Food Choices

Front-of-pack nutrition labels (FoPLs) have been adopted in many countries to help consumers rapidly assess the nutritional quality of foods and to encourage healthier choices. Among these schemes, interpretive systems such as Nutri-Score appear particularly promising, as their graphic design improves understanding and use compared with more complex or purely numerical formats. In France, where social inequalities in diet-related chronic diseases are pronounced, implementing and effectively using FoPLs is especially challenging in socioeconomically vulnerable areas. Seine-Saint-Denis, a department with a markedly higher prevalence of diabetes and cardiovascular diseases than the national average, offers a relevant setting to test prevention strategies embedded within routine care. The PEANUTS project is a quasi-experimental before-after interventional study conducted in primary care and hospital outpatient settings, with later extension to the social sector. It aims to evaluate the effectiveness of a brief, literacy-sensitive nutrition education program focused on on-pack nutrition information (Nutri-Score, nutrition facts panel, claims and marketing elements) on self-efficacy, food literacy and the nutritional quality of purchase intentions among adults living in vulnerable territories.

This is a Master ClinicalTrials.gov Protocol for study 20-01796: Aim 1: Examining Influence of Social Media Ads on Black and White Adolescents' Food Choices - Study 1 (NCT05380505) Aim 2: A Randomized Trial to Examine the Influence of "Likes" in Social Media Food Ads on Black and White Adolescents' Food Purchases - Study 2 (NCT06969638) Aim 3: Comparing the Effects of Racial Congruence, "Likes," and Food Images in Social Media Ads on Adolescents' Caloric Intake - Study 3 (NCT06969651)

The goal of this observational study is to examine how urban slum food environments influence caregivers' feeding practices for children under five years of age in Pune. The main questions it aims to answer are: * What are the characteristics of the food environment in selected slums of Pune using the 5 A's framework: availability, accessibility, affordability, acceptability, and accommodation? * What are caregivers' perceptions of food safety, food prestige, and convenience as additional drivers of food choice within the slum context? * Are caregivers' aware, and have understanding about the use of packaged food labels, especially in relation to identifying foods for young children? * How do the local food environment and food choice (FEFC) drivers interact to influence caregivers' feeding practices, with a particular focus on the consumption of unhealthy foods and sugar-sweetened beverages among children under five years of age? Participants will be interviewed using digital forms to assess their food environment and food choice drivers. Anthropometric measurements of all children under five years of age in the household will be taken.