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Objective: Our objectives were to describe sociodemographic characteristics associated with the purchase of 1) any fruit drinks and 2) fruit drinks with specific front of package (FOP) nutrition claims. Design: Cross-sectional Setting: United States Subjects: We merged fruit drink purchasing data from 60,712 household-months from 5,233 households with children 0-5y participating in Nielsen Homescan in 2017 with nutrition claims data. We examined differences in predicted probabilities of purchasing any fruit drinks by race/ethnicity, income, and education. We constructed inverse probability (IP) weights based on likelihood of purchasing any fruit drinks. We used IP weighted multivariable logistic regression models to examine predicted probabilities of purchasing fruit drinks with specific FOP claims. Results: One third of households with young children purchased any fruit drinks. Non-Hispanic (NH) Black (51.6%), Hispanic (36.3%), lower-income (39.3%), and lower-educated households (40.9%), were more likely to purchase any fruit drinks than NH White (31.3%), higher-income (25.8%), and higher-educated households (30.3%) (all p Conclusions: We found a higher likelihood of fruit drink purchases in lower-income, lower-educated, NH Black, and Hispanic households. Experimental studies should determine if nutrition claims may be contributing to disparities in fruit drink consumption. more...

Objective:This study aimed to identify correlates of nutrition label awareness and use, particularly subgroup differences among consumers. Two label types were assessed: (1) nutrition facts tables (NFt) in Australia, Canada, Mexico, UK, and USA and (2) front-of-package (FOP) labels, including mandatory Guideline Daily Amounts (Mexico), voluntary Health Star Ratings (Australia) and voluntary Traffic Lights (UK).Design:Respondents were recruited using Nielsen Consumer Insights Global Panel (n 21 586) and completed online surveys in November–December 2018. Linear regression and generalised linear mixed models examined differences in label use and awareness between countries and label type based on sociodemographic, knowledge-related and dietary characteristics.Setting:Australia, Canada, Mexico, UK and USA.Participants:Adults (≥18 years).Results:Respondents from the USA, Canada and Australia reported significantly higher NFt use and awareness than those in Mexico and the UK. Mexican respondents reported the highest level of FOP label awareness, whereas UK respondents reported the highest FOP label use. NFt use was higher among females, ‘minority’ ethnic groups, those with higher nutrition knowledge and respondents with ‘adequate literacy’ compared with those with ‘high likelihood of limited literacy’. FOP label use was higher among those with a ‘high likelihood of limited literacy’ compared with ‘adequate literacy’ across countries.Conclusions:Lower use of mandatory Guideline Daily Amount labels compared with voluntary FOP labelling systems provides support for Mexico’s decision to switch to mandatory ‘high-in’ warning symbols. The patterns of consumer label use and awareness across sociodemographic and knowledge-related characteristics suggest that simple FOP labels may encourage broader use across countries. more...

Objective:To estimate the prevalence of online grocery shopping in a nationally representative sample and describe demographic correlates with online grocery shopping.Design:The Nielsen COVID-19 Shopper Behavior Survey was administered to a subset of Nielsen National Consumer Panel participants in July 2020. We used survey weighted-multivariable logistic regression to examine demographic correlates of having ever online grocery shopped.Setting:Online survey.Participants:18 598 Nielsen National Consumer Panel participants in the USA.Results:Thirty-nine percent of respondents had purchased groceries online, and among prior purchasers, 89 % indicated that they would continue to online grocery shop in the next month. Canned/packaged foods were the most shopped for grocery category online, followed by beverages, fresh foods and lastly frozen foods. In adjusted analyses, younger respondents (39 years or less) were more likely (47 %) to have ever shopped for groceries online than older age groups (40–54 years, 55–64 years and 65+ years) (29 %, 22 % and 23 %, respectively, all P < 0·001). Those with greater than a college degree were more likely to have ever grocery shopped online (45 %) than respondents with some college education (39 %) and with a high school education or less (32 %) (both P < 0·001). Having children, having a higher income and experiencing food insecurity, particularly among higher income food-insecure households, were also associated with a higher probability of prior online grocery shopping.Conclusions:The COVID-19 pandemic accelerated the transition to online grocery shopping. Future research should explore the nutrition implications of online grocery shopping. more...