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Applied Economics, 2008, 40, 437–448 Consumer knowledge, food label use and grain consumption in the US Biing-Hwan Lina and Steven T. Yenb,* a US Department of Agriculture, Economic Research Service, 1800 M Street NW, Room N2110, Washington, DC 20036–5831, USA b Department of Agricultural Economics, The University of Tennessee, 302 Morgan Hall, 2621 Morgan Circle, Knoxville, TN 37996–4518, USA Responding to mounting evidence of the association between whole-grain consumption and a reduced risk of heart problems and other diseases, as well as an increased probability of body weight maintenance, the US Government has strongly encouraged its citizens to increase consumption of whole grains. However, compared against the 2005 Federal dietary recommendations, in 1994–1996 only 6% of Americans met the current recommended whole-grain consumption. To narrow this huge gap between actual and recommended consumption of whole grains, considerable changes in consumer behaviour will be needed. A demand system with two censored consumption equations and endogenous food label use and nutrition knowledge variables is estimated to investigate the factors that affect the consumption of whole and refined grains. Food label use and nutrition knowledge are found to play important roles in the consumption of refined- and whole-grain products, as are sociodemographic variables. The results can be used to help develop effective nutrition education messages and targeting strategies to promote consumption of whole grains in Americans’ diets. I. Introduction As a staple food in Americans’ diets, grain products are available to consumers in two basic forms – refined and whole grains, both of which can be enriched. Compared to refined grains, whole grains provide greater amounts of vitamins, minerals, fibre and other protective substances. Despite these nutritional advantages, Americans tend to favour the consumption of refined grains over whole grains. Responding to mounting evidence of the association between whole-grain consumption and a reduced risk of heart problems and other diseases, as well as an increased probability of body weight maintenance, the US Government has been promoting consumption of grains, especially whole grains, in Americans’ diets. The Healthy People 2010 aims at increasing the proportion of persons consuming at least six daily servings of grain products, with at least three servings of whole grains (US Department of Health and Human Services, 2005). Data from the most recent US Department of Agriculture’s (USDA) food consumption survey indicate that only half of Americans consumed six or more servings of grain *Corresponding author. E-mail: [email protected] Applied Economics ISSN 0003–6846 print/ISSN 1466–4283 online ß 2008 Taylor & Francis http://www.tandf.co.uk/journals DOI: 10.1080/00036840600690298 437 B.-H. Lin and S. T. Yen 438 products a day, and only one in ten consumed three or more servings of whole-grain products a day during 1994–1996 (Kantor et al., 2001). The 2005 Dietary Guidelines for Americans include several changes in the recommendations for grain consumption (US Department of Agriculture and US Department of Health and Human Services, 2005). First, the recommendations for total grains have been revised downward. For example, the recommended total grain consumption is now five ounce-equivalent (servings) instead of six for a 1600-calorie diet. Second, at least half of total grains consumed should come from whole grains. Third, the new guidelines cover a much wider range of food energy intakes from 1000 to 3100 calories, compared to the 1600–2800 calories specified in the previous guidelines. Under these new guidelines, the average American age two and above consumed slightly more than the recommended total grains (103%), according to data from the 1994–1996 Continuing Survey of Food Intakes by Individuals (USDA, 2000). Americans over-consumed refined grains averaging 75% over the recommendation. It is a major challenge for Americans to meet the new guidelines on whole grains, as the 1994–1996 consumption amounted to 31% of the recommended level and only 6% of consumers met the recommendation. The grain industry and the public health community share an interest in increasing whole-grain consumption, with marketing and public health campaigns aiming at promoting such consumption. Designing effective promotional or marketing strategies requires a good knowledge of grain consumption patterns. What are the factors associated with low or high consumption of grains and whole grains? Which subpopulations are particularly behind in meeting the recommendation? Such information is currently very limited (Moutou et al., 1998; Kantor et al., 2001; Harnack et al., 2003). The objective of this study is to conduct a regression analysis to identify social, economic, demographic, knowledge and behavioural factors that are associated with consumption of whole-grain and refined-grain products. Heterogeneity of preference has traditionally played a part in consumer demand and the roles of sociodemographic factors are often investigated in empirical studies. Other factors considered in the empirical literature include consumer knowledge and behaviour. The literature on the effects of dietary knowledge and food-label use on food and nutrient intake and diet quality has proliferated since the release of the 1994–1996 Diet and Health Knowledge Survey (DHKS) data and the passage of the 1990 Nutritional Label and Education Act (NLEA). Dietary knowledge has been linked to food consumption, including fats and oils (Chern et al., 1995; Kim and Chern, 1999), fat-modified foods (Coleman and Wilson, 2002), egg (Brown and Schrader, 1990; Yen et al., 1996; Kan and Yen, 2003), meat (Kinnucan et al., 1997; Kaabia et al., 2001) and 25 food groups consumed at and away from home (Lin et al., 2003). Dietary knowledge has also been linked to the diet quality of children (Variyam et al., 1999b), elderly (Howard et al., 1998) and female household heads (Ramezani and Roeder, 1995). With respect to nutrient intake, there are reported links between knowledge and intake of fibre (Variyam et al., 1996), energy and nutrient density (Bhargava, 2004) and fat and cholesterol (Variyam et al., 1997, 1999a). The use of the nutrition fact panel mandated under NLEA has been found to affect the intake of fat (Kreuter and Brennan, 1997; Neuhouser et al., 1999) and fats, cholesterol, sodium and fibre (Kim et al., 2000). Unlike sociodemographic factors, consumer knowledge and behaviour are likely to also be determined by some of the factors that determine consumption; that is, they are likely to be endogenous. In this study, we investigate the roles of consumer knowledge and food-label use (as a knowledge-promoting device) as well as sociodemographic factors, in the consumption of grain products, using data from a national food consumption survey in the US. As in other empirical analyses based on survey data, the sample we use contains a notable proportion of observations not consuming whole grains. This is the issue of censored dependent variable. In addition, as stated, consumer knowledge and food-label use are potentially endogenous. It is well known that statistical procedures not accommodating censoring or endogeneity produce biased estimates. To accommodate these data features we construct a system of censored equations with dual endogenous regressors. Such an econometric specification has not been reported in the literature. II. Data The USDA has conducted periodic food consumption surveys in the US since the 1930s. The most recent food consumption surveys, the 1994–1996 Continuing Survey of Food Intakes by Individuals (CSFII) and its companion DHKS provide the data for this study (USDA, 2000). The CSFII is the only national survey that includes a comprehensive coverage of dietary and health knowledge and attitudes. Consumer knowledge, food label use and grain consumption Each year of the CSFII survey comprises a nationally representative sample of noninstitutionalized persons residing in the US. In the CSFII, two nonconsecutive days of dietary data for individuals of all ages were collected 3 to 10 days apart through in-person interviews using 24-hour recalls. The 1994–1996 CSFII data provide information on the food intakes of 15303 individuals, who provided a list of food items and their amounts consumed. After the respondents reported their first day of dietary intake, an adult 20 years old was randomly selected from each household to participate in the DHKS. The DHKS questions cover a wide range of issues, including self-perceptions of the adequacy of nutrient intakes, awareness of diet–health relationships, knowledge of dietary recommendations, perceived importance of following dietary guidance, use and perceptions of food labels and behaviours related to fat intake and food safety. Of the 7842 households eligible to participate in the DHKS, respondents from 5765 households completed the survey. The USDA created several technical databases, including the Pyramid Servings Database (PSD), to support use of the CSFII data. The PSD converts the amount of food consumed into the number of servings for comparison with dietary recommendations in the 1995 and 2000 Dietary Guidelines for Americans. The PSD shows, for each food consumed, the number of servings from 30 food groups, including refined and whole grains. However, in the 2005 Dietary Guidelines, recommendations on food consumption are expressed in cups (for fruits, vegetables and dairy products) and ounce-equivalents (grains and meat) instead of servings. This does not affect the measurement of grains because one ounceequivalent is identical to one serving for grain products. Therefore, the PSD is still directly applicable to the current recommendation on grain consumption. Socioeconomic and demographic data for the sample households and their members are also collected in the CSFII. The explanatory variables for grain consumption (refined and whole grains separately) include household income, household size, household structure, gender, age, race/ethnicity, location and season (see Table 1 for variable definitions and sample statistics). We hypothesize that the use of a nutrition label and the perceived importance of consuming plenty of grain products also affect grain consumption, and these two variables are endogenized in a system of four equations. In addition to income, gender, age and race/ethnicity, the use of a nutrition label and perceived importance of grain consumption are 439 hypothesized to be affected by education, exercise, smoking, whether the respondent is a meal planner and whether anyone in the household is on a special diet. An attitudinal variable (pessimistic) is also used which indicates whether the individual agrees with the statement that ‘some people are born to be fat and some thin; there is not much you can do to change this’. In the DHKS, respondents were asked about their perceived importance (very, somewhat, not too, or not at all important) in choosing a diet with plenty of breads, cereals, rice and pasta. The answers were grouped into important (very or somewhat) and not important (not too or not at all). The respondents were also asked when they buy foods, do they often, sometimes, rarely, or never use the information on: (1) the short phrases on the label like ‘low fat’ or ‘light’ or ‘good source of fibre’, (2) the list of ingredients, (3) the nutrition panel listing the amount of nutrients and (4) claims on health benefits of nutrients or foods. These four possible answers are grouped into use (often or sometimes) and nonuse (rarely or never). As explained later, the four definitions of label use produce similar results. Label use, perceived importance of grain consumption and many other exogenous variables come from the DHKS, hence our analysis is limited to the CSFII adult sample. Excluding observations with missing values, the final sample contains 5501 adults. Of the sample, 72.8% consumed whole-grain products, whilst almost all individuals (99.8%) consumed refined-grain products. III. Econometric Model We develop an estimation procedure for an equation system with censored dependent variables and binary endogenous regressors. In what follows observation subscripts are suppressed for brevity. The endogenous regressors, food-label use ( y1) and nutrition knowledge ( y2), are both binary and therefore specified as probit: yi ¼ 1ðz0 i þ ui > 0Þ, i ¼ 1, 2 ð1Þ The censored equations for whole grains ( y3) and refined grains ( y4) are yi ¼ maxð0, x0 i þ i1 y1 þ i2 y2 þ ui Þ, i ¼ 3, 4 ð2Þ In the previous equations, 1() is a binary indicator function, z and x are exogenous vectors of explanatory variables, i and i are conformable vectors of parameters, gi1 and gi2 are scalar B.-H. Lin and S. T. Yen 440 Table 1. Variable definitions and sample statistics (n ^ 5501) Variable Endogenous variables Label use Importance Whole grains Refined grains Definition Use the short phrases on the label like ‘low fat’ or ‘light’ or ‘good source of fibre’: 1 ¼ often or sometimes; 0 ¼ rarely or never. Perceived importance in choosing a diet with plenty of breads, cereals, rice and pasta: 1 ¼ very or somewhat; 0 ¼ not too important or not at all. Daily consumption of whole grains (servings), 2-day average Consuming sample (n ¼ 4003) Daily consumption of refined grains (servings), 2-day average Household characteristics: continuous exogenous variables Income Household income as percent of poverty HH size Number of persons in the household Mean 0.61 0.74 0.28 (0.34) 0.38 (0.34) 1.34 (0.61) 160.90 (137.10) 2.56 (1.46) Binary exogenous variables (yes ¼ 1; no ¼ 0) Household characteristics HH type 1 Household is dual-headed, with children HH type 2 Household is dual-headed, without children HH type 3 Household is single-headed, with children HH type 4 Household is single-headed without children (reference) Special diet A family member is on a special diet 0.28 0.36 0.08 0.28 0.27 Individual characteristics Male Age 20–30 Age 31–40 Age 41–50 Age 51–60 Age >60 Black Hispanic Asian Other race White Quarter 1 Quarter 2 Quarter 3 Quarter 4 Midwest South West Northeast Rural Suburb City <high school High school Some college College Meal planner Exercise Smoker Pessimistic 0.50 0.14 0.18 0.18 0.18 0.32 0.11 0.08 0.02 0.01 0.78 0.23 0.26 0.28 0.24 0.25 0.35 0.20 0.19 0.27 0.44 0.30 0.22 0.34 0.21 0.23 0.70 0.48 0.26 0.43 Note: SD in parentheses. Gender is male Age 20–30 Age 31–40 Age 41–50 Age 51–60 Age 61 or older (reference) A nonHispanic Black Of the Hispanic origin Asian Pacific Islander None of the above nor White NonHispanic White (reference) Dietary recalls taken in January–March Dietary recalls taken in April–June Dietary recalls taken in July–September Dietary recalls taken in October–December (reference) Resides in a Midwestern state Resides in a Southern state Resides in a Western state Resides in a Northeastern state (reference) Resides in a rural area Resides in a suburb Resides in the central city (reference) Did not complete high school (reference) Completed high school education Attended college for less than 4 years Had 4 or more years of college education Main meal planner of household Exercised vigorously: at least twice a week Currently smoking cigarettes Agrees with statement that some are born to be fat and some thin Consumer knowledge, food label use and grain consumption parameters, and the error terms e [u1, u2, u3, u4]0 are distributed as e N(0, ) with probability density function (pdf) f(u1, u2, u3, u4). The covariance matrix is defined with error correlations ij and SD i such that 1 ¼ 2 ¼ 1 (because variables y1 and y2 are both binary).1 The model considered here is an extension of the Tobit system (Amemiya, 1974), as well as the Kuhn–Tucker model (Wales and Woodland, 1983) when prices are constant, in that endogenous variables are present in Equation 2. It also generalizes the multiple- and double-selection models (Catsiapis and Robinson, 1982; Tunali, 1986) and multiple-treatment models (Keane and Moffitt, 1998) in that there are multiple outcomes in Equation 2 and that, in addition, these outcome variables are censored. The likelihood function needs to be constructed for different ‘sample regimes’, characterized by zero/positive outcomes of whole grains and refined grains, and is described subsequently. Both whole grains and refined grains are censored Consider first a sample regime in which whole grains and refined grains are both zeros (not consumed).2 To facilitate description of the estimation procedure, define dichotomous indicators k1 ¼ 2y1 1, a diagonal matrix D ¼ diag k2 ¼ 2y2 1, (k1, k2, 1, 1) and vector r ¼ [r1, r2, r3, r4]0 , where ri ¼ z0 i for i ¼ 1, 2 and ri ¼ x0 i þ gi1y1 þ gi2y2 for i ¼ 3, 4. The sample regime is characterized by inequality e* Dr, where e ¼ De ¼ ½u1 , u2 , u3 , u4 0 N ð0, Þ such that ¼ DD0 , for which the likelihood contribution is Z 1 r1 Z 2 r2 Z r3 Z r4 fðu1 , u2 , u3 , u4 Þdu4 du3 du2 du1 L1 ¼ Z1 1 1 1 ¼ fðe Þde ð3Þ e Dr Only whole-grain equation is censored Consider a regime in which refined grains are consumed but whole grains are not. Using Equations 1 and 2 and following a similar procedure, 441 the likelihood contribution is Z 1 r1 Z 2 r2 Z r3 hðu1 , u2 , u3 ju4 Þdu3 du2 du1 L2 ¼ gðu4 Þ 1 1 1 ð4Þ where g(u4) is the marginal density of u4, hðu1 , u2 , u3 ju4 Þ is the conditional density and u4 ¼ y4 (x0 4 þ gi1y1 þ gi2y2).3 The likelihood contribution for a regime with refined grains censored follows from Equation 4 symmetrically with equation subscripts 3 and 4 reversed. Neither whole-grain nor refined-grain equation is censored The likelihood contribution is Z 1 r1 Z 2 r2 L3 ¼ gðu3 , u4 Þ hðu1 , u2 ju3 , u4 Þdu2 du1 1 ð5Þ 1 where ui ¼ yi (x0 i þ gi1y1 þ gi2y2), i ¼ 3, 4, and moments of the marginal distribution g(u3, u4) and conditional distribution hðu1 , u2 ju3 , u4 Þ are similar to those in Equation 4, with partition of e* (and covariance matrix ) at the second row (and column). The sample likelihood function for the system is the product of the likelihood contributions L1, L2 or L3 over the sample, depending on the regime for each observation. The integrals in Equations 3, 4 and 5 can be evaluated by simulation or quadrature. The model reduces to an exogenous system when error correlations are zero between the two binary equations (food-label use and nutrition knowledge) and those of the consumption equations. The corresponding parametric restrictions are i, j ¼ 0 8 i ¼ 3, 4; j ¼ 1, 2 ð6Þ and a test for these parametric restrictions amounts to one for the joint endogeneity of y1 and y2. The restricted model implied by Equation 6 can be estimated by a bivariate probit for Equation 1 and Amemiya’s (1974) Tobit system for Equation 2. Further, when all error correlations are equal to zero, that is, ij ¼ 0 8i > j ð7Þ 1 We present the bivariate censored system with dual endogenous binary regressors for ease of exposition. A larger system with a different number of endogenous variables can be estimated with slight changes in the likelihood function. Estimation of the censored system is slightly easier with continuous (vs. discrete) endogenous variable(s) which do not introduce additional integrals as the binary variables do (Yen et al., 2005). 2 As noted above zero observations of refined grains occur in a very small proportion of the sample, but a two-zero regime is nevertheless reflective of the sample. 3 Given the distribution e* N (0, ), partition at the third row with submatrices 11, 12, 21 and 22 such that 11 is 3 3 and 22 is 1 1. Then using properties of the multivariate normal distribution (Kotz et al., 2000), we have 1 u4 N (0, 22) and u1 , u2 , u3 ju4 N ð12 1 22 u4 , 11 12 22 21 Þ: B.-H. Lin and S. T. Yen 442 the model reduces to one with separate probit and Tobit models from Equations 1 and 2. Tests of these restricted models against the unrestricted model can be carried out by likelihood-ratio (LR) tests. To examine the marginal effects of explanatory variables, we derive relevant probabilities, conditional means and unconditional means of the dependent variables. Partition the error vector e at the second row such that e ¼ ½e01 , e02 0 ¼ ½u1 , u2 ju3 , u4 0 , with corresponding partitioning in the covariance matrix 11 12 ¼ ð8Þ 21 22 Then, using properties of the multivariate normal distribution (Kotz et al., 2000), e2 can be expressed conditional on e1 as e2 ¼ 21 1 11 e1 þ " ð9Þ such that " is independent of e1 and x, e1 ¼ [y1 z0 1, y2 z0 2]0 , and " N ð0, 22 21 1 11 12 Þ. Substituting Equation 9 into Equation 2 gives the conditional Tobit system yi ¼ max 0, x0 i þ i1 y2 þ i2 y2 þ "i , i ¼ 3, 4 ð10Þ where " ¼ ½"3 , . . . , "m 0 ¼ 21 1 11 e1 þ " N ð0, Þ ð11Þ 1 1 such that ¼ 21 1 11 11 12 þ 22 21 11 12 . The covariance of "* in Equation 11 follows from the independence between " and e1. The motivation of writing the conditional Tobit system as Equation 10 is that the parameters ’s and g’s can be estimated consistently with ‘unobserved heterogeneity’ due to omission of 21 1 11 e1 . Denote the univariate standard normal pdf as ðÞ, cdf as () and the SD of "i as i which is the squared root of the i-th diagonal element of in Equation 11. Then, the probabilities, conditional means and unconditional means of yi (for i ¼ 3, 4) are 0 ðx i þ i1 y1 þ i2 y2 Þ Prðyi > 0Þ ¼ ð12Þ i Eðyi jyi > 0Þ ¼ x0 i þ i1 y1 þ i2 y2 ½ðx0 i þ i1 y1 þ i2 y2 Þ=i þ i ½ðx0 i þ i1 y1 þ i2 y2 Þ=i 0 ðx i þ i1 y1 þ i2 y2 Þ Eðyi Þ ¼ i ðx0 i þ i1 y1 þ i2 y2 Þ 0 ðx i þ i1 y1 þ i2 y2 Þ þ i i ð13Þ ð14Þ Marginal effects of explanatory variables x, y1 and y2 can be derived by differentiating Equations 12, 13 and 14. The effects of each discrete variable can be calculated as the changes in these probabilities and means resulting from a finite change (e.g. from 0 to 1) in the variable, while holding all other variables constant (e.g. at sample means). IV. Results The four-equation system, consisting of binary equations for food-label use and perceived importance of grains and censored equations for whole and refined grains, is estimated by maximizing the likelihood function described above. Asymptotic SE of the parameter estimates are calculated by inverting the outer products of the gradients (Berndt et al., 1974). One specification issue relates to choice of the variables in the probit equations and consumption equations. Unlike instrumental variable estimation for which exclusion restrictions are often needed, in ML estimation the nonlinear identification criteria (i.e. linear independence of the first derivatives of the likelihood function with respect to parameters) are met due to the functional form and distributional assumptions for the current system. However, to avoid over-burdening the nonlinear functional forms for parameter identification, we make a priori assumptions in that regard. First, whilst it is hard to contemplate how education per se might affect grain consumption, the educational variables are more likely to affect label use and perceived importance of grains, so they are only included in the probit equations through which they affect consumption indirectly. Other variables used solely in the probit equations include being a meal planner and behavioural variables such as exercise and smoker, and the attitudinal variable ‘pessimistic’. On the other hand, because grain consumption is more likely to vary across regions, household types, seasons, household size and urbanization categories than label use and perceived importance of grains, these variables are used only in the consumption equations. As discussed above, there are four alternative variables representing the use of food labels – the list of ingredients, short phrases, nutrition panel and health claims. These alternative specifications of label use produce similar results. For brevity, we only present the results from using short phrases. This is because a short-phrase example given during the interview is related to the fibre content of foods. Consumer knowledge, food label use and grain consumption Whole grains are known for their rich fibre content. Also estimated for comparison are the two restricted models, by imposing the restrictions in Equation 6 and 7. Based on the results of LR tests, the hypothesis of joint exogeneity of food-label use and nutrition knowledge was rejected (LR ¼ 189.55, df ¼ 4, p-value < 0.001), as was the hypothesis of complete independence among all equations (LR ¼ 469.22, df ¼ 6, p-value < 0.001). The results suggest that use of a food label and consumer knowledge should both be treated as endogenous, and that the two binary equations and two consumption equations should be estimated as a system. Maximum-likelihood estimates for the system are reported in Table 2. All but one of the six error 443 correlation coefficients are significant at the 10% level of significance or lower, corroborating results of the LR tests which suggest endogeneity of label use and perceived importance of grains and simultaneity of the system. At the 10% level of significance or lower, two-thirds of the variables are significant in the label use and whole grains equations, and about half are significant in the perceived importance and refined-grain equations. In addition, label use has a positive effect on whole-grain consumption, as does perceived importance in both the whole-grain and refined-grain equations, all at the 5% level or lower. The use of food labels and perceived importance of grains are affected by household financial and human Table 2. Parameter estimates of demands for whole and refined grains with endogenous food-label use and health belief Label use Importance of grains Whole grains Refined grains Variable Coeff. SE Coeff. SE Coeff. SE Coeff. SE Constant Income/103 Male Age 20–30 Age 31–40 Age 41–50 Age 51–60 Black Asian Other race Hispanic Special diet High school Some college College Meal planner Exercise Smoker Pessimistic Midwest South West Rural Suburban HH type 1 HH type 2 HH type 3 Quarter 1 Quarter 2 Quarter 3 HH size Label use Importance SD ( i) Error correlations Importance Whole grains Refined grains 0.186*** 0.487*** 0.481*** 0.061 0.023 0.074 0.114** 0.007 0.171 0.251 0.117* 0.224*** 0.168*** 0.190*** 0.323*** 0.075* 0.126*** 0.273*** 0.153*** 0.070 0.146 0.043 0.061 0.056 0.055 0.054 0.059 0.155 0.181 0.068 0.041 0.051 0.058 0.061 0.045 0.037 0.042 0.037 0.484*** 0.211 0.010 0.149*** 0.122** 0.123** 0.069 0.208*** 0.124 0.269 0.070 0.051 0.067 0.125** 0.368*** 0.133*** 0.134*** 0.163*** 0.058* 0.070 0.155 0.043 0.060 0.057 0.055 0.054 0.056 0.149 0.196 0.068 0.042 0.047 0.055 0.060 0.043 0.035 0.040 0.035 0.208*** 0.094 0.042*** 0.061*** 0.054*** 0.065*** 0.055*** 0.118*** 0.253*** 0.117** 0.028 0.021 0.054 0.059 0.017 0.022 0.022 0.020 0.019 0.022 0.054 0.060 0.023 0.016 1.190*** 0.060 0.148*** 0.156*** 0.124*** 0.053** 0.046* 0.091*** 0.487*** 0.037 0.048 0.018 0.070 0.074 0.024 0.028 0.028 0.027 0.025 0.029 0.054 0.077 0.032 0.020 0.043** 0.005 0.137*** 0.034** 0.025* 0.055** 0.027* 0.095*** 0.015 0.003 0.023 0.078 0.168*** 0.421*** 0.451*** 0.019 0.018 0.020 0.016 0.015 0.026 0.017 0.028 0.017 0.017 0.016 0.063 0.061 0.059 0.011 0.041* 0.087*** 0.191*** 0.077*** 0.010 0.008 0.002 0.031 0.031 0.027 0.044** 0.050 0.059 0.210** 0.592*** 0.025 0.023 0.027 0.023 0.020 0.035 0.022 0.042 0.023 0.023 0.022 0.088 0.088 0.094 0.008 0.178*** 0.023 0.163*** 0.169** 0.068 0.025 0.083 0.088 0.510*** 0.156* 0.065 0.087 Notes: Log-likelihood value ¼ 14611.412. ***, ** and * indicate significance at 1%, 5% and 10% levels, respectively. 444 capital, demographics, life style, diet/health attitude and the respondent’s role in the household. Higher household income, as a percent of the poverty level, contributes to the use of food labels but not the perceived importance of grain consumption. Higher educational attainment results in a greater likelihood to use food label and to perceive grain consumption as important. Meal planners and respondents who engage in vigorous exercise at least twice a week are more likely to use food labels and to perceive grain consumption as important. Conversely, cigarette smokers and individuals who are pessimistic about the effect of food choice on health are less likely to use food labels and to perceive grains as important.4 Gender, age, race and ethnicity have some effects on label use and perceived importance. Compared with their respective counterparts, males are less likely to use food labels and younger adults more likely to perceive grain consumption as important. Compared with Whites, Blacks are less likely to perceive grain consumption as important. As expected, when a household member is on a special diet, the respondent is more likely to use food labels in grocery shopping. The effects of variables on label use and perceived importance are quantified further by calculating the effects of these variables on the probabilities of label use and perceived importance. The results suggest that gender and college education have the most notable effects on the probabilities, with male 18% less likely to use food labels than female, and individuals with a college education 12% more likely to use food labels and 10% more likely to perceive grain consumption as important. The marginal effects of other variables on the probabilities of label use and perceived importance of grain consumption are presented in the appendix. The parameter estimates for the two grains equations suggest notably different consumption patterns of whole grains and refined grains. All else equal, men consume more of both whole and refined grains than women. Younger individuals (age 20–60 in four age categories) consume less whole grains but more refined grains than their older counterparts (age >60). Compared to Whites, Blacks consume less of both whole grains and refined grains, Asians consume less whole grains but more refined grains (likely white rice), and individuals of other races consume less whole grains. Regional differences are present, with individuals from the Midwest and West 4 B.-H. Lin and S. T. Yen consuming more whole grains, whilst individuals from the Midwest, South and West consuming less refined grains, than those residing in the Northeast. Urbanization also plays a role, with individuals residing in rural areas consuming less of both whole and refined grains, and individuals from suburban areas consuming less whole grains, than those in the cities. Household structure is classified into four categories – dual- or single-headed with or without children, with single-person households being the reference group. Respondents from households with children (dual or single-headed) consume fewer servings of whole grains. This is consistent with past findings that children prefer to consume white bread (Moutou et al., 1998; Harnack et al., 2003). Finally, food-label use increases the consumption of whole grains, and the perceived importance of grains increases the consumption of both whole and refined grains. The variables that affect the use of food labels and/or perceived importance may have both indirect and direct effects on grain consumption. For instance, whilst household income does not affect the consumption of whole or refined grains directly, it has an indirect effect on whole-grain consumption by way of the label-use variable. Education and several other variables are found to affect label use and perceived importance so they have indirect effects on grain consumption. Our results are consistent with the finding that whole-grain consumption increases with education (Bhargava and Hays, 2004). The parameter estimates are used to calculate the marginal effects on the probability as well as conditional and unconditional levels of whole-grain consumption, based on Equations 12, 13 and 14.5 For statistical inference, asymptotic SEs for these marginal effects are calculated with the method (Rao, 1973, p. 388). Results are presented in Table 3. Because of the Tobit parameterization, the effects of each explanatory variable on the probability, conditional level and unconditional level are qualitatively consistent in signs and significance. However, the marginal effects allow further quantification of these effects of the variables. The most notable effects are seen in the perceived importance of grains. Specifically, relative to others, individuals who perceive consumption of enough grains as important are 36% more likely to consume whole grains and, conditional on consumption, consume 0.17 more serving per day than others. The corresponding The effects of explanatory variables on the probabilities of food label use and importance of grains can be derived from Pr( yi ¼ 1) ¼ (z0 i) for i ¼ 1, 2. These marginal effects are presented in the appendix. 5 The refined-grain equation is hardly censored so the effects of explanatory variables on the unconditional means are reflected by the parameter estimates of the equation. Consumer knowledge, food label use and grain consumption 445 Table 3. Marginal effects of explanatory variables on the probability, conditional level and unconditional level of whole-grain consumption Probability Variable 3 Income/10 HH size Male Age 20–30 Age 31–40 Age 41–50 Age 51–60 Black Asian Other race Hispanic Special diet Midwest South West Rural Suburban HH type 1 HH type 2 HH type 3 Quarter 1 Quarter 2 Quarter 3 Label use Importance Conditional level Unconditional level Effect SE Effect SE Effect SE 0.077 0.063 0.034 0.050*** 0.045*** 0.054*** 0.045*** 0.099*** 0.220*** 0.099* 0.022 0.017 0.034** 0.004 0.106*** 0.028** 0.020* 0.045** 0.022* 0.080*** 0.012 0.003 0.019 0.138*** 0.355*** 0.048 0.051 0.014 0.018 0.018 0.017 0.016 0.020 0.048 0.052 0.018 0.013 0.015 0.014 0.015 0.013 0.012 0.022 0.014 0.024 0.014 0.013 0.013 0.051 0.041 0.044 0.036 0.020*** 0.028*** 0.025*** 0.030*** 0.025*** 0.052*** 0.101*** 0.051** 0.013 0.010 0.020** 0.002 0.068*** 0.016** 0.012* 0.025** 0.013* 0.042*** 0.007 0.001 0.011 0.077*** 0.174*** 0.028 0.029 0.008 0.010 0.010 0.009 0.009 0.009 0.018 0.024 0.011 0.007 0.009 0.008 0.010 0.007 0.007 0.012 0.008 0.012 0.008 0.008 0.008 0.027 0.021 0.063 0.052 0.028*** 0.039*** 0.035*** 0.042*** 0.036*** 0.074*** 0.142*** 0.072** 0.019 0.014 0.029** 0.003 0.096*** 0.023** 0.017* 0.036** 0.018* 0.060*** 0.010 0.002 0.015 0.110*** 0.243*** 0.039 0.042 0.011 0.014 0.014 0.013 0.012 0.013 0.025 0.034 0.016 0.011 0.013 0.012 0.014 0.011 0.010 0.017 0.011 0.017 0.011 0.011 0.011 0.039 0.028 Note: ***, ** and * indicate significance at the 1%, 5% and 10% levels, respectively. marginal effect on the unconditional level suggests that, overall, individuals who perceive consumption of enough grains as important consume 0.24 more serving per day than others. The effects of being Asian are among the other more notable. Relative to Whites, Asians are about 22% less likely to consume whole grains and consume 0.10 and 0.14 fewer serving per day, conditional and unconditional on consumption, respectively. V. Concluding Remarks Responding to mounting evidence of the association between whole-grain consumption and a reduced risk of heart problems and other diseases, as well as a link between whole-grain consumption and body weight maintenance, the US Government has strongly promoted consumption of whole grains. However, Americans tend to over-consume refined grains and under-consume whole grains. Compared against the 2005 Federal dietary recommendations, an average American consumed about the right amount of grain products in 1994–1996 but the balance between refined and whole grains deviated notably from the recommended half-and-half pattern. Only 6% of Americans met the current recommended whole-grain consumption in 1994–1996. The food manufacturing sector has quickly responded to the Federal call for more whole-grain consumption. In anticipation of the 2005 Dietary Guidelines and consumer reactions to them, many companies launched new branded packaged foods with higher whole-grain contents in 2004 (Buzby et al., 2005). For example, General Mills reformulated all its breakfast cereals to whole grains, Nestle launched a frozen entrée line made with 100% whole grains, and Sara Lee launched its Heart Healthy Plus line of fortified 100% wholegrains and multigrain breads. That same year, ConAgra introduced a new whole-grain flour called ‘Ultragrain White Whole Wheat’. Increased supply may generate greater demand. Obviously, other factors, such as price and taste, can influence consumers’ acceptance of whole grains. However, the gap between actual and recommended consumption of whole grains is huge. B.-H. Lin and S. T. Yen 446 Effective nutrition information strategies may play an important role in closing the gap. The Federal Government has revamped its Food Guide Pyramid with MyPyramid (USDA, 2005), which provides useful tips to incorporate whole grains into our diet. Findings reported in this article can be used to design and target educational campaigns for promoting whole-grain consumption. For example, children are known to prefer white breads and our results show that adults from households with children tend to consume less whole grains. Apparently, adults and children from the same household eat alike. Therefore, strategies targeting children must also address parental preference, and vice versa. Children’s food choices have been shown to be influenced by TV commercials (Hastings et al., 2003). Therefore, nutritional messages appealing to children during children’s TV-watching hours may be effective in promoting whole-grain consumption among children and their parents. A similar advertising-style approach has been used by the US Centers for Disease Control and Prevention (2004) to promote physical activity to youth with positive results. Besides the USDA food guidance system symbolized by MyPyramid, the other major publicly regulated source of nutrition information is the nutrition label on food packages, which is regulated by the US Food and Drug Administration. Currently, the ‘Nutrition Facts’ panel, which is the required element of nutrition labelling, does not include information on whole-grain content. Food manufacturers may choose to use an optional frontof-package whole-grain claim and, with the increased emphasis on whole grains, more food products will likely carry this label. In its absence, however, consumers must make inferences from the fibre content listed on the Nutrition Facts panel and/or the ingredient list, or product name. 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(2006) Consumer knowledge and meat consumption at home and away from home. Unpublished manuscript, October. B.-H. Lin and S. T. Yen 448 Appendix Table A1. Marginal effects of explanatory variables on the probability of food-label use and perceived importance of grain consumption Label use Variable 3 Income/10 Male Age 20–30 Age 31–40 Age 41–50 Age 51–60 Black Asian Other race Hispanic Special diet High school Some college College Meal planner Exercise Smoker Pessimistic Importance of grains Effect SE Effect SE 0.187*** 0.183*** 0.023 0.009 0.028 0.043** 0.003 0.064 0.092 0.044* 0.085*** 0.064*** 0.072*** 0.120*** 0.029* 0.048*** 0.106*** 0.059*** 0.056 0.016 0.024 0.021 0.021 0.020 0.022 0.056 0.063 0.025 0.015 0.019 0.021 0.022 0.017 0.014 0.017 0.014 0.064 0.003 0.043*** 0.036** 0.036** 0.020 0.067*** 0.039 0.073 0.022 0.015 0.020 0.037** 0.103*** 0.041*** 0.040*** 0.051*** 0.018* 0.047 0.013 0.017 0.016 0.016 0.016 0.019 0.049 0.047 0.021 0.012 0.014 0.016 0.015 0.014 0.010 0.013 0.011 Note: ***, ** and * indicate significance at the 1%, 5% and 10% levels, respectively.