FDA Logo U.S. Food and Drug AdministrationCenter for Food Safety and Applied Nutrition
U.S. Department of Health and Human Services
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May 2007

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Experimental Study of Health Claims on Food Packages

Preliminary Topline Frequency Report
May 2007

Contact:

Chung-Tung Jordan Lin

Consumer Studies Staff
Division of Social Sciences
Office of Regulations, Policy and Social Sciences
Center for Food Safety and Applied Nutrition
Food and Drug Administration
Tel: 301-436-1831
Email: chung-tung.lin@fda.hhs.gov


Table of Contents

  1. Summary
    1. Methodology
    2. Selected Preliminary Findings
  2. Phase 1
    1. Section A. Consumption and perceived healthfulness of foods
    2. Section B. Awareness of nutrients and health benefits
    3. Section C. Dietary supplements, special diets, and demographics
  3. Phase 2
    1. Section D. Label responses
    2. Section E. Food purchase experience and selection criteria
    3. Section F. Health status
    4. Section G. Internet experience and demographics
  4. Appendix A. Label example 1 - Yogurt with a food-specific health claim
  5. Appendix B. Label example 2 - Yogurt with a substance-specific health claim
  6. Appendix C. Label example 3 - Yogurt with a nutrient content claim
  7. Appendix D. Label example 4 - Yogurt with a structure/function claim
  8. Appendix E. Label example 5 - Yogurt with a dietary guidance statement
  9. Appendix F. Label example 6 - Yogurt without a claim
  10. Appendix G. Label example 7 - Yogurt back panel

This report highlights selected preliminary findings based on data collected in the Experimental Study of Health Claims on Food Packages. The report also shows frequency distributions in the data. The study examines consumer perceptions of health claims and other health messages (nutrient content claims, structure/function claims, dietary guidance statements) on the front panels of food packages.

The research was intended to help reveal causal relationships between health claims and other health messages and consumer responses, rather than to assess population-wide prevalence or distributions of consumer responses. It uses quota sampling methodology on a specific Internet consumer panel. As such, the study findings describe only respondents' attitudes, knowledge, behavior, and label responses; the findings cannot and should not be construed as representative of attitudes, knowledge, behavior, or label responses among U.S. consumers.

The main research objective was to evaluate and compare consumers' reactions to food-specific health claims that do notmention the substance (nutrient) that underlies the diet-disease relationship (for example, "Yogurt may reduce the risk of osteoporosis") and substance-specific health claims that mention the substance (for example, "Calcium-rich foods, such as yogurt, may reduce the risk of osteoporosis"). We were particularly interested in determining if consumers are still able to identify the nutrient responsible for the claimed benefit, and recognize that there are many food sources from which they can obtain the nutrient. The information enhances FDA's understanding of consumer responses to health claims and informs any policy initiative(s) that FDA may undertake in the future. For more details about this informational need, go to the Advanced Notice of Proposed Rulemaking for Food Labeling: Health Claims; Dietary Guidanceof November 25, 2003, page 66047.

We emphasize that the inclusion of examples of health claims and other health messages in this study does not in any way suggest or imply any new or impending change in regulatory actions regarding these messages.

Methodology

The study includes two phases. Phase 1 collected information on respondent awareness of foods, nutrients, and foods' possible health benefits. This information was intended to help enhance understanding of respondent perceptions of various health messages, which were collected in Phase 2.

Synovate, Inc., the data collection contractor, fielded the study via the Internet between January 25, 2006 and March 24, 2006. The median completion time was five minutes for Phase 1 and ten minutes for Phase 2.

The target population was adult members in the Global Opinion Panels maintained by Synovate, Inc. Synovate drew a sample of 9,000 members per quota set to match the distribution of U.S. household heads in gender, education, age, and ethnicity/race. Invitation emails were sent to designated panel members. The invitation mentioned the general purpose of the study, sponsor of the study (FDA), and effort expected (the two phases and the expected length of time for each phase). A total of 1,593 of the 9,000 invitees completed Phase 1. Ten days after the end of the Phase 1, Phase 1 respondents were sent an invitation to participate in Phase 2; 1,077 of these Phase 1 respondents also completed Phase 2.

The study examines the following 18 front-panel label examples. These examples vary in component of a diet-disease relationship (i.e., whether a message mentions a food, a substance or nutrient, or a health problem) and presumed familiarity with a diet-disease relationship (from a well-known calcium - osteoporosis relationship, a less known potassium - high blood pressure relationship, to a unknown relationship between a fictitious nutrient "lysoton" and the risk of heart disease). There is no variation in back-panel information, e.g., the Nutrition Facts panel, for a given food. [See Appendices A-G for examples of front and back panels.]

Claim Type Yogurt - calcium - osteoporosis Orange juice - potassium - high blood pressure Pasta - lysoton (a fictitious nutrient) - heart disease
(1) Food-specific health claim Yogurt may reduce the risk of osteoporosis Orange juice may reduce the risk of high blood pressure Pasta may reduce the risk of heart disease
(2) Substance-specific health claim Calcium-rich foods, such as yogurt, may reduce the risk of osteoporosis Potassium-rich foods, such as orange juice, may reduce the risk of high blood pressure Lysoton-rich foods, such as pasta, may reduce the risk of heart disease
(3) Nutrient content claim A good source of calcium A good source of potassium A good source of lysoton
(4) Structure/function claim Helps promote bone health Helps promote blood pressure health Helps promote heart health
(5) Dietary guidance Dairy products may reduce the risk of osteoporosis Fruit juices may reduce the risk of high blood pressure Grain foods may reduce the risk of heart disease
(6) No message Not applicable Not applicable Not applicable

In Phase 1, respondents were asked about their awareness of foods, nutrients, and foods' possible health benefits; no labels were shown in Phase 1. In Phase 2, each respondent was first asked about perceptions of one of the 18 label examples and then perceptions of another label example; each and every question was shown together with the pertinent label example. For a given respondent, the examples shown were for two different foods and two different front-panel messages. Each respondent was asked about the same pair of foods in both Phases, either (1) yogurt and orange juice, (2) orange juice and pasta, or (3) pasta and yogurt. Assignment of foods and health messages were randomized and counter-balanced across respondents. See Appendices A-G for examples of label images.

Selected preliminary findings

  1. Awareness of foods, nutrients, and health benefits
    1. Among the three foods examined, yogurt and orange juice are considered more healthful than pasta.
    2. All respondents have heard of calcium and potassium. Eight percent of respondents claim to have heard of the fictitious nutrient "lysoton."
    3. Reducing the risk of osteoporosis is identified as a health benefit of yogurt by about two-thirds of those who are asked about the food; reducing the risk of hypertension is identified as a health benefit of orange juice by one quarter of those who are asked about the food; and reducing the risk of heart disease is identified as a health benefit of pasta by one in ten respondents who are asked about the food.
    4. Nine in ten of those who associate yogurt with reducing osteoporosis or pasta with reducing heart disease think other foods also have the same benefit; three in four of others who associate orange juice with reducing hypertension think other foods also have the same benefit.
    5. All who associate yogurt with osteoporosis identify calcium as the substance that might help reduce the risk; three in four of those who associate orange juice with hypertension say potassium might help reduce the risk; about one in five of those who associate pasta with heart disease say "lysoton" might help reduce the risk.
  2. Recognition of nutrient underlying the stated diet-disease relationship.
    1. When a nutrient or the nutrient-disease link is lesser known (potassium-hypertension) or unknown ("lysoton-heart disease"), respondents are more likely to recognize the nutrient if it is mentioned in a health claim (a substance-specific health claim) than if it is not mentioned (a food-specific health claim).
    2. When a nutrient or health benefit is lesser known (potassium-hypertension) or unknown ("lysoton-heart disease"), respondents are also more likely to recognize the nutrient from a substance-specific health claim than from a structure/function claim or a dietary guidance statement.
    3. There is no difference in how likely respondents are to recognize the nutrient between a food-specific health claim, a structure/function claim, and a dietary guidance statement.
  3. Recognition of the existence of other food sources of a nutrient.
    1. The recognition that other food sources provide the nutrient is less likely for an unknown nutrient ("lysoton"), regardless of which health messages respondents see.
  4. Recognition of the existence of other foods that may have the same health benefit.
    1. When there is a widespread belief that the risk of osteoporosis or heart disease may be reduced with many foods, the likelihood of recognizing that there are other foods that may offer the benefit stated on a product package does not differ between the health message they see (substance-specific health claim, food-specific health claim, structure/function claim, dietary guidance statement).
    2. When the belief is less common (i.e., the risk of hypertension may be reduced with many foods), however, the recognition that there are other foods that may offer the stated benefit is more likely when respondents see a substance-specific health claim than a food-specific health claim or a structure/function claim.
  5. Belief in the stated benefit.
    1. When a nutrient or diet-disease benefit is lesser known (potassium-hypertension) or unknown ("lysoton-heart disease"), respondents are less likely to believe the food has the stated benefit when they see a label with a nutrient content claim or with no health message, when compared to a label with other health messages (substance-specific health claims, food-specific health claims, structure/function claims, dietary guidance statements).
    2. When a nutrient or health benefit is well known (calcium-osteoporosis), there is no difference in how strongly respondents believe in the stated benefit across various health messages (substance-specific health claim, food-specific health claim, structure/function claim, nutrient content claim, dietary guidance statement).
  6. Intention to buy the product.
    1. Respondents would be more likely to consider buying the product when the health claim they see mentions the nutrient responsible for the benefit.
    2. Similarly, the purchase intent is stronger when they see a substance-specific health claim than when they see any other health messages (nutrient content claims, structure/function claims, dietary guidance statements) or a label without any health message.
    3. Respondents are least likely to buy a product when they see a nutrient content claim or a label that does not include any health message.

Notes to the following tabulations

  1. We ignored responses from 41 respondents due to discrepancies in reported demographics (age, education, race/ethnicity, gender) between the two phases. Thus, the base sample size for this report is 1,036 respondents.
  2. The study uses the quota sampling methodology. The study is not intended to, and does not, generate nationally representative results or population estimates of consumer attitudes, knowledge, or behavior. Neither is the study intended to produce results generalizable to Synovate's Global Opinion Panels.
  3. Sample size ("n") for each table is noted. The sample size is based on either the number of respondents, for questions that are not food- or label-specific, or the number of observations for other questions. In the latter questions, each respondent contributed up to two observations per question, one for each of the two foods, front-panel messages, or both.
  4. An asterisk (*) in the table denotes a percentage value smaller than one and greater than zero.
  5. Row or column percentages may not sum to 100 due to rounding, multiple responses, or both.

OMB No. 0910-0565
Expiration: 8/31/2008

PHASE 1

SECTION A. CONSUMPTION AND PERCEIVED HEALTHFULNESS OF FOODS

A1. First of all, how often do you eat/drink these foods in a typical month? Please select one for each item.
Answer Yogurt

(n = 693)
Orange Juice

(n = 686)
Pasta

(n = 693)
Everyday or nearly every day 11 % 22 % 2 %
2-3 times a week 22 % 18 % 21 %
Once a week 10 % 9 % 38 %
Less than once a week 29 % 34 % 37 %
Never eat/drink it 26 % 16 % 2 %
Don't know 2 % 1 % *

"n" denotes number of respondents.

A2. On a six point scale, where 6 means "very healthful" and 1 means "not healthful at all," how healthful would you say these foods are? Please select one for each item.
Answer Yogurt

(n = 693)
Orange Juice

(n = 686)
Pasta

(n = 693)
6 very healthful 44 % 58 % 11 %
5 31 % 25 % 14 %
4 14 % 11 % 36 %
3 4 % 4 % 24 %
2 1 % 2 % 10 %
1 not healthful at all * * 3 %
Don't know 5 % 0 % 1 %

"n" denotes number of respondents.

SECTION B. AWARENESS OF NUTRIENTS AND HEALTH BENEFITS

B1. Have you ever heard of each of the following nutrients or food components? Please select an answer for each one of them. [RANDOMIZE LIST; RECORD FIRST ITEM.]
(n=1036)
Nutrient/Food Component Yes
No
Don't know
Calcium 100 % * *
Potassium 99 % * *
Monounsaturated fat or fatty acid 89 % 7 % 3 %
Lysoton 8 % 81 % 12 %
Lycopene 72 % 22 % 6 %
Trans fat or trans fatty acid 95 % 4 % 2 %

"n" denotes number of respondents. "Lysoton" is a fictitious nutrient included for the purpose of the study.

B2. Have you ever heard or read that [eating/drinking food] regularly may help lower the risk of the following health problems? Please select an answer for each health problem.[RANDOMIZE LIST; RECORD FIRST ITEM.]
Yogurt (n = 693)
Health Problem Yes No
Don't know
Hypertension or high blood pressure 17 % 67 % 17 %
Cancer 12 % 70 % 18 %
Osteoporosis or bone problem 62 % 28 % 11 %
Diabetes or high blood sugar 15 % 68 % 17 %
Heart disease 24 % 61 % 15 %
Orange juice (n = 686)
Health Problem Yes No
Don't know
Hypertension or high blood pressure 24 % 60 % 16 %
Cancer 35 % 50 % 15 %
Osteoporosis or bone problem 39 % 47 % 14 %
Diabetes or high blood sugar 16 % 68 % 16 %
Heart disease 46 % 40 % 14 %
Pasta (n = 693)
Health Problem Yes No
Don't know
Hypertension or high blood pressure 7 % 80 % 13 %
Cancer 4 % 83 % 13 %
Osteoporosis or bone problem 7 % 80 % 13 %
Diabetes or high blood sugar 7 % 80 % 12 %
Heart disease 9 % 78 % 12 %

"n" denotes number of observations.

[IF YES TO THE TARGET HEALTH PROBLEM, GO TO B3. OTHERWISE, SKIP TO C1.]
[Target health problem: yogurt - osteoporosis; orange juice - high blood pressure; pasta - heart disease.]

B3. Are there foods or beverages other than [food] that might also help lower the risk of [health problem]? Please select one.
  Yes No
Don't know
Yogurt - osteoporosis (n = 428) 88 % * 11 %
Orange juice - hypertension or high blood pressure (n = 161) 76 % * 24 %
Pasta - heart disease (n = 65) 88 % 3 % 9 %

"n" denotes number of observations.

[IF YES, GO TO B4 OTHERWISE, SKIP TO B5.]

B4. In the list below, please select the foods that you think might also help lower the risk of [health problem]?  Select all that apply.
Osteoporosis or bone problem (n = 378)
Food  
Cereals 30 %
Cheese, milk, or buttermilk 97 %
Dairy products other than cheese, milk, and buttermilk 88 %
Fruits or fruit juices 31 %
Oatmeal 24 %
Potato or sweet potato 16 %
Salmon or sardines 35 %
Fish, shellfish, or seafood other than salmon and sardines 28 %
Soy, soy bean, soy milk, bean curd, or tofu  44 %
Spinach 35 %
Vegetables other than spinach, soy bean, potato, and sweet potato 29 %
Vegetable juices 16 %
Other foods (up to 3 items; examples include whole grains/wheat, any food containing significant amount of calcium.) 5 %
Don't know 0 %
Hypertension or high blood pressure (n = 122)
Food  
Cereals 53 %
Cheese, yogurt, milk, or buttermilk 25 %
Dairy products other than cheese, yogurt, milk, and buttermilk 20 %
Fruits or fruit juices 70 %
Oatmeal 79 %
Potato or sweet potato 36 %
Salmon or sardines  57 %
Fish, shellfish, or seafood other than salmon and sardines 55 %
Soy, soy bean, soy milk, bean curd, or tofu  52 %
Spinach 58 %
Vegetables other than spinach, soy bean, potato, and sweet potato 49 %
Vegetable juices 43 %
Other foods (up to 3 items; examples include red wine, whole grain, dark chocolate.) 15 %
Don't know 4 %
Heart disease (n = 57)
Food  
Cereals 81 %
Cheese, yogurt, milk, or buttermilk 23 %
Dairy products other than cheese, yogurt, milk, and buttermilk 16 %
Fruits or fruit juices 74 %
Oatmeal 88 %
Potato or sweet potato 35 %
Salmon or sardines  67 %
Fish, shellfish, or seafood other than salmon and sardines 60 %
Soy, soy bean, soy milk, bean curd, or tofu  61 %
Spinach 61 %
Vegetables other than spinach, soy bean, potato, and sweet potato 56 %
Vegetable juices 46 %
Other foods (up to 3 items;  examples include nuts, whole grains/wheat) 16 %
Don't know 0 %

"n" denotes number of observations.

B5. For each of the following nutrients, would you say it might help reduce the risk of [health problem]?  If you have never heard of a nutrient, please select that option. [RANDOMIZE LIST IN EACH FOOD.]
Osteoporosis or bone problem (n = 428)
Nutrient Yes No
Have not heard Don't know
Calcium 99 % * 0 % 1 %
Potassium 54 % 14 % * 32 %
Vitamin A 46 % 13 % * 40 %
Phosphorus 44 % 11 % 4 % 41 %
Hypertension or high blood pressure (n = 161)
Nutrient Yes No
Have not heard Don't know
Calcium 60 % 15 % * 25 %
Potassium 74 % 6 % * 19 %
Vitamin C 68 % 6 % * 25 %
Vitamin A 62 % 7 % * 30 %
Heart disease (n = 65)
Nutrient Yes No
Have not heard Don't know
Lysoton 17 % 12 % 48 % 23 %
Fiber 89 % 5 % 0 % 6 %
Calcium 58 % 18 % 0 % 23 %
Potassium 74 % 8 % 0 % 18 %

"n" denotes number of observations.

[IF YES TO THE TARGET NUTRIENT FOR A FOOD, GO TO B6 OTHERWISE, SKIP TO C1.]
[Target nutrient: yogurt - calcium; orange juice - potassium; pasta - lysoton.]

B6. Some foods are good sources of [nutrient] because they provide more [nutrient] than other foods. Please select from the list foods that you would say are good sources of [nutrient]. Select all that apply. [RANDOMIZE LIST IN EACH FOOD.]
Calcium (n = 422)
Food
Olive oil 8 %
Spinach 41 %
Fish like salmon or sardines 47 %
Tomato 14 %
Don't know 39 %
Potassium (n = 119)
Food
Margarine 3 %
Fruit juices 67 %
Potato or sweet potato 78 %
Egg 20 %
Don't know 12 %
Lysoton (n = 11)
Food
Canola oil 55 %
Carrot 36 %
Milk 36 %
Nuts (all kinds) 64 %
Don't know 27 %

"n" denotes number of observations.

SECTION C. Dietary supplements, special diets, and demographics

C1. Have you taken any of these dietary supplements in the past 12 months, that is, since [month] 2005?
(n = 1036)
Dietary Supplement Yes
No
Don't know
A multi-vitamin or multi-mineral supplement, such as One-A-Day, Mega-Vitamin, Centrum A-to-Z. 65 % 34 % *
A specialized or single-ingredient vitamin or mineral supplement such as Vitamin C, Vitamin E, iron, or calcium. Please do not include vitamins or minerals added to foods or beverages, for example, Vitamin D in milk and Vitamin C in orange juice. 58 % 41 % *
An herb, botanical, or other dietary supplement that is not a vitamin or a mineral. Examples include garlic pills, echinacea, ginkgo, ginseng (not as a food), glucosamine, MSM, saw palmetto, St. John's wort, amino acids, black cohosh, creatine, or fish oil or Omega-3 oil. 40 % 58 % 2 %

"n" denotes number of respondents.

C2. Which of these diet plans have you yourself been on during the past 30 days? Select all that apply.
Diet (n = 1036)
Low fat diet 19 %
Low carb or carbohydrate diet 16 %
Low sodium diet 13 %
Low calorie diet 11 %
Low cholesterol diet 11 %
Low sugar diet 15 %
Weight loss diet 15 %
None of these 55 %
Don't know 1 %
Prefer not to answer *

"n" denotes number of respondents.

Skip rule for C3 and C4

C3. Have you yourself been trying to limit or cut down on these things in your diet in the past 30 days? Select all that apply.
Answer (n = 1001)
Fat 37 %
Carb or carbohydrate 15 %
Sodium 20 %
Calorie 34 %
Cholesterol 20 %
Sugar 32 %
None of these 30 %
Don't know *
Prefer not to answer *

"n" denotes number of respondents.

C4. Finally, what is the highest grade or level of school you have completed or the highest degree you have received? Please select one.
Level of School (n = 1036)
0 - 11 years or grades 2 %
12 years, high school graduate, or GED 42 %
1 - 3 years of college or associate degree 28 %
4 years of college or college graduate 20 %
Postgraduate, masters, doctorate, law degree, MD 8 %

"n" denotes number of respondents.

C5. What year were you born?
Age (n = 1036)
18 - 34 years old 10 %
35 - 54 years old 38 %
55 + years old 52 %
Mean age = 53 years

Age = 2006 - response.

"n" denotes number of respondents.

C6. Are you .   .   .   Please select one.
Gender (n = 1036)
Female 77 %
Male 23 %

"n" denotes number of respondents.

C6a. Are you of Hispanic or Latino origin? Please select one.
  Yes

(n = 1036)

Hispanic or Latino origin 5 %

"n" denotes number of respondents.

C6b. What is your race? Select all that apply.
Race

(n = 1036)

White 90 %
Black or African American 7 %
Asian 2 %
Native Hawaiian or other Pacific Islander *
American Indian or Alaskan Native 3 %

"n" denotes number of respondents.

C6c. Have you used the Internet for the following purposes in the past 6 months? Please select an answer for each purpose.
(n = 1036)
Purpose Yes No Don't know
Sending and receiving E-mail 99 % 1 % *
Looking for health information, such as diet, nutrition, diseases or medicine 68 % 32 % *
Reading newspapers, magazines, or doing research 74 % 25 % *
For other purposes such as searching for or buying products,
online banking, trading stocks, or looking for a book in the library
80 % 20 % *

"n" denotes number of respondents.

PHASE 2

SECTION D. Label responses

[SHOW FRONT PANEL AND PROVIDE A TURN BUTTON FOR BACK PANEL.]

D1. Please take a moment to look at this label. Feel free to click on the "TURN" button to see the other side of the label, which provides more information about this product. Note that the label information you see in this study may or may not be the same as you would see at the grocery store.

When you are ready to continue the survey, click on the "NEXT" button.

[IF THE "NO CLAIM" CONDITION IS ASSIGNED, SKIP TO D4.]

D2. Do you see the statement on the label - "[statement from the front panel]"? Please select one.
Statement type Yogurt

Yes (n)

Orange Juice

Yes (n)

Pasta

Yes (n)

Food-specific health claim 96% (116) 97% (117) 97% (117)
Substance-specific health claim 99% (116) 97% (116) 95% (116)
Nutrient content claim 99% (115) 99% (118) 100% (114)
Structure/function claim 99% (116) 94% (112) 97% (117)
Dietary guidance statement 97% (111) 98% (111) 97% (115)

"n" denotes number of observations.

[IF D2=NO, GO TO D3; OTHERWISE, SKIP TO D4.]

D3. Please take another look at the label. Do you see this statement on the label - "[statement from the front panel]"? Please select one.
Statement Type Yogurt

Yes (n)

Orange Juice

Yes (n)

Pasta

Yes (n)

Food-specific health claim 60% (5) 25% (4) 75% (4)
Substance-specific health claim 100% (1) 100% (3) 0% (6)
Nutrient content claim 100% (1) 100% (1) -- (0)
Structure/function claim 100% (1) 57% (7) 100% (4)
Dietary guidance statement 33% (3) 100% (2) 100% (3)

"n" denotes number of observations.

[IF D3=NO, SKIP TO D5; OTHERWISE, GO TO D4.]

D4. DOES THE LABEL MENTION OR SUGGEST THIS [FOOD] may help reduce the risk of any of these health problems? Select all that apply.[RANDOMIZE LIST IN A CLAIM CONDITION.]
Food-specific health claim
Health Problem

Yogurt

(n = 114)

Orange Juice

(n = 114)

Pasta

(n = 116)

Osteoporosis or bone problem 78 % 0 % 0 %
Hypertension or high blood pressure * 76 % 4 %
Heart disease * 6 % 75 %
Cancer * 0 % 0 %
Obesity or overweight 2 % 0 % *
Diabetes or high blood sugar 0 % 2 % 2 %
Other health problems not on this list * * 4 %
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 18 % 17 % 17 %
Don't know 3 % 2 % 2 %
Substance-specific health claim
Health Problem

Yogurt

(n = 116)

Orange Juice

(n = 116)

Pasta

(n = 110)

Osteoporosis or bone problem 82 % 0 % 0 %
Hypertension or high blood pressure * 81 % 5 %
Heart disease 3 % 7 % 80 %
Cancer 0 % 0 % 0 %
Obesity or overweight 3 % 3 % 3 %
Diabetes or high blood sugar * 2 % *
Other health problems not on this list 2 % 3 % 3 %
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 16 % 15 % 14 %
Don't know 0 % * 3 %
Nutrient content claim
Health Problem

Yogurt

(n = 115)

Orange Juice

(n = 118)

Pasta

(n = 114)

Osteoporosis or bone problem 25 % 3 % 0 %
Hypertension or high blood pressure 2 % 4 % *
Heart disease 2 % 4 % 5 %
Cancer * 2 % 0 %
Obesity or overweight 3 % 2 % *
Diabetes or high blood sugar 2 % 2 % 2 %
Other health problems not on this list 3 % 3 % *
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 72 % 83 % 82 %
Don't know * 5 % 9 %
Structure/function claim
Health Problem

Yogurt

(n = 116)

Orange Juice

(n = 109)

Pasta

(n = 117)

Osteoporosis or bone problem 68 % 2 % *
Hypertension or high blood pressure * 77 % 5 %
Heart disease 0 % 7 % 52 %
Cancer 0 % 0 % 0 %
Obesity or overweight * 2 % 3 %
Diabetes or high blood sugar 0 % 4 % 2 %
Other health problems not on this list * * *
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 28 % 19 % 41 %
Don't know 3 % * 4 %
Dietary guidance statement
 

Yogurt

(n = 109)

Orange Juice

(n = 111)

Pasta

(n = 115)

Osteoporosis or bone problem 72 % * 0 %
Hypertension or high blood pressure 3 % 82 % 4 %
Heart disease 2 % 4 % 70 %
Cancer * 0 % 0 %
Obesity or overweight 5 % 0 % 2 %
Diabetes or high blood sugar 2 % 0 % 3 %
Other health problems not on this list 3 % 2 % 0 %
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 24 % 14 % 26 %
Don't know * 2 % 3 %
No claim
Health Problem

Yogurt

(n = 119)

Orange Juice

(n = 112)

Pasta

(n = 114)

Osteoporosis or bone problem 3 % * 2 %
Hypertension or high blood pressure * 4 % 2 %
Heart disease * 2 % 3 %
Cancer 0 % * 0 %
Obesity or overweight * * *
Diabetes or high blood sugar 0 % 2 % 2 %
Other health problems not on this list 0 % 2 % 0 %
The label does not mention or suggest that THIS (food) helps reduce the risk of any health problem 88 % 89 % 88 %
Don't know 8 % 3 % 7 %

"n" denotes number of observations.

[IF YES TO THE TARGET HEALTH PROBLEM, SKIP TO D6.  OTHERWISE, GO TO D5.]
[Target health problem: yogurt - osteoporosis/bone problem; orange juice - high blood pressure/hypertension; pasta - heart disease.]

D5. BASED ON YOUR KNOWLEDGE of [FOOD], would you say THIS [FOOD] may help reduce the risk of any of these health problems? Select all that apply.[KEEP LIST IN THE SAME ORDER AS IN D4.]
Food-specific health claim
Health Problem Yogurt

(n = 25)

Orange Juice

(n = 27)

Pasta

(n = 29)

Osteoporosis or bone problem 48 % 7 % 0 %
Hypertension or high blood pressure 8 % 15 % 10 %
Heart disease 8 % 11 % 38 %
Cancer 4 % 0 % 0 %
Obesity or overweight 12 % 0 % 3 %
Diabetes or high blood sugar 12 % 0 % 3 %
Other health problems not on this list 4 % 7 % 0 %
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 24 % 41 % 34 %
Don't know 28 % 30 % 21 %
Substance-specific health claim
Health Problem Yogurt

(n = 21)

Orange Juice

(n = 22)

Pasta

(n = 22)

Osteoporosis or bone problem 52 % 0 % 0 %
Hypertension or high blood pressure 0 % 27 % 5 %
Heart disease 0 % 9 % 27 %
Cancer 0 % 5 % 0 %
Obesity or overweight 0 % 9 % 14 %
Diabetes or high blood sugar 0 % 14 % 0 %
Other health problems not on this list 5 % 5 % 5 %
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 33 % 23 % 32 %
Don't know 10 % 27 % 27 %
Nutrient content claim
Health Problem Yogurt

(n = 86)

Orange Juice

(n = 113)

Pasta

(n = 108)

Osteoporosis or bone problem 49 % 14 % 4 %
Hypertension or high blood pressure 5 % 10 % 5 %
Heart disease 6 % 16 % 3 %
Cancer 3 % 6 % *
Obesity or overweight 20 % 9 % 6 %
Diabetes or high blood sugar 5 % 7 % 6 %
Other health problems not on this list 10 % 12 % *
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 24 % 23 % 35 %
Don't know 16 % 36 % 55 %
Structure/function claim
Health Problem Yogurt

(n = 37)

Orange Juice

(n = 25)

Pasta

(n = 56)

Osteoporosis or bone problem 32 % 4 % 4 %
Hypertension or high blood pressure 3 % 24 % 9 %
Heart disease 3 % 16 % 25 %
Cancer 0 % 4 % 4 %
Obesity or overweight 11 % 0 % 11 %
Diabetes or high blood sugar 0 % 8 % 9 %
Other health problems not on this list 3 % 8 % 4 %
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 27 % 44 % 48 %
Don't know 32 % 16 % 20 %
Dietary guidance statement
Health Problem Yogurt

(n = 31)

Orange Juice

(n = 20)

Pasta

(n = 34)

Osteoporosis or bone problem 42 % 15 % 3 %
Hypertension or high blood pressure 6 % 20 % 6 %
Heart disease 10 % 10 % 12 %
Cancer 0 % 0 % 3 %
Obesity or overweight 19 % 10 % 3 %
Diabetes or high blood sugar 10 % 0 % 3 %
Other health problems not on this list 6 % 10 % 3 %
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 23 % 25 % 50 %
Don't know 29 % 40 % 35 %
No claim
Health Problem Yogurt

(n = 115)

Orange Juice

(n = 107)

Pasta

(n = 111)

Osteoporosis or bone problem 37 % 11 % 6 %
Hypertension or high blood pressure 2 % 10 % 9 %
Heart disease 7 % 21 % 9 %
Cancer 4 % 11 % 2 %
Obesity or overweight 16 % 10 % 7 %
Diabetes or high blood sugar 3 % 11 % 7 %
Other health problems not on this list 9 % 25 % 5 %
The label does not mention or suggest that THIS [food] helps reduce the risk of any health problem 21 % 32 % 48 %
Don't know 32 % 22 % 32 %

"n" denotes number of observations.

[IF YES TO THE TARGET HEALTH PROBLEM, GO TO D6; OTHERWISE, SKIP TO D9.]
[Target health problem: yogurt - osteoporosis/bone problem; orange juice - high blood pressure/hypertension; pasta - heart disease.]

D6. What nutrient in THIS [FOOD] would you say may help reduce the risk of [HEALTH PROBLEM]?   Select all that apply.  [RANDOMIZE LIST IN A CLAIM CONDITION.]
Food-specific health claim
Nutrient Yogurt

(n = 101)

Orange Juice

(n = 91)

Pasta

(n = 98)

Calcium 79 % 8 % 2 %
Fiber 5 % 3 % 14 %
Iron 9 % 2 % 3 %
Potassium 18 % 22 % 8 %
Lysoton * 3 % 22 %
Vitamin A 10 % 2 % 2 %
Vitamin C 11 % 34 % 1 %
Other #1 4 % 1 % 4 %
Other #2 0 % 0 % 2 %
None of these 2 % 7 % 9 %
Don't know 7 % 35 % 49 %
Substance-specific health claim
Nutrient Yogurt

(n = 106)

Orange Juice

(n = 100)

Pasta

(n = 94)

Calcium 92 % 2 % 2 %
Fiber 0 % 1 % 7 %
Iron * 1 % 5 %
Potassium 10 % 85 % 5 %
Lysoton 0 % 0 % 81 %
Vitamin A 2 % 2 % 2 %
Vitamin C 3 % 11 % 2 %
Other #1 0 % 0 % 2 %
Other #2 0 % 0 % 1 %
None of these 0 % 4 % 3 %
Don't know 3 % 7 % 11 %
Nutrient content claim
Nutrient Yogurt

(n = 71)

Orange Juice

(n = 16)

Pasta

(n = 9)

Calcium 97 % 25 % 0 %
Fiber 0 % 13 % 22 %
Iron 6 % 13 % 11 %
Potassium 7 % 94 % 11 %
Lysoton 3 % 6 % 78 %
Vitamin A 3 % 13 % 11 %
Vitamin C 6 % 31 % 11 %
Other #1 0 % 0 % 0 %
Other #2 0 % 0 % 0 %
None of these 0 % 0 % 11 %
Don't know 0 % 0 % 0 %
Structure/function claim
Nutrient Yogurt

(n = 91)

Orange Juice

(n = 90)

Pasta

(n = 75)

Calcium 91 % 6 % 3 %
Fiber 1 % 3 % 19 %
Iron 7 % 2 % 5 %
Potassium 15 % 33 % 5 %
Lysoton 0 % 1 % 24 %
Vitamin A 7 % 7 % 3 %
Vitamin C 9 % 40 % 0 %
Other #1 1 % 4 % 7 %
Other #2 0 % 0 % 1 %
None of these 0 % 6 % 7 %
Don't know 4 % 36 % 43 %
Dietary guidance statement
Nutrient Yogurt

(n = 91)

Orange Juice

(n = 95)

Pasta

(n = 85)

Calcium 85 % 11 % 1 %
Fiber 1 % 5 % 14 %
Iron 4 % 4 % 7 %
Potassium 16 % 33 % 7 %
Lysoton 1 % 1 % 12 %
Vitamin A 1 % 7 % 2 %
Vitamin C 5 % 39 % 2 %
Other #1 3 % 1 % 8 %
Other #2 0 % 0 % 2 %
None of these 3 % 6 % 13 %
Don't know 7 % 33 % 51 %
No claim
Nutrient Yogurt

(n = 46)

Orange Juice

(n = 16)

Pasta

(n = 13)

Calcium 96 % 13 % 8 %
Fiber 2 % 13 % 54 %
Iron 4 % 13 % 23 %
Potassium 17 % 38 % 23 %
Lysoton 2 % 0 % 15 %
Vitamin A 4 % 6 % 31 %
Vitamin C 4 % 31 % 31 %
Other #1 7 % 13 % 23 %
Other #2 0 % 0 % 8 %
None of these 0 % 6 % 8 %
Don't know 0 % 31 % 0 %

"n" denotes number of observations.

[IF YES TO TARGET NUTRIENT, GO TO D7.  OTHERWISE, SKIP TO D8.]
[Target nutrient:  yogurt - calcium; orange juice - potassium; pasta - lysoton.]

D7.Would you say one can get [NUTRIENT] from any foods other than [FOOD]? Please select one.
Food-specific health claim
Answer Yogurt

(n = 80)

Orange Juice

(n = 20)

Pasta

(n = 22)

Yes 98 % 90 % 36 %
No 0 % 0 % 5 %
Don't know 3 % 10 % 59 %
Substance-specific health claim
Answer Yogurt

(n = 97)

Orange Juice

(n = 85)

Pasta

(n = 76)

Yes 98 % 95 % 46 %
No 2 % 1 % 0 %
Don't know 0 % 4 % 54 %
Nutrient content claim
Answer Yogurt

(n = 69)

Orange Juice

(n = 15)

Pasta

(n = 7)

Yes 99 % 100 % 29 %
No 0 % 0 % 0 %
Don't know 1 % 0 % 71 %
Structure/function claim
Answer Yogurt

(n = 83)

Orange Juice

(n = 30)

Pasta

(n = 18)

Yes 99 % 100 % 39 %
No 1 % 0 % 0 %
Don't know 0 % 0 % 61 %
Dietary guidance statement
Answer Yogurt

(n = 77)

Orange Juice

(n = 31)

Pasta

(n = 10)

Yes 96 % 97 % 50 %
No 3 % 0 % 20 %
Don't know 1 % 3 % 30 %
No claim
Answer Yogurt

(n = 44)

Orange Juice

(n = 6)

Pasta

(n = 2)

Yes 98 % 100 % 50 %
No 0 % 0 % 0 %
Don't know 2 % 0 % 50 %

"n" denotes number of observations.

D8. Are there other foods, in addition to [FOOD], that might also help reduce the risk of [HEALTH PROBLEM]? Please select one
Food-specific health claim
Answer Yogurt

(n = 101)

Orange Juice

(n = 91)

Pasta

(n = 98)

Yes 89 % 56 % 70 %
No 3 % 2 % 1 %
Don't know 8 % 42 % 29 %
Substance-specific health claim
Answer Yogurt

(n = 106)

Orange Juice

(n = 100)

Pasta

(n = 94)

Yes 92 % 84 % 73 %
No 0 % 1 % 0 %
Don't know 8 % 15 % 27 %
Nutrient content claim
Answer Yogurt

(n = 71)

Orange Juice

(n = 16)

Pasta

(n = 9)

Yes 96 % 94 % 78 %
No 0 % 0 % 0 %
Don't know 4 % 6 % 22 %
Structure/function claim
Answer Yogurt

(n = 91)

Orange Juice

(n = 90)

Pasta

(n = 75)

Yes 92 % 57 % 84 %
No 0 % 2 % 0 %
Don't know 8 % 41 % 16 %
Dietary guidance statement
Answer Yogurt

(n = 91)

Orange Juice

(n = 95)

Pasta

(n = 85)

Yes 96 % 65 % 79 %
No 1 % 2 % 0 %
Don't know 3 % 33 % 21 %
No claim
Answer Yogurt

(n = 46)

Orange Juice

(n = 16)

Pasta

(n = 13)

Yes 96 % 75 % 92 %
No 0 % 0 % 0 %
Don't know 4 % 25 % 8 %

"n"denotes number of observations.

D9. Overall, how helpful would you say the label is in telling you what the possible health benefits of THIS [FOOD] are? Please select one.
Food-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 117)

Pasta

(n = 117)

Very helpful 24 % 13 % 16 %
Somewhat helpful 51 % 47 % 42 %
Somewhat not helpful 12 % 12 % 15 %
Not helpful at all 9 % 25 % 24 %
Don't know 4 % 3 % 3 %
Substance-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 116)

Pasta

(n = 116)

Very helpful 24 % 21 % 27 %
Somewhat helpful 54 % 56 % 45 %
Somewhat not helpful 9 % 9 % 10 %
Not helpful at all 11 % 13 % 17 %
Don't know * 2 % *
Nutrient content claim
Answer Yogurt

(n = 115)

Orange Juice

(n = 118)

Pasta

(n = 114)

Very helpful 11 % 7 % 0 %
Somewhat helpful 37 % 23 % 15 %
Somewhat not helpful 14 % 16 % 10 %
Not helpful at all 37 % 51 % 66 %
Don't know * 3 % 10 %
Structure/function content claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 112)

Pasta

(n = 117)

Very helpful 19 % 23 % 11 %
Somewhat helpful 43 % 35 % 29 %
Somewhat not helpful 16 % 11 % 16 %
Not helpful at all 21 % 28 % 39 %
Don't know * 4 % 4 %
Dietary guidance statement
Answer Yogurt

(n = 111)

Orange Juice

(n = 111)

Pasta

(n = 115)

Very helpful 21 % 15 % 9 %
Somewhat helpful 47 % 49 % 39 %
Somewhat not helpful 14 % 20 % 15 %
Not helpful at all 14 % 14 % 33 %
Don't know 4 % 2 % 4 %
No claim
Answer Yogurt

(n = 119)

Orange Juice

(n = 112)

Pasta

(n = 114)

Very helpful 4 % * 3 %
Somewhat helpful 21 % 13 % 13 %
Somewhat not helpful 8 % 16 % 11 %
Not helpful at all 59 % 68 % 67 %
Don't know 8 % 3 % 7 %

"n" denotes number of observations.

D10. On a six point scale, where 6 means "very likely" and 1 means "very unlikely," how likely or unlikely would you say THIS [FOOD] is to help reduce the risk of [HEALTH PROBLEM]? Please select one.
Food-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 117)

Pasta

(n = 117)

1 Very likely 13 % 13 % 5 %
2 19 % 11 % 9 %
3 28 % 22 % 26 %
4 23 % 19 % 26 %
5 4 % 14 % 11 %
6 very unlikely 7 % 12 % 14 %
Don't know 5 % 9 % 9 %
Substance-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 116)

Pasta

(n = 116)

1 Very likely 16 % 9 % 11 %
2 15 % 16 % 14 %
3 28 % 34 % 18 %
4 25 % 22 % 28 %
5 8 % 9 % 11 %
6 very unlikely 7 % 5 % 12 %
Don't know 2 % 3 % 5 %
Nutrient content claim
Answer Yogurt

(n = 115)

Orange Juice

(n = 118)

Pasta

(n = 114)

1 Very likely 9 % 5 % 0 %
2 9 % 6 % 6 %
3 35 % 15 % 9 %
4 23 % 12 % 9 %
5 9 % 14 % 9 %
6 very unlikely 9 % 29 % 36 %
Don't know 7 % 19 % 32 %
Structure/function content claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 112)

Pasta

(n = 117)

1 Very likely 14 % 15 % 3 %
2 15 % 11 % 9 %
3 21 % 20 % 14 %
4 27 % 20 % 38 %
5 8 % 10 % 8 %
6 very unlikely 9 % 17 % 18 %
Don't know 7 % 8 % 11 %
Dietary guidance statement
Answer Yogurt

(n = 111)

Orange Juice

(n = 111)

Pasta

(n = 115)

1 Very likely 11 % 6 % 6 %
2 17 % 9 % 8 %
3 27 % 32 % 15 %
4 23 % 29 % 28 %
5 10 % 9 % 12 %
6 very unlikely 7 % 9 % 24 %
Don't know 5 % 6 % 7 %
No claim
Answer Yogurt

(n = 119)

Orange Juice

(n = 112)

Pasta

(n = 114)

1 Very likely 11 % * 2 %
2 9 % 3 % 4 %
3 18 % 13 % 11 %
4 25 % 13 % 16 %
5 8 % 14 % 13 %
6 very unlikely 17 % 36 % 40 %
Don't know 12 % 21 % 14 %

"n" denotes number of observations.

D11. Overall, how helpful would you say the label is in helping you decide whether to buy THIS [FOOD]? Please select one
Food-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 117)

Pasta

(n = 117)

Very helpful 18 % 12 % 14 %
Somewhat helpful 45 % 38 % 36 %
Somewhat not helpful 9 % 13 % 15 %
Not helpful at all 23 % 33 % 32 %
Don't know 5 % 3 % 3 %
Substance-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 116)

Pasta

(n = 116)

Very helpful 23 % 15 % 20 %
Somewhat helpful 40 % 49 % 42 %
Somewhat not helpful 17 % 9 % 10 %
Not helpful at all 19 % 21 % 25 %
Don't know * 6 % 3 %
Nutrient content claim
Answer Yogurt

(n = 115)

Orange Juice

(n = 118)

Pasta

(n = 114)

Very helpful 5 % 8 % 4 %
Somewhat helpful 48 % 26 % 15 %
Somewhat not helpful 12 % 15 % 13 %
Not helpful at all 34 % 50 % 62 %
Don't know * * 5 %
Structure/function content claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 112)

Pasta

(n = 117)

Very helpful 14 % 23 % 5 %
Somewhat helpful 42 % 31 % 38 %
Somewhat not helpful 16 % 13 % 17 %
Not helpful at all 26 % 29 % 39 %
Don't know 2 % 4 % *
Dietary guidance statement
Answer Yogurt

(n = 111)

Orange Juice

(n = 111)

Pasta

(n = 115)

Very helpful 16 % 13 % 9 %
Somewhat helpful 47 % 44 % 29 %
Somewhat not helpful 14 % 19 % 19 %
Not helpful at all 21 % 23 % 41 %
Don't know 3 % 2 % 3 %
No claim
Answer Yogurt

(n = 119)

Orange Juice

(n = 112)

Pasta

(n = 114)

Very helpful 10 % 5 % 7 %
Somewhat helpful 30 % 21 % 18 %
Somewhat not helpful 9 % 23 % 14 %
Not helpful at all 45 % 47 % 58 %
Don't know 5 % 3 % 3 %

"n" denotes number of observations.

D12. Imagine that you are in a grocery store and thinking about getting some [FOOD] for yourself. Assume the [FOOD] you see here is comparable to other [FOOD]s on the shelf in terms of price, taste, flavor, and nutritional values. [IF PASTA, REPLACE "FLAVOR" WITH "TEXTURE."]On a six point scale, where 6 means "definitely would consider buying" and 1 means "definitely would not consider buying," how likely or unlikely would you be to consider buying THIS [FOOD] rather than another [FOOD]? Please select one.
Food-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 117)

Pasta

(n = 117)

1 Very likely 11 % 12 % 12 %
2 18 % 16 % 15 %
3 25 % 19 % 22 %
4 20 % 32 % 28 %
5 4 % 11 % 12 %
6 very unlikely 16 % 9 % 7 %
Don't know 5 % 2 % 4 %
Substance-specific health claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 116)

Pasta

(n = 116)

1 Very likely 21 % 10 % 19 %
2 11 % 17 % 17 %
3 24 % 31 % 19 %
4 21 % 22 % 25 %
5 8 % 8 % 9 %
6 very unlikely 12 % 9 % 9 %
Don't know 3 % 2 % 3 %
Nutrient content claim
Answer Yogurt

(n = 115)

Orange Juice

(n = 118)

Pasta

(n = 114)

1 Very likely 10 % 9 % 6 %
2 16 % 11 % 8 %
3 23 % 12 % 13 %
4 25 % 28 % 29 %
5 12 % 18 % 18 %
6 very unlikely 9 % 19 % 18 %
Don't know 4 % 3 % 8 %
Structure/function claim
Answer Yogurt

(n = 116)

Orange Juice

(n = 112)

Pasta

(n = 117)

1 Very likely 15 % 19 % 10 %
2 13 % 18 % 11 %
3 18 % 15 % 27 %
4 28 % 20 % 33 %
5 7 % 13 % 13 %
6 very unlikely 16 % 13 % 4 %
Don't know 3 % 3 % *
Dietary guidance statement
Answer Yogurt

(n = 111)

Orange Juice

(n = 111)

Pasta

(n = 115)

1 Very likely 8 % 14 % 10 %
2 14 % 10 % 13 %
3 27 % 32 % 18 %
4 25 % 18 % 30 %
5 14 % 14 % 10 %
6 very unlikely 9 % 10 % 11 %
Don't know 3 % 3 % 7 %
No claim
Answer Yogurt

(n = 119)

Orange Juice

(n = 112)

Pasta

(n = 114)

1 Very likely 10 % 4 % 4 %
2 4 % 12 % 7 %
3 18 % 13 % 23 %
4 21 % 26 % 30 %
5 15 % 18 % 15 %
6 very unlikely 28 % 21 % 16 %
Don't know 3 % 5 % 6 %

"n" denotes number of observations.

Results for D13 - D24, which repeat D1 - D12 for the second food tested, have been combined with results for D1 - D12.

D25. [SHOW BOTH SIDES OF LABEL OF THE SECOND FOOD; REMOVE CLAIM STATEMENT.] Now, think about the [NUTRIENT] in this [FOOD], which of the following best describes how much [NUTRIENT] you consider this [FOOD] to have? Please select one.
[Nutrient: yogurt - protein; orange juice - total carbohydrate; pasta - dietary fiber.]
Answer Yogurt

(n = 350)

Orange Juice

(n = 347)

Pasta

(n = 339)

High 3 % 9 % 1 %
Moderately high 23 % 33 % 8 %
Neither high nor low 34 % 27 % 24 %
Moderately low 23 % 14 % 28 %
Low 6 % 6 % 30 %
Don't know 11 % 12 % 10 %

"n" denotes number of respondents.

[IF DON'T KNOW, SKIP TO E1.]

D26. You just indicated that the amount of [NUTRIENT] in this [FOOD] is [RESPONSE FROM D25]. Which of the following is or are the reason(s) that you said the [NUTRIENT] in this [FOOD] is [RESPONSE FROM D25]? Please select all that apply. [RANDOMIZE FIRST TWO ITEMS.]
Reason Yogurt

(n = 313)

Orange Juice

(n = 305)

Pasta

(n = 306)

My answer was based on the label I saw 73 % 69 % 77 %
That is how much [NUTRIENT] I think [FOOD]s generally have 24 % 26 % 19 %
Neither of the above; specify 3 % 4 % 2 %
Don't know 4 % 5 % 4 %

"n" denotes number of respondents.

[IF "MY ANSWER WAS BASED ON THE LABEL I SAW," GO TO D27; OTHERWISE, SKIP TO E1.]

D27. [SHOW NAMES OF DIFFERENT PARTS OF LABEL.]You just indicated that the [NUTRIENT] in this [FOOD] is [RESPONSE FROM D25]. Which part or parts of the label did you use to decide your answer? Please select all that apply.
Label Part Yogurt

(n = 227)

Orange Juice

(n = 211)

Pasta

(n = 237)

Front panel 1 % * 0 %
Nutrition Facts box 32 % 47 % 33 %
Amount of nutrient 43 % 43 % 43 %
% Daily value 61 % 35 % 64 %
Ingredient list 7 % 9 % 7 %
Don't know * 0 % *

"n" denotes number of respondents.

SECTION E. Food Purchase Experience and Selection Criteria

[REMOVE LABEL.]

E1. Do you yourself buy all, most, some, or none of the [FOOD] you eat/drink? Please select one.
Answer Yogurt

(n = 693)

Orange Juice

(n = 686)

Pasta

(n = 693)

All 56 % 57 % 68 %
Most 10 % 15 % 17 %
Some 8 % 9 % 11 %
None 1 % 2 % 1 %
Never buy 9 % 7 % 2 %
Never eat or drink 16 % 9 % *
Don't know * 0 % *

"n" denotes number of observations.

[IF "ALL," "MOST," OR "SOME," GO TO E2. OTHERWISE, SKIP TO F1.]

E2. How much do you agree or disagree with each of the following statements? Please select one for each statement.
I only buy the [food]s that are on sale
Answer Yogurt

(n = 511)

Orange Juice

(n = 563)

Pasta

(n = 662)

Strongly agree 12 % 10 % 11 %
Somewhat agree 28 % 31 % 29 %
Somewhat disagree 23 % 25 % 23 %
Strongly disagree 36 % 33 % 36 %
Don't know * * *
I only buy the [food]s that are familiar to me
Answer Yogurt

(n = 511)

Orange Juice

(n = 563)

Pasta

(n = 662)

Strongly agree 27 % 27 % 21 %
Somewhat agree 47 % 46 % 46 %
Somewhat disagree 15 % 18 % 20 %
Strongly disagree 11 % 8 % 12 %
Don't know * * *
I only buy the [food]s that tell their health benefits on the package
Answer Yogurt

(n = 511)

Orange Juice

(n = 563)

Pasta

(n = 662)

Strongly agree 18 % 17 % 10 %
Somewhat agree 31 % 31 % 30 %
Somewhat disagree 31 % 30 % 31 %
Strongly disagree 19 % 21 % 26 %
Don't know 3 % 2 % 2 %

"n" denotes number of observations.

SECTION F. Health status

F1. The next few questions may seem a bit personal. But we need this information because this study is about nutrition and health. Have you ever been told by a doctor or other healthcare professional that you have the following health problems? Please select an answer for each of the health problems.
(n = 1036)
Health Problem Yes No Don't know Prefer not to answer
Cancer 7 % 92 % 1 % *
Diabetes 13 % 85 % 1 % *
Heart disease 7 % 92 % 1 % *
High blood pressure 35 % 63 % 1 % *
High cholesterol 36 % 62 % 1 % *
Liver-related problem 3 % 95 % 2 % *
Obesity or overweight 34 % 64 % 1 % *
Osteoporosis or bone problem 15 % 83 % 2 % *
Stroke 3 % 95 % 1 % *

"n" denotes number of respondents.

[ASK F2 FOR HEALTH PROBLEMS THAT RECEIVED A "NO" OR "DON"T KNOW," BUT NOT "PREFER NOT TO ANSWER," IN F1.]

F2. Would you expect yourself to be at risk in the next five years for the following health problems? Please select an answer for each of the health problems.
Health Problem Yes No
Don't know Prefer not to answer
Cancer (n = 963) 7 % 66 % 26 % 0 %
Diabetes (n = 898) 11 % 69 % 20 % 0 %
Heart disease (n = 961) 15 % 60 % 25 % 0 %
High blood pressure (n = 667) 10 % 71 % 19 % 0 %
High cholesterol (n = 655) 9 % 70 % 20 % 0 %
Liver-related problem (n = 1003) 2 % 80 % 18 % 0 %
Obesity or overweight (n = 682) 8 % 79 % 12 % *
Osteoporosis or bone problem (n = 873) 10 % 70 % 20 % 0 %
Stroke (n = 999) 6 % 68 % 26 % 0 %

"n" denotes number of respondents.

F3. How tall are you without shoes? Please enter a number in both the "feet" and "inches." (n = 1036)
Range of Height 4 ft 6 in — 6 ft 6 in
Prefer not to answer *

"n" denotes number of respondents.

F4. How much do you weigh without shoes? Please enter a number in the pounds option. (n = 1036)
Range of Weight 90 lb — 392 lb
Prefer not to answer 6 %

"n" denotes number of respondents.

F5. Do you consider yourself to be overweight, underweight, or about the right weight? Please select one.
Answer (n = 1036)
Overweight 67 %
Underweight 2 %
About the right weight 30 %
Don't know 1 %
Prefer not to answer *

"n" denotes number of respondents.

SECTION G. Internet experience and demographics

G1. What is the modem speed that you are using to do this study? Please select one.
Modem (n = 1036)
56k or lower 27 %
High-speed, including broadband, cable, DSL, ADSL, T1, T3, ISDN 65 %
Other *
Don't know 8 %

"n" denotes number of respondents.

G2. Finally, what is the highest grade or level of school you have completed or the highest degree you have received? Please select one.
Level of School (n = 1036)
0 - 11 years or grades 2 %
12 years, high school graduate, or GED 42 %
1-3 years of college or associate degree 28 %
4 years of college or college graduate 20 %
Postgraduate, masters, doctorate, law degree, MD 8 %

"n" denotes number of respondents.

G3. What year were you born?
Age (n = 1036)
18 - 34 years old 10 %
35 - 54 years old 38 %
55 + years old 52 %
Mean age = 53 years

Age = 2006 - response.

"n" denotes number of respondents.

G4. Are you . . . . Please select one.
Gender (n = 1036)
Female 77 %
Male 23 %

"n" denotes number of respondents.

G5. Are you of Hispanic or Latino origin? Please select one.
  Yes

(n = 1036)
Hispanic or Latino origin 5 %

"n" denotes number of respondents.

G6. What is your race? Select all that apply.
Race
(n = 1036)
White 90 %
Black or African American 7 %
Asian 2 %
Native Hawaiian or other Pacific Islander *
American Indian or Alaskan Native 3 %

"n" denotes number of respondents.

[SHOW THE FOLLOWING TO RESPONDENTS ASSIGNED TO ANY CONDITION RELATED TO PASTA.]

This study has talked about something called LYSOTON. Please note that LYSOTON does not exist. The term is included in this study to assess people's reactions to food labels if there is an unfamiliar or unknown nutrient mentioned on the label.

I have read this statement. Please select one.
Answer
(n = 634)
Yes 96 %
No 4 %

"n" denotes number of observations.

Thank you. These are all the questions in this study. We hope you have enjoyed your participation in the study.

END OF STUDY


Appendix A.
Label example 1 - Yogurt with a food-specific health claim

Drawing of a package of yogurt. At the top of the principal display panel, surrounded by a sunburst, is "Yogurt may reduce the risk of osteoporosis". The rest of the panel reads "Vanilla Yogurt. 6oz (170g)."

Appendix B.
Label example 2 - Yogurt with a substance-specific health claim

Drawing of a package of yogurt. At the top of the principal display panel, surrounded by a sunburst, is "Calcium-rich foods, such as yogurt, may reduce the risk of osteoporosis". The rest of the panel reads "Vanilla Yogurt. 6oz (170g)."

Appendix C.
Label example 3 - Yogurt with a nutrient content claim

Drawing of a package of yogurt. At the top of the principal display panel, surrounded by a sunburst, is "A good source of calcium". The rest of the panel reads "Vanilla Yogurt. 6oz (170g)."

Appendix D.
Label example 4 - Yogurt with a structure/function claim

Drawing of a package of yogurt. At the top of the principal display panel, surrounded by a sunburst, is "Helps promote bone health". The rest of the panel reads "Vanilla Yogurt. 6oz (170g)."

Appendix E.
Label example 5 - Yogurt with a dietary guidance statement

Drawing of a package of yogurt. At the top of the principal display panel, surrounded by a sunburst, is "Dairy products may reduce the risk of osteoporosis". The rest of the panel reads "Vanilla Yogurt. 6oz (170g)."

Appendix F.
Label example 6 - Yogurt without a claim

Drawing of a package of yogurt. On the principal display panel is "Vanilla Yogurt. 6oz (170g)."

Appendix G.
Label example 7 - Yogurt back panel

Drawing of a package of yogurt, showing the back panel with the Nutrition Facts panel."

horizontal rule
horizontal rule