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These, and other areas for future investigation, will provide a more complete picture of label comprehension and could influence labelling policy decisions.
Mrs Sebelius's own explanation for her decision is that "the label comprehension and actual use studies did not contain data for all ages for which this product would be available for use".
James Trussell, director of the office of population research at Princeton University and a member of the advisory board, said that the agency never raised the issue of label comprehension among young teenagers when it approved other products to be sold over the counter.
This being the case, alternative approaches to increasing label comprehension are required.
In adults, lower numeracy is associated with poorer nutrition label comprehension and higher BMI.
Numeracy has been associated with asthma control, nutrition label comprehension, and obesity (10– 10).
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It noted that just 29 of the 585 women and girls in the company's label-comprehension study were 16 years of age or younger.
The subgroup characteristics are described in Table 2 and illustrated in Figures 1, 2, 3 and 4. The variables were arbitrarily given clinical labels to aid comprehension but these labels were entirely fictitious.> To allow comparison across all three clustering methods, including TwoStep, these artificial datasets contained only interval +/− dichotomous data.
Several demographic factors were associated with consumer label use and comprehension: education or socio-economic status, gender, family or household size, age, urban location, and ethnicity.
None of the recent reviews 4 6 identifies any research on the impact of multiple label formats on comprehension or use, but Campos et al. do note that barriers to consumer understanding need to be identified and addressed to promote appropriate label use.
Urban-dwelling consumers are positively associated with label use or comprehension when compared to those from rural areas or smaller metropolitan areas (30, 41); in Malawi, over half of urban consumers look at the nutrition information, compared to 4.9% of rural consumers.
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