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Awareness and Self-Reported Effects of the Innovative Mexican Front-of-Package Nutrition Labeling Policy Among Mexican Americans Across Different US Regions, Health Literacy Levels, and Educational Attainment, 2021-2023
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DOI：10.1177/08901171261458529.png)
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Abstract
En 中文
<jats:sec>
<jats:title>Purpose</jats:title>
<jats:p>Evaluate trends and correlates of self-reported awareness of and responses to front-of-package warning labels (FoPWLs) on packaged Mexican foods among Mexican Americans (MAs) in the United States (US).</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Design</jats:title>
<jats:p>International Food Policy Study annual cross-sectional surveys (2021, 2022, 2023).</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Setting</jats:title>
<jats:p>Online survey.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Sample</jats:title>
<jats:p>MA adults in the US (n = 9662).</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Measures</jats:title>
<jats:p>Self-reported past-month frequency of buying food at Mexican-oriented stores (recoded: often/very often vs less often), awareness of Mexican FoPWLs (recoded: often/very often vs less often), and self-reported reductions in purchasing less healthy foods (yes vs no for eight foods) due to FoPWLs.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Analysis</jats:title>
<jats:p>Adjusted logistic models regressed binary outcomes (above) on sociodemographics and survey year.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results</jats:title>
<jats:p>
Most participants bought food in Mexican-oriented stores (87.2%). Of those who noticed Mexican FoPWLs (67.6%), many reported that FoPWLs influenced them to reduce purchasing less healthy foods (range = 31.1% [snacks like chips] to 43.9% [cola]). In adjusted models, noticing FoPWLs often/very often (vs less often) increased over time (AOR
<jats:sub>2022 vs 2021</jats:sub>
= 1.30; AOR
<jats:sub>2023 vs 2021</jats:sub>
= 1.21), as did self-reported reductions in purchasing sweetened fruit drinks (AOR
<jats:sub>2022 vs 2021</jats:sub>
= 1.27), and desserts (AOR
<jats:sub>2022 vs 2021</jats:sub>
= 1.32). People with limited vs adequate health literacy reported higher awareness of FoPWLs (AOR = 1.21).
</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>MAs’ awareness and reported effects of Mexican FoPWLs were high and stable or increased over time, with greater awareness among those with limited health literacy.</jats:p>
</jats:sec>
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