Download Summary of Results: Report for Participants

 Summary of Results: Report for
Participants
Australian Health and Social Science (AHSS)
Project
Exploring attitudes towards nutritional
information on food packaging
Population Research Laboratory
Institute for Health and Social Science Research, CQUniversity Australia
November, 2009
Table of Contents INTRODUCTION ....................................................................................................................................... 3 The AHSS project ................................................................................................................................. 3 The Study ............................................................................................................................................ 3 GENERAL HEALTH CONCERNS ................................................................................................................. 5 How concerned are you about losing weight? ................................................................................... 5 How concerned are you about improving body image? ..................................................................... 5 How concerned are you about minimising potential future health problems? ................................. 6 How concerned are you about minimising the signs of aging? .......................................................... 6 Have you been trying to buy healthier food products? ...................................................................... 7 Do you think a healthy diet will reduce your chances of getting serious health problems? .............. 7 FOOD PURCHASE INFLUENCES ................................................................................................................ 8 Which factors are important in your decision to purchase healthy food? ......................................... 8 Which factors do you consider when purchasing packaged food/beverages? .................................. 9 AWARENESS & ATTITUDES TOWARD NUTRITION‐RELATED ENDORSEMENTS .................................... 10 Are you aware of any dietary or nutrition‐related symbols or logos? ............................................. 10 How often do you look for nutrition‐related symbols or logos? ...................................................... 11 How important are dietary symbols, logos or endorsements? ........................................................ 11 Have you purchased because of a dietary symbol/logo or endorsement? ...................................... 12 Which dietary symbol/logo or endorsement have you looked for? ................................................. 12 Reasons for seeking out dietary symbols/logos or endorsements? ................................................. 13 AWARENESS & ATTITUDES TOWARD THE HEART FOUNDATION “TICK” .............................................. 14 Do you look for the Heart Foundation Tick symbol/logo? ................................................................ 14 How trustworthy do you believe Heart Foundation is? .................................................................... 14 Does choosing Heart Foundation Tick foods help you eat a better diet? ........................................ 15 Reasons for not seeking the Heart Foundation Tick ......................................................................... 15 APPENDICES .......................................................................................................................................... 16 APPENDIX A: Online Survey Questionnaire ...................................................................................... 17 AHSS: Exploring attitudes towards nutritional information 2 INTRODUCTION The AHSS project The Australian Health and Social Science (AHSS) study is a project initiated and funded by the Institute for Health and Social Science Research at CQUniversity Australia. The study aims to examine the unique issues affecting Australians now and into the future through targeted and regular research using a randomly selected national group (panel) of participants. This panel provides regular input (via the completion of web‐based surveys) on key issues such as physiological and psychological wellbeing, activity levels, nutrition, behavioural risk factors and social and economic well‐being. The group also participates in research addressing a range of contemporary issues relevant to understanding Australian people's quality of life. These include issues such as climate change, economic pressure, ethical food consumption and exposure to violence amongst others. The AHSS study aims to serve the research needs of both university researchers and academics, by providing access to a national random sample of participants willing to take part in online surveys. The results gathered from the AHSS study will allow researchers to further their understanding of specific issues in Australia through the use of this highly targeted research. Data from AHSS studies will be analysed and reported in papers published in reputable academic journals and will also be used to inform future research directions. The longitudinal nature of the study will also enable researchers to identify long‐term trends and opportunities for potential interventions and health promotion strategies. The Study The current study aims to make national comparisons between the Canadian Health Check Program and the Australian Heart Foundation program regarding the effectiveness of these institutionalised and publicly identified health message programs in terms of food choice and healthy nutrition. In Australia the Heart Foundation Tick program is aimed at helping people make healthier food choices quickly and easily. It also encourages food manufacturers and food outlets to develop or modify products and meals that meet the Heart Foundation's nutrition standards. In general, Tick approved foods and meals have met strict standards for saturated fat, trans fat, salt and where appropriate, kilojoules and fibre. With meals serve size is also monitored. The Canadian Health Check program works in a similar manner where all grocery products and menu items displaying the Health Check logo meet the nutrient criteria developed by the Foundation’s AHSS: Exploring attitudes towards nutritional information 3 registered dieticians based on Canada’s Food Guide. Food companies and restaurants have no involvement in setting the criteria. In the current study a questionnaire assessing participant knowledge attitudes and beliefs regarding nutrition and purchasing behaviour related to the two programs will be assessed by means of web‐
based survey using a questionnaire developed by Professor John Spence at the University of Alberta for use in an identical study in the Canadian population. The data collected as part of this study will involve the Australian cohort only (namely the AHSS panel), but will allow for direct comparison to the Canadian population sampled by Professor Spence and his team This report outlines the results from the substantive questions (replicated from the Canadian study) of the survey and has been prepared with the sole intention of providing feedback to survey participants. This is not an official statistical report and should not be cited as such. IHSSR researchers are currently working towards several papers for publication based on the detailed analysis of data resultant from this survey. The intention is that this will include an article comparing the results of the survey to the Canadian study and an article exploring the use of nutritional information on food packaging in relation to known demographic characteristics (age, gender, education, etc) and health behaviours (physical activity, diet, chronic illness, etc). It should be noted that that National Heart Foundation has not been involved in the development or conduct of this study. AHSS: Exploring attitudes towards nutritional information 4 GENERAL HEALTH CONCERNS The first series of questions of the survey aimed to establish a general understanding of the current health concerns of respondents. This included concerns about weight and body image, health problems, aging and nutrition. The greatest concern for most respondents was minimising future potential health problems, with physical signs of aging being a far lesser concern. How concerned are you about losing weight? As can be seen below in Figure 1, the majority of respondents (60%) expressed that they were at least somewhat concerned about losing weight. Weight loss
12%
17%
Very concerned
Somewhat concerned
28%
Not very concerned
Not at all concerned
43%
Figure 1: QS1a: How concerned are you about losing weight? How concerned are you about improving body image? Similarly, the majority of respondents (60%) expressed that they were at least somewhat concerned about improving their body image. Improving body image
6%
13%
Very concerned
34%
Somewhat concerned
Not very concerned
47%
Not at all concerned
Figure 2: QS1b: How concerned are you about improving body image? AHSS: Exploring attitudes towards nutritional information 5 How concerned are you about minimising potential future health problems? Almost all respondents (95%) expressed that they were concerned about minimising future potential health problems. Minimising future health problems
5%
1%
47%
Very concerned
Somewhat concerned
Not very concerned
48%
Not at all concerned
Figure 3: QS1c: How concerned are you about minimising future health problems? How concerned are you about minimising the signs of aging? Fewer respondents (46%) expressed that they were concerned about minimising the signs of aging (e.g. wrinkles, etc). Minimising the signs of aging
8%
12%
Very concerned
Somewhat concerned
37%
43%
Not very concerned
Not at all concerned
Figure 4: QS1d: How concerned are you about minimising the signs of aging? AHSS: Exploring attitudes towards nutritional information 6 Have you been trying to buy healthier food products? Respondents were then asked to rate their level of agreement with the following statement; “I have been trying to buy healthier food products”. The vast majority of respondents (84%) agreed that they had been trying to purchase healthier food. Purchasing healthier food products
2%‐1%
13%
Strongly agree
40%
Somewhat agree
Neutral
Somewhat disagree
45%
Strongly disagree
Figure 5: QS1e: “I have been trying to buy healthier food products” Do you think a healthy diet will reduce your chances of getting serious health problems? Respondents were then asked to rate their level of agreement with a statement about their beliefs regarding nutrition; “Eating a healthy diet will reduce my chances of getting serious health problems”. Almost all respondents (97%) agreed that a healthy diet can reduce the chances of serious health problems. Healthy diet reduces chances of health problems
2% 1%
Strongly agree
27%
Somewhat agree
Neutral
70%
Somewhat disagree
Strongly disagree
Figure 6: QS1f: “Eating a healthy diet will reduce my chances of getting serious health problems” AHSS: Exploring attitudes towards nutritional information 7 FOOD PURCHASE INFLUENCES The second series of questions of the survey focused on the factors which may influence food purchase decisions. The questions examined both the practical factors involved with choosing food and factors concerning the ingredients of the foods themselves. Which factors are important in your decision to purchase healthy food? Respondents were asked to select items from a list to indicate which factors are important to them when trying to purchase healthy foods. Ease of preparation, tastiness, affordability and variety were the factors important to most respondents, all being chosen by greater than 60% of respondents. Medically approved, ready to eat and portable were seen by the fewest proportion of respondents (26% or less) as being an important factor in making purchasing decisions. Healthy food purchase decisions
35%
Healthy‐sized portions
48%
Reduce the risk of (nutrition related) disease
62%
Variety
63%
Affordable
24%
Approved (nutritionist, medical …
68%
Tasty
26%
Ready to eat
69%
Easy to prepare
25%
Portable
0%
20%
40%
60%
80%
Figure 7: QS2a: Thinking about healthy foods, which of the following factors are most important in your purchase decision? AHSS: Exploring attitudes towards nutritional information 8 Which factors do you consider when purchasing packaged food/beverages? Respondents were then asked to select items from a list to indicate which factors they consider when deciding to buy packaged food and/or beverages. Fat, sugar, saturated fat and salt/sodium were the factors important to most respondents, all being chosen by greater than 55% of respondents. Prebiotics and probiotics, potassium and vitamins were seen by the fewest proportion of respondents (10% or less) as being an important factor in making purchasing decisions. Packaged food purchase decisions
28%
Ingredient list to check order of ingredients
13%
Ingredient list to meet dietary restrictions
16%
Ingredient list to identify allergens
24%
Glycemic Index
19%
Amount of food per serving
10%
Vitamin D
10%
Vitamin C
8%
Vitamin A
40%
Trans Fat
65%
Sugar
63%
Saturated Fat
56%
Salt/Sodium
19%
Protein
2%
Prebiotic Fibre
10%
Probiotic Active Culture
41%
Preservatives
9%
Potassium
17%
Organic
Iron
16%
Health Claims
17%
40%
Fibre
75%
Fat
33%
Colouring
44%
Cholesterol
27%
Carbohydrates
45%
Calories/Kilojoules
18%
Calcium
44%
Artificial sweeteners
0%
20%
40%
60%
80%
Figure 8: QS2b: When reading product labels/packaging, which of the following factors do you consider when deciding to buy packaged food and/or beverages? AHSS: Exploring attitudes towards nutritional information 9 AWARENESS & ATTITUDES TOWARD NUTRITION‐RELATED ENDORSEMENTS The next series of questions of the survey explored awareness of and attitudes towards general nutrition related endorsements on food packaging. Are you aware of any dietary or nutrition‐related symbols or logos? Respondents were asked if they had seen, read or heard of any dietary or nutrition‐related symbols/logos or endorsements (other than the Nutrition Information table) on any packaged food and/or beverage products. Examples of symbols or logos were not given as this question aimed to elicit an unprompted response. Three quarters of respondents (75%) responded affirmatively to this question. Awareness of nutrition related symbols/logos
25%
Yes
No
75%
Figure 9: QS3a: Have you seen, read or heard of any dietary or nutrition‐related symbols/logos or endorsements (other than the Nutrition Information table) on any packaged food and/or beverage products? AHSS: Exploring attitudes towards nutritional information 10 How often do you look for nutrition‐related symbols or logos? Respondents were then asked how often they look for dietary or nutrition‐related symbols/logos or endorsements (other than the Nutrition Information table) when shopping for household groceries. Most respondents (63%) claim that they look for this information sometimes, most of the time or every time they shop. Looking for nutrition related symbols/logos
11%
5%
Every time I shop
21%
26%
Most of the time
Sometimes
Rarely 37%
Never
Figure 10: QS3b: When shopping for household groceries, how often, if ever, do you look for dietary or nutrition‐
related symbols/logos or endorsements (other than the Nutrition Information table) on the package? How important are dietary symbols, logos or endorsements? The importance that respondents place on dietary symbols/logos or endorsements when shopping for household groceries was also examined. Just over half of all respondents (59%) claim that this information is extremely, very or somewhat important to them when they shop. Importance of symbols/logos
11%
6%
15%
Extremely important
Very important
Somewhat important
30%
38%
Not very important
Not at all important
Figure 11: QS3c: When shopping for household groceries, how important is it to you that food and/or beverage packages have dietary symbols/logos or endorsements? AHSS: Exploring attitudes towards nutritional information 11 Have you purchased because of a dietary symbol/logo or endorsement? The influence that dietary symbols/logos or endorsements have when shopping for household groceries was also examined. Just under half of all respondents (43%) claim that they have purchased one product over another because it had a dietary symbol/logo or endorsement on the package. Influence of symbols/logos
43%
Yes
57%
No
Figure 12: QS3d: In the last 3 months, have you purchased one brand over another because it had a dietary symbol/logo or endorsement on the package? Which dietary symbol/logo or endorsement have you looked for? Respondents were then asked which dietary symbols or logos they looked for when grocery shopping. The most common responses were by far Australian Made, Australian Grown (67%), the Heart Foundation Tick (57%) and fat free/low or reduced fat (55%). Dietary symbols/logos sought
4%
Nut free
15%
Non genetically modified/engineered
7%
Lactose free
0%
Kosher certified
57%
Heart Foundation Tick
1%
Halal certified
19%
Glycemic Index
13%
Gluten free
55%
Fat reduced, low fat, fat free
12%
Diabetes Australia 22%
Certified Organic
67%
Australian Made, Australian Grown
6%
Australian Institute of Sport
0%
20%
40%
60%
80%
Figure 13: QS3e: Which, if any, of the following dietary symbols/logos or endorsements have you looked for when grocery shopping in the past 30 days? AHSS: Exploring attitudes towards nutritional information 12 Reasons for seeking out dietary symbols/logos or endorsements? Respondents were then asked for the primary reason that they look for dietary symbols/logos or endorsements. The largest proportion of respondents (39%) claim that they seek dietary symbols, logos or endorsements not because they have a specific health condition, but simply because they believe these products are better for their general health. Other reasons specified by some respondents included ethical or humane reasons, support for local products and industry or consideration for the dietary requirements of spouse or other family/household members. Reasons for seeking symbols/logos
15%
I do not seek this information
4%
Other specified
8%
Less processed/more natural
6%
Safer to eat
3%
More nutritious
2%
Better quality ingredients
39%
They are better for health
2%
Consistent with religious/ideological beliefs
21%
Treatment/management of health condition
0%
10%
20%
30%
40%
Figure 14: QS3f: In the last 3 months, have you purchased one brand over another because it had a dietary symbol/logo or endorsement on the package? AHSS: Exploring attitudes towards nutritional information 13 AWARENESS & ATTITUDES TOWARD THE HEART FOUNDATION “TICK” The final series of substantive questions of the survey explored awareness of and attitudes towards the National Heart Foundation Tick symbol specifically. Do you look for the Heart Foundation Tick symbol/logo? Respondents were first asked if they ever look for the Heart Foundation Tick symbol or logo when grocery shopping. Just less than a quarter of all respondents (24%) claim to never look for the Tick. Seeking the Heart Foundation Tick
19%
24%
Regulary
Often
21%
Occassionally
Never
36%
Figure 15: QS3g: How often, while grocery shopping, do you look for the Heart Foundation Tick symbol/logo? How trustworthy do you believe Heart Foundation is? Respondents who stated that they looked for the Heart Foundation Tick were then asked how trustworthy they believe the National Heart Foundation is on a scale of 1 (not at all trustworthy) to 7 (extremely trustworthy). The majority of these respondents (79%) rated it 5 or above. Trustworthiness of the Heart Foundation (1‐7)
33%
29%
35%
30%
18%
25%
13%
20%
15%
10%
5%
6%
0%
1%
1
2
0%
3
4
5
6
7
Figure 16: QS3h: How trustworthy do you believe the National Heart Foundation is? AHSS: Exploring attitudes towards nutritional information 14 Does choosing Heart Foundation Tick foods help you eat a better diet? Respondents who stated that they looked for the Heart Foundation Tick were next asked whether they thought that choosing these foods would help them eat a healthy diet. Most respondents (81%) agreed with this. Heart Foundation Tick foods assist a healthy diet
15%
3% 1%
Strongly agree
17%
Somewhat agree
Neutral
Somewhat disagree
64%
Strongly disagree
Figure 17: QS3i: “Eating foods with the Heart Foundation Tick symbol/logo will help me eat a healthy diet”. Reasons for not seeking the Heart Foundation Tick Respondents who stated that they had never looked for the Heart Foundation Tick were asked for their reason. Most respondents (41%) stated the main reason as being that they do not seek out dietary symbols or logos in general. Lack of trust in the Tick was noted by some respondents (15%). Most respondents who specified another response (18%) referred to their preference for using their own nutritional knowledge or other guidelines to make decisions about food purchases rather than the Heart Foundation Tick. Reasons for not seeking the Heart Foundation Tick
18%
Other specified
14%
Don't believe they are healthier or safer
8%
No diet concerns
41%
Don't look for symbols/logos in general
2%
Too expensive
15%
Don't trust symbol/organisation
3%
Never heard of it
0%
10%
20%
30%
40%
50%
Figure 18: QS3j: Why have you NOT looked for the Heart Foundation Tick symbol/logo when grocery shopping in the past 30 days? AHSS: Exploring attitudes towards nutritional information 15 APPENDICES AHSS: Exploring attitudes towards nutritional information 16 APPENDIX A: Online Survey Questionnaire Australian Health and Social Science (AHSS) Panel: Exploring attitudes towards nutritional information Thank you for taking part in the survey. The survey aims to explore people’s perceptions regarding the nutritional information provided on much of our food packaging. SECTION 1 – GENERAL HEALTH CONCERNS To begin we will ask you some questions about your general health concerns. QS1a: How concerned are you about losing weight? 1. Very concerned 2. Somewhat concerned 3. Not very concerned 4. Not at all concerned QS1b: How concerned are you about improving body image? 1. Very concerned 2. Somewhat concerned 3. Not very concerned 4. Not at all concerned QS1c: How concerned are you about minimizing potential future health problems? 1. Very concerned 2. Somewhat concerned 3. Not very concerned 4. Not at all concerned QS1d: How concerned are you about minimizing signs of aging (e.g., wrinkles, etc.)? 1. Very concerned 2. Somewhat concerned 3. Not very concerned 4. Not at all concerned QS1e: To what extent do you agree with the following statement? “I have been trying to buy healthier food products.” 1. Strongly agree 2. Somewhat agree 3. Neither disagree nor agree 4. Somewhat disagree 5. Strongly disagree QS1f: To what extent do you agree with the following statement? “Eating a healthy diet will reduce my chances of getting serious health problems.” 1. Strongly agree 2. Somewhat agree 3. Neither disagree nor agree 4. Somewhat disagree 5. Strongly disagree AHSS: Exploring attitudes towards nutritional information 17 SECTION 2 – FOOD PURCHASE INFLUENCES The next few questions are about the factors which may influence the foods you purchase. QS2a: Thinking about healthy foods, which of the following factors are most important in your purchase decision? 1. Portable healthy options (can be eaten by hand whilst moving around, etc) 2. Easy to prepare healthy options 3. Ready to eat healthy options 4. Tasty healthy alternatives 5. Foods approved by a nutritionist/medical association/medical professional 6. Affordable healthy alternatives 7. Variety of healthy alternatives 8. Foods that help reduce the risk of (nutrition‐related) disease 9. Healthy‐sized portions 10. Other (please specify) 11. I do not choose foods for health or nutritious purposes QS2b: When reading product labels/packaging, which of the following factors do you consider when deciding to buy packaged food and/or beverages? 1. Artificial sweeteners 2. Calcium 3. Calories/Kilojoules 4. Carbohydrates 5. Cholesterol 6. Colouring 7. Fat 8. Fibre 9. Health Claims 10. Iron 11. Organic 12. Potassium 13. Preservatives 14. Probiotic Active Culture 15. Prebiotic Fibre 16. Protein 17. Salt/Sodium 18. Saturated Fat 19. Sugar 20. Trans Fat 21. Vitamin A 22. Vitamin C 23. Vitamin D 24. The amount of food in a serving 25. Glycemic Index 26. Ingredient list to identify allergens 27. Ingredient list to ensure my dietary restrictions (other than allergens) are being met 28. Ingredient list to check order of ingredients 29. Other (please specify) 30. None AHSS: Exploring attitudes towards nutritional information 18 SECTION 3 – AWARENESS AND ATTITUDES TOWARD NUTRITION‐RELATED ENDORSEMENTS The next few questions are about nutrition related endorsements on food packaging. QS3a: Have you seen, read or heard of any dietary or nutrition‐related symbols/logos or endorsements (other than the Nutrition Information table) on any packaged food and/or beverage products? 1. Yes 2. No QS3b: When shopping for household groceries, how often, if ever, do you look for dietary or nutrition‐
related symbols/logos or endorsements (other than the Nutrition Information table) on the package? 1. Every time I shop 2. Most of the time 3. Sometimes 4. Rarely 5. Never QS3c: When shopping for household groceries, how important is it to you that food and/or beverage packages have dietary symbols/logos or endorsements? 1. Extremely important 2. Very important 3. Somewhat important 4. Not very important 5. Not at all important QS3d: In the last 3 months, have you purchased one brand over another because it had a dietary symbol/logo or endorsement on the package? 1. Yes 2. No QS3e: Which, if any, of the following dietary symbols/logos or endorsements have you looked for when grocery shopping in the past 30 days? 1. Australian Institute of Sport (AIS) endorsement 2. Australian Made, Australian Grown 3. Certified Organic symbol/logo or claim 4. Diabetes Australia endorsement 5. Fat reduced/low fat/fat free claim or logo 6. Gluten‐free claim or logo 7. Glycemic Index 8. Halal certified claim or logo 9. Heart Foundation Tick symbol/logo 10. Kosher certified claim or logo 11. Lactose free 12. No GMO or non‐genetically engineered symbol, logo or claim 13. Nut‐free claim or symbol/logo 14. Other (please specify) 15. None of the above QS3f: Which of these following statements best describes your primary reason for looking for products with a dietary symbol, logo or endorsement? 1. I am seeking out foods that are best for the treatment or management of an existing health condition (e.g., high blood pressure, high cholesterol, diabetes, allergies) 2. These products are consistent with my ideological/religious beliefs 3. I have no specific health condition I am treating, but simply believe that such products are better for my general health and well‐being than other choices available 4. I believe these products are prepared with better quality ingredients 5. I believe these products are more nutritious 6. I believe these products are safer to eat AHSS: Exploring attitudes towards nutritional information 19 7.
8.
9.
I believe these product choices are less processed/more natural Other (please specify) I do not look for this information QS3g: How often, while grocery shopping, do you look for the Heart Foundation Tick symbol/logo? 1. Regularly 2. Often 3. Occasionally 4. Never > SKIP TO QS3j QS3h: How trustworthy do you believe the National Heart Foundation is? 1. 1 – Not trustworthy at all 2. 2 3. 3 4. 4 5. 5 6. 6 7. 7 – Extremely trustworthy QS3i: To what extent do you agree with the following statement? “Eating foods with the Heart Foundation Tick symbol/logo will help me eat a healthy diet. 1. Strongly agree 2. Somewhat agree 3. Neither disagree nor agree 4. Somewhat disagree 5. Strongly disagree SKIP TO QHD1 QS3j: Why have you NOT looked for the Heart Foundation Tick symbol/logo when grocery shopping in the past 30 days. 1. I’ve never heard of the symbol 2. I don’t trust the symbol 3. I don’t trust the sponsoring organization 4. Heart Foundation approved foods are generally too expensive 5. I don’t look for dietary symbols/logos in general 6. I don’t worry about my diet 7. I don’t believe these products are any better than others for my health 8. I don’t believe these products are any safer than others 9. I’m very healthy and so don’t worry about my diet 10. Other (please specify) SECTION 4 –HEALTH AND WELLBEING We’d now like to ask a few brief questions about your overall health and wellbeing. QHD1: Would you say that in general your health is; 1. Excellent 2. Very good 3. Good 4. Fair 5. Poor QHD2: Now, thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? QHD3: Now, thinking about your mental health, which includes stress, depression and problems with emotions, for how many days during the past 30 days was your mental health not good? AHSS: Exploring attitudes towards nutritional information 20 QHD4: During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self‐care, work, or recreation? QILL: Have you ever been told by a doctor that you have any of the following chronic health problems? 1. Arthritis 2. Asthma 3. Cancer 4. Cerebrovascular disease (stroke) 5. Chronic obstructive pulmonary disease (emphysema) 6. Coronary heart disease (heart attack, angina) 7. Diabetes (Type 1 or Type 2) 8. High blood pressure 9. Kidney disease 10. Mental illness (depression, anxiety etc) 11. Osteoporosis 12. Other (please specify) 13. None QVEG1: How many serves of vegetables do you eat on a usual day? One serve of vegetables is equivalent to half a cup of cooked vegetables or one cup of salad vegetables. QFRU1: How many serves of fruit do you eat on a usual day? One serve of fruit is equivalent to one medium piece or two small pieces of fruit. QRMEAT: How often do you usually eat red meat? (beef, lamb, liver and kidney but not pork or ham). This includes all minimally processed forms of red meat such as chops, steaks, roasts, rissoles, hamburgers, mince, stir fries and casseroles). 1.
Never 2.
Less than once a month 3.
Once a month 4.
Two or three times a month 5.
Once a week 6.
Two or three times a week 7.
Four or five times a week 8.
More than 5 times a week QPMEAT: How often do you usually eat meat products such as sausages, frankfurter, Belgium sausage, devon, salami, meat pies, bacon or ham? 1.
Never 2.
Less than once a month 3.
Once a month 4.
Two or three times a month 5.
Once a week 6.
Two or three times a week 7.
Four or five times a week 8.
More than 5 times a week QSALT1: How often do you add salt to food before or during cooking? 1.
Always 2.
Sometimes 3.
Rarely 4.
Never AHSS: Exploring attitudes towards nutritional information 21 QSALT2: How often do you add salt to food after cooking? 1.
Always 2.
Sometimes 3.
Rarely 4.
Never QMILK: What type of milk do you usually consume? 1.
Whole/full cream 2.
Low/reduced fat 3.
Skim 4.
Evaporated/sweetened condensed 5.
Soy 6.
Other (please specify) 7.
Do not consume milk QFFD1: In the last week (the last 7 days), how many times did you eat something from a fast‐food restaurant like McDonald's, Hungry Jacks, KFC, etc? This also includes other fast‐food and takeaway such as fish and chips, chinese food and pizza for example. QSMOK: Are you presently a smoker? (i.e. a person who smoked at least one cigarette per day for the past month) 1. Yes 2. No > SKIP TO Qalc1 QSMOK2: Approximately how many cigarettes do you smoke per day? 1. LESS THAN 1 2. 1‐5 3. 6‐10 4. 11‐15 5. 16‐20 6. 21‐30 7. 31‐40 8. MORE THAN 40 Qalc1: During the past 30 days, have you had at least one drink of any alcoholic beverage such as beer, wine, a malt beverage or liquor? 1. Yes 2. No > SKIP TO QAAQ1 Qalc2: During the past 30 days, how many days did you have at least one drink of any alcoholic beverage? Qalc3: During the past 30 days, on the days when you drank, about how many drinks did you drink on average? (One drink is equivalent to a 12‐ounce beer, a 5‐ounce glass of wine, or a drink with one shot of liquor) Qalc4: Considering all types of alcoholic beverages, how many times during the past 30 days did you have 5 or more drinks on an occasion? AHSS: Exploring attitudes towards nutritional information 22 SECTION 5 – PHYSICAL ACTIVITY We’d now like to ask about your physical activity behavior. QAAQ1: In the LAST WEEK have you walked continuously for recreation or leisure for at least 10 minutes at a time? 1. Yes 2. No > SKIP TO QAAQ3 QAAQ1a: In the LAST WEEK (emphasize time period), how many times have you walked continuously for recreation or leisure? Only count the times you walked for at least 10 minutes. QAAQ2: We would like to know, in hours and minutes, how much time you would estimate that you spent walking in this way in the LAST WEEK? QAAQ3: In the LAST WEEK, did you walk continuously to get to or from places like work, the bus stop, shops or station for at least 10 minutes? 1. Yes 2. No > SKIP TO QAAQ5 QAAQ3a: In the LAST WEEK, how many times did you walk continuously to get to or from places like work, the bus stop, shops or station? Only count times when you walked for at least 10 minutes. QAAQ4: What do you estimate was the total time that you spent walking in this way in the LAST WEEK? QAAQ5: In the last week, did you do any VIGOROUS gardening or heavy work around the yard, which made you breathe harder or puff and pant? 1. Yes 2. No > SKIP TO QAAQ7 QAAQ5a: In the last week, how many times did you do any VIGOROUS gardening or heavy work around the yard, which made you breathe harder or puff and pant? QAAQ6: In hours and/or minutes, what do you estimate was the total time that you spent doing VIGOROUS gardening or heavy work around the yard in the last week? QAAQ7: This question excludes household chores, gardening or yard work. In the LAST WEEK, did you do any VIGOROUS physical activity that made you breathe harder or puff and pant? (e.g. jogging, cycling, aerobics, competitive tennis). 1. Yes 2. No > SKIP TO QAAQ9 QAAQ7a: In the LAST WEEK, how many times did you do any VIGOROUS physical activity that made you breathe harder or puff and pant? (e.g. jogging, cycling, aerobics, competitive tennis). QAAQ8: In hours and/or minutes, what do you estimate was the total time that you spent doing this VIGOROUS physical activity in the last week? QAAQ9: In the last week did you do any other more MODERATE physical activities that you have not already mentioned? (e.g. gentle swimming, social tennis, golf, etc) 1. Yes 2. No > SKIP TO Q10K QAAQ9a: In the last week, how many times did you do any other more MODERATE physical activities? (e.g. gentle swimming, social tennis, golf, etc) QAAQ10: In hours and/or minutes, what do you estimate was the total time that you spent doing these activities in the last week? AHSS: Exploring attitudes towards nutritional information 23 Q10K: Have you ever heard of the Ten Thousand (10,000) Steps Program? 1. Yes 2. No 3. Not sure SECTION 6 – DEMOGRAPHICS We will now conclude the survey with a few demographic questions. Qgender: Are you: 1. Male 2. Female Qage: What was your age on your last birthday? Qdem1: What is your present marital status? 1. Single 2. Widowed 3. Divorced 4. Separated not divorced 5. Married 6. De facto 7. No response Qdem2: How tall are you in centimeters? Qdem3: What is your weight in kilograms? Qdem4: What is your highest level of education? This includes completed or incomplete. 1. Pre‐school 2. Infants/primary school 3. Secondary school 4. Technical or further educational institution (inc TAFE colleges) 5. University or other higher educational institution 6. No schooling 7. No response Qdem5: How would you describe your current employment status? 1. Employed full‐time 2. Employed part‐time 3. Employed casual 4. Unemployed 5. Retired 6. Student 7. Home Duties 8. Pensioner 9. Don’t know 10. No response Qdem6: What is your approximate annual household income (before tax)? 1. Less than $30,000 per year (less than $2,500/month) 2. $30,001‐$50,000 per year ($2,501 ‐ $4,200/month) 3. $50,001 ‐ $70,000 per year ($4,201 ‐ $5,800/month) 4. $70,001 ‐ $100,000 per year ($5,801 ‐ $8,300/month) 5. $100,001 ‐ $150,000 per year ($8,301 ‐ $12,500/month) 6. More than $150,000 per year (more than $12,500/month) 7. Don’t know/No response AHSS: Exploring attitudes towards nutritional information 24 Qdem7: In which Australian State or Territory do you currently reside? 1. Australian Capital Territory 2. New South Wales 3. Northern Territory 4. Queensland 5. South Australia 6. Tasmania 7. Victoria 8. Western Australia Qdem8: Please enter your postcode. Qdem9: Do you presently live in a city, town, or rural area? 1. City 2. Town 3. Rural area Qcomments: If you would like to make any comments please do so below. 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