Associations between conflicting nutrition information, nutrition confusion and backlash among consumers in the UK
Open accessAbstract
OBJECTIVE: To examine the effects of exposure to conflicting nutritional information (CNI) through different forms of media on nutrition-related confusion and backlash among consumers in the UK. DESIGN: Cross-sectional survey administered via Qualtrics among 18-75-year-old participants in the UK. The sample was stratified by age and gender with quotas defined according to the 2011 UK census distribution. SETTING: Qualtrics' Online panel of respondents in the UK. PARTICIPANTS: 676 participants comprising nearly an equal number of females (n 341) and males (n 335) and a majority (58·6 %) from households whose income was <£30 000. RESULTS: Our findings showed that nearly 40 % of respondents were exposed to some or a lot of CNI. We found that while exposure to CNI from TV and online news increased nutrition confusion, CNI from health professionals increased backlash. Exposure to CNI from social media and health websites was associated with reduced backlash. We also found that nutrition confusion and backlash were negatively associated with exercise behaviour and fruit and vegetable consumption, respectively. CONCLUSIONS: Our study supports the theoretical pathways that explain the influence of CNI exposure on nutrition-related cognitive and behavioural outcomes. Additionally, different types of online information sources are associated with these outcomes to varying degrees. In the context of obesity and diabetes rates in the UK, our findings call for (a) further experimental research into the effects of CNI on consumers' diet-related cognitions and behaviours and (b) multi-stakeholder, interdisciplinary approaches to address this problem.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patients have reported feeling confused by conflicting nutrition messaging.
“Previously, patients have reported feeling confused by conflicting nutrition messaging [[17], [18], [19]]”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Hesse, B. W., Nelson, D. E., Kreps, G. L., Croyle, R. T., Arora, N. K., Rimer, B. K., & Viswanath, K. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.22.2618 · Cited by 1,523 · see citing works
A review of European research on consumer response to nutrition information on food labels
Grunert, K. G., & Wills, J. M. (2007) · Journal of Public Health · doi:10.1007/s10389-007-0101-9 · Cited by 1,250 · see citing works
McMullan, M. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2005.10.006 · Cited by 1,106 · see citing works
Consumer understanding and use of nutrition labelling: a systematic review
Cowburn, G., & Stockley, L. (2005) · Public Health Nutrition · doi:10.1079/phn2005666 · Cited by 994 · see citing works
Barron, E., Bakhai, C., Kar, P. S., Weaver, A., Bradley, D., Ismail, H., Knighton, P., Holman, N., Khunti, K. K., Sattar, N. A., et al. (2020) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(20)30272-2 · Cited by 951 · see citing works
How do patients evaluate and make use of online health information?
Sillence, E., Briggs, P., Harris, P. R., & Fishwick, L. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.01.012 · Cited by 676 · see citing works
Assessing the risks of ‘infodemics’ in response to COVID-19 epidemics
Gallotti, R., Valle, F., Castaldo, N., Sacco, P., & De Domenico, M. (2020) · Nature Human Behaviour · doi:10.1038/s41562-020-00994-6 · Cited by 591 · cited 1× · see citing works
“The public concern about CNI, as evidenced by these examples, is problematic when the current context is considered: the UK faces an obesity crisis and therefore requires the majority of the population to make critical dietary choices; and social media, the most preferred source of nutrition information, is now rife w…”
BackgroundHermida, A., Fletcher, F., Korrell, D., & Logan, D. (2012) · Journalism Studies · doi:10.1080/1461670x.2012.664430 · Cited by 581 · see citing works
Tangcharoensathien, V., Calleja, N., Nguyen, T., Purnat, T., D’Agostino, M., Garcia-Saiso, S., Landry, M., Rashidian, A., Hamilton, C., AbdAllah, A., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/19659 · Cited by 561 · see citing works
Individual and Routine Forces in Gatekeeping
Shoemaker, P. J., Eichholz, M., Kim, E., & Wrigley, B. (2001) · Journalism & Mass Communication Quarterly · doi:10.1177/107769900107800202 · Cited by 394 · see citing works
Hendriks, F., Kienhues, D., & Bromme, R. (2015) · PLOS ONE · doi:10.1371/journal.pone.0139309 · Cited by 373 · cited 1× · see citing works
“Alternatively, interpersonal communication about CNI among lay people might culminate in deference to experts with deeper knowledge of issues, thereby reducing backlash(50).”
BackgroundConsumer understanding and use of nutrition labelling: a systematic review
Cowburn, G., & Stockley, L. (2005) · Public Health Nutrition · doi:10.1079/phn2004666 · Cited by 329 · see citing works
Adverse Outcomes Associated With Media Exposure to Contradictory Nutrition Messages
Nagler, R. H. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.798384 · Cited by 291 · see citing works
Koch‐Weser, S., Bradshaw, Y. S., Gualtieri, L. N., & Gallagher, S. S. (2010) · Journal of Health Communication · doi:10.1080/10810730.2010.522700 · Cited by 240 · see citing works
The use of social media in food risk and benefit communication
Rutsaert, P., Regan, Á., Pieniak, Z., McConnon, Á., Moss, A., Wall, P. G., & Verbeke, W. (2012) · Trends in Food Science & Technology · doi:10.1016/j.tifs.2012.10.006 · Cited by 207 · see citing works
Tong, T. Y. N., Appleby, P. N., Bradbury, K. E., Perez‐Cornago, A., Travis, R. C., Clarke, R., & Key, T. J. (2019) · BMJ · doi:10.1136/bmj.l4897 · Cited by 194 · see citing works
Food taste preferences and cultural influences on consumption
Wright, L. T., Nancarrow, C., & Kwok, P. M. H. (2001) · British Food Journal · doi:10.1108/00070700110396321 · Cited by 187 · see citing works
Nutrition Marketing on Food Labels
Colby, S. E., Johnson, L. K., Scheett, A. J., & Hoverson, B. S. (2010) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2008.11.002 · Cited by 169 · see citing works
Reduction of Red and Processed Meat Intake and Cancer Mortality and Incidence
Han, M. A., Zeraatkar, D., Guyatt, G. H., Vernooij, R. W. M., Dib, R. E., Zhang, Y., Algarni, A. M., Leung, G., Storman, D., Valli, C., et al. (2019) · Annals of Internal Medicine · doi:10.7326/m19-0699 · Cited by 163 · see citing works
Health education and health promotion
Koelen, M. A., & van den Ban, A. W. (2004) · Wageningen Academic Publishers eBooks · doi:10.3920/978-90-8686-665-6 · Cited by 160 · see citing works
Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., & van Woerkum, C. M. J. (2005) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602175 · Cited by 144 · see citing works
Nagler, R. H., Vogel, R. I., Gollust, S. E., Rothman, A. J., Fowler, E. F., & Yzer, M. C. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240776 · Cited by 134 · see citing works
The impact of consumer confusion on nutrition literacy and subsequent dietary behavior
Spiteri Cornish, L., & Moraes, C. (2015) · Psychology & Marketing · doi:10.1002/mar.20800 · Cited by 114 · see citing works
Lee, C., Nagler, R. H., & Wang, N. (2017) · Health Communication · doi:10.1080/10410236.2016.1278495 · Cited by 89 · see citing works
Share, Like, Recommend: Decoding the social media news consumer
Hermida, A., Fletcher, F., Korell, D., & Logan, D. (2015) · Routledge eBooks · doi:10.4324/9781315678962-22 · Cited by 89 · see citing works
Factors influencing the perceived credibility of diet-nutrition information web sites
Jung, E. H., Walsh-Childers, K., & Kim, H. S. (2015) · Computers in Human Behavior · doi:10.1016/j.chb.2015.11.044 · Cited by 80 · see citing works
Bruss, M. B., Morris, J. R., Dannison, L. L., Orbe, M. P., Quitugua, J. A., & Palacios, R. T. (2005) · Health Communication · doi:10.1207/s15327027hc1802_4 · Cited by 77 · see citing works
Conflicting Medication Information: Prevalence, Sources, and Relationship to Medication Adherence
Carpenter, D. M., Elstad, E. A., Blalock, S. J., & DeVellis, R. F. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.798380 · Cited by 76 · see citing works
Zeeni, N., Doumit, R., Kharma, J. A., & Sánchez‐Ruiz, M. (2018) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12298 · Cited by 74 · see citing works
O’Key, V., & Hugh‐Jones, S. (2010) · Appetite · doi:10.1016/j.appet.2010.02.007 · Cited by 69 · see citing works
Vardeman, J. E., & Aldoory, L. (2008) · Health Communication · doi:10.1080/10410230802056396 · Cited by 67 · see citing works
Conflicting influences on UK mothers' decisions to introduce solid foods to their infants
Arden, M. A. (2009) · Maternal and Child Nutrition · doi:10.1111/j.1740-8709.2009.00194.x · Cited by 67 · see citing works
Intergenerational Family Conversations and Decision Making about Eating Healthfully
Kaplan, M. S., Kiernan, N. E., & James, L. (2006) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2006.02.010 · Cited by 66 · see citing works
The quality of the evidence for dietary advice given in UK national newspapers
Cooper, B. E. J., Lee, W. E., Goldacre, B. M., & Sanders, T. A. B. (2011) · Public Understanding of Science · doi:10.1177/0963662511401782 · Cited by 64 · see citing works
Neff, R., Chan, I. L., & Smith, K. C. (2008) · Public Health Nutrition · doi:10.1017/s1368980008003480 · Cited by 59 · see citing works
Freisling, H., Haas, K., & Elmadfa, I. (2009) · Public Health Nutrition · doi:10.1017/s1368980009991297 · Cited by 59 · see citing works
Regan, Á., McConnon, Á., Kuttschreuter, M., et al. (2014) · Food Quality and Preference · doi:10.1016/j.foodqual.2014.05.019 · Cited by 38 · see citing works
Stop or go? How is the UK food industry responding to front-of-pack nutrition labels?
Camp, D. V., Monteiro, D. M. S., & Hooker, N. H. (2011) · European Review of Agricultural Economics · doi:10.1093/erae/jbr063 · Cited by 35 · see citing works
Determinants of consumer‐driven healthcare
Ha, S., & Lee, Y. J. (2011) · International Journal of Pharmaceutical and Healthcare Marketing · doi:10.1108/17506121111121550 · Cited by 32 · see citing works
Fletcher, R., Kalogeropoulos, A., & Nielsen, R. K. (2023) · SSRN Electronic Journal · doi:10.60625/risj-2mev-7795 · Cited by 30 · see citing works
The role of social media in communication about food risks
Henderson, J., Wilson, A. M., Webb, T. J., McCullum, D., Meyer, S. B., Coveney, J., & Ward, P. (2017) · British Food Journal · doi:10.1108/bfj-07-2015-0272 · Cited by 28 · see citing works
Agenda Building In Media Coverage of Food Research: Superfoods coverage in UK national newspapers
Weitkamp, E., & Eidsvaag, T. (2014) · Journalism Practice · doi:10.1080/17512786.2013.865966 · Cited by 27 · see citing works
Visser, S. S., Hutter, I., & Haisma, H. H. (2015) · Appetite · doi:10.1016/j.appet.2015.11.019 · Cited by 17 · see citing works
Stopping Deceptive Health Claims: The Need for a Private Right of Action Under Federal Law
Hoffmann, D. E., & Schwartz, J. (2016) · American Journal of Law & Medicine · doi:10.1177/0098858816644715 · Cited by 15 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [24]Shoemaker PJ, Vos TP & Reese SD (2009) Journalists as Gatekeepers. HandBook of Journalism Studies. New York: Routledge.
Cited by
Sorted by citations
Cara, K. C., Goldman, D. M., Kollman, B. K., Amato, S. S., Tull, M. D., & Karlsen, M. C. (2023) · Advances in Nutrition · doi:10.1016/j.advnut.2023.03.007 · Cited by 44 · see citing works
- Authors
- Vijaykumar, S., McNeill, A., & Simpson, J.
- Affiliations
- Northumbria University (GB)
- Corresponding author
- Vijaykumar, Santosh
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2021-01-12
- Volume
- 24
- Issue
- 5
- Pages
- 914-923
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- PMC
- PMC10195575
- OpenAlex
- W3118292371
- Cited by
- 55
- References
- 44
- Citations by year
- 2026: 13 · 2025: 14 · 2024: 12 · 2023: 12 · 2022: 3 · 2021: 1
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Public Health Nutrition (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Northumbria Research Link (Northumbria University) (acceptedVersion)
- Funders
- Economic and Social Research Council (ES/L011891/1)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- backlash, consumer nutrition information, media exposure, healthcare workers, social media, online health information, television news, exercise behavior, fruit and vegetable intake
- MeSH terms
- Adolescent, Adult, Aged, Cross-Sectional Studies, Diet, Fruit, United Kingdom, Humans, Middle Aged, Nutrition Surveys, Vegetables, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review