12:064016. doi: 10.1088/1748-9326/aa6cd5.
    1. FAO . In: The Future of Food and Agriculture: Trends and Challenges. FAO, editor. Food and Agriculture Organization of the United Nations; Rome, Italy: 2017.
    1. Carrillo-Álvarez E., Kawachi I., Riera-Romaní J. Neighbourhood social capital and obesity: A systematic review of the literature. Obes. Rev. 2019;20:119–141. doi: 10.1111/obr.12760.
    1. Vaterlaus J.M., Patten E.V., Roche C., Young J.A. #Gettinghealthy: The perceived influence of social media on young adult health behaviors. Comput. Hum. Behav. 2015;45:151–157.
    1. Uhlmann K., Lin B., Ross H. Who Cares? The Importance of Emotional Connections with Nature to Ensure Food Security and Wellbeing in Cities. Sustainability. 2018;10:1844. doi: 10.3390/su10061844.
    1. Swan E., Bouwman L., Aarts N., Rosen L., Hiddink G.J., Koelen M. Food stories: Unraveling the mechanisms underlying healthful eating. Appetite. 2018;120:456–463. doi: 10.1016/j.appet.2017.10.005.
    1. Tengland P.-A. Empowerment: A Conceptual Discussion. Health Care Anal. 2008;16:77–96. doi: 10.1007/s10728-007-0067-3.
    1. Schwarzer R., Luszczynska A. Health action process approach. In: Conner M., Norman P., editors. Predicting and Changing Health Behaviour: Research and Practice with Social Cognition Models. Open University Press; Maidenhead, UK: 2015. pp. 252–278.
    1. Vaitkeviciute R., Ball L.E., Harris N. The relationship between food literacy and dietary intake in adolescents: A systematic review. Public Health Nutr. 2015;18:649–658. doi: 10.1017/S1368980014000962.
    1. Michie S., Richardson M., Johnston M., Abraham C., Francis J., Hardeman W., Eccles M.P., Cane J., Wood C.E. The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions. Ann. Behav. Med. 2013;46:81–95. doi: 10.1007/s12160-013-9486-6.
    1. Roberts A.L., Fisher A., Smith L., Heinrich M., Potts H.W.W. Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: A systematic review and meta-analysis. J. Cancer Surviv. 2017;11:704–719. doi: 10.1007/s11764-017-0632-1.
    1. Lally P., Wardle J., Gardner B. Experiences of habit formation: A qualitative study. Psychol. Health Med. 2011;16:484–489. doi: 10.1080/13548506.2011.555774.
    1. Frayn M., Knäuper B. Emotional Eating and Weight in Adults: A Review. Curr. Psychol. 2018;37:924–933. doi: 10.1007/s12144-017-9577-9.
    1. Kemp E., Bui M., Grier S. When food is more than nutrition: Understanding emotional eating and overconsumption: When food is more than nutrition. J. Consum. Behav. 2013;12:204–213. doi: 10.1002/cb.1413.
    1. Bublitz M.G., Peracchio L.A., Block L.G. Why did I eat that? Perspectives on food decision making and dietary restraint. J. Consum. Psychol. 2010;20:239–258. doi: 10.1016/j.jcps.2010.06.008.
    1. Heatherton T.F., Polivy J., Herman C.P. Restraint, weight loss, and variability of body weight. J. Abnorm. Psychol. 1991;100:78–83. doi: 10.1037/0021-843X.100.1.78.
    1. Bublitz M.G., Peracchio L.A., Andreasen A.R., Kees J., Kidwell B., Miller E.G., Motley C.M., Peter P.C., Rajagopal P., Scott M.L., et al. Promoting positive change: Advancing the food well-being paradigm. J. Bus. Res. 2013;66:1211–1218. doi: 10.1016/j.jbusres.2012.08.014.
    1. Szabo M. Men nurturing through food: Challenging gender dichotomies around domestic cooking. J. Gend. Stud. 2014;23:18–31. doi: 10.1080/09589236.2012.711945.
    1. Research Institute (IFPRI) 2017 Global Food Policy Report. International Food Policy Research Institute; Washington, DC, USA: 2017.
    1. Lang T., Barling D., Caraher M. Food Policy: Integrating Health, Environment and Society. Oxford University Press; Oxford, NY, USA: 2009.
    1. Capacci S., Mazzocchi M., Shankar B., Brambila Macias J., Verbeke W., Pérez-Cueto F.J., Kozioł-Kozakowska A., Piórecka B., Niedzwiedzka B., D’Addesa D., et al. Policies to promote healthy eating in Europe: A structured review of policies and their effectiveness. Nutr. Rev. 2012;70:188–200. doi: 10.1111/j.1753-4887.2011.00442.x.
    1. Grunert K.G., Hieke S., Wills J. Sustainability labels on food products: Consumer motivation, understanding and use. Food Policy. 2014;44:177–189. doi: 10.1016/j.foodpol.2013.12.001.
    1. European Commission. Directorate-General for Health and Food Safety. ICF Consulting Services . Policies and Interventions to Improve the Nutritional Intake and Physical Activity Levels of Europeans: Review of Scientific Evidence and Policies on Nutrition and Physical Activity: Objective A2: Effectiveness and Efficiency of Policies and Interventions on Diet and Physical Activity, Summary Report. EU Publications; Brussels, Belgium: 2018.
    1. Bhunnoo R. The need for a food-systems approach to policy making. Lancet. 2019;393:1097–1098. doi: 10.1016/S0140-6736(18)32754-5.
    1. FAO . Framework for the Urban Food Agenda: Leveraging Sub-National and Local Government Action to Ensure Sustainable Food Systems and Improved Nutrition. FAO; Rome, Italy: 2019.
    1. Waxman A. WHO global strategy on diet, physical activity and health. Food Nutr. Bull. 2004;25:292–302. doi: 10.1177/156482650402500310.
    1. Onaolapo A.Y., Onaolapo O.J. Food additives, food and the concept of ‘food addiction’: Is stimulation of the brain reward circuit by food sufficient to trigger addiction? Pathophysiology. 2018;25:263–276. doi: 10.1016/j.pathophys.2018.04.002.
    1. Grimm P.E. Ab components’ impact on brand preference. J. Bus. Res. 2005;58:508–517. doi: 10.1016/S0148-2963(03)00141-3.
    1. Laros F.J.M., Steenkamp J.-B.E.M. Emotions in consumer behavior: A hierarchical approach. J. Bus. Res. 2005;58:1437–1445. doi: 10.1016/j.jbusres.2003.09.013.
    1. Yoo C., MacInnis D. The brand attitude formation process of emotional and informational ads. J. Bus. Res. 2005;58:1397–1406. doi: 10.1016/j.jbusres.2005.03.011.
    1. Boyland E.J., Whalen R. Food advertising to children and its effects on diet: Review of recent prevalence and impact data: Food advertising to children. Pediatr. Diabetes. 2015;16:331–337. doi: 10.1111/pedi.12278.
    1. Peterson T.L. Exploring baseline food-media literacy of adult women. J. Media Lit. Educ. 2012;4:3–11.
    1. Scully M., Wakefield M., Niven P., Chapman K., Crawford D., Pratt I.S., Baur L.A., Flood V., Morley B. Association between food marketing exposure and adolescents’ food choices and eating behaviors. Appetite. 2012;58:1–5. doi: 10.1016/j.appet.2011.09.020.
    1. Assembleia da República . Diário da República n.o 79/2019, Série 1. Diário da República; Portugal: 2019. pp. 2257–2258.
    1. Wickham C.A., Carbone E.T. What’s technology cooking up? A systematic review of the use of technology in adolescent food literacy programs. Appetite. 2018;125:333–344. doi: 10.1016/j.appet.2018.02.001.
    1. Lappo A., Bjørndal T., Fernández-Polanco J., Lem A. Consumers’ Concerns and External Drivers in Food Markets. FAO; Rome, Italy: 2015.
    1. Boucher B.A., Manafò E., Boddy M.R., Roblin L., Truscott R. The Ontario Food and Nutrition Strategy: Identifying indicators of food access and food literacy for early monitoring of the food environment. Health Promot. Chronic Dis. Prev. Can. 2017;37:313–319. doi: 10.24095/hpcdp.37.9.06.
    1. Rao M., Afshin A., Singh G., Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3:e004277. doi: 10.1136/bmjopen-2013-004277.
    1. Sclafani A., Ackroff K. Role of gut nutrient sensing in stimulating appetite and conditioning food preferences. Am. J. Physiol. Regul. Integr. Comp. Physiol. 2012;302:R1119–R1133. doi: 10.1152/ajpregu.00038.2012.
    1. Yamamoto T., Ueji K. Brain Mechanisms of Flavor Learning. Front. Syst. Neurosci. 2011;5:76. doi: 10.3389/fnsys.2011.00076.

Source: PubMed

3
Subscribe