Fostering Healthier Choices: Empowering Pharmacy Students to Bridge the Food Label Gap in Lebanon
DOI:
https://doi.org/10.35516/jjps.v17i3.2290Keywords:
Food literacy, knowledge-behavior gap, nutrition education, pharmacy students, public healthAbstract
Background: Non-communicable diseases are a significant public health issue in Lebanon, making it crucial to promote preventive measures such as informed dietary choices. Food labels play a key role in this, but there is a disconnect between knowledge and utilization, even among healthcare professionals. This study aimed to investigate this gap among Lebanese pharmacy students by assessing their nutrition knowledge, usage of food labels, and the factors influencing their label use.
Materials and Methods: This cross-sectional study examined the knowledge gap among 81 pharmacy students in Beirut. A validated questionnaire assessed demographics, nutrition knowledge, label features influencing purchase decisions, and barriers to label use.
Results: Despite having high overall nutrition knowledge (mean score of 82%), students reported inconsistent use of food labels. Gender did not significantly influence the prioritization of label features. However, students in higher academic years were more likely to pay attention to production dates (p < 0.001). Additionally, there was a positive correlation between the frequency of label use and knowledge scores.
Conclusion: This study highlights a persistent knowledge-practice gap in food label utilization among pharmacy students. Educational interventions tailored to address specific knowledge gaps and perceived barriers are necessary.
References
Bassatne A., Harb H., Jaafar B., Romanos J., Ammar W., El-Hajj Fuleihan G. Disease burden of osteoporosis and other non-communicable diseases in Lebanon. Osteoporos Int. 2020;31(9):1769–77. Available from: DOI: https://doi.org/10.1007/s00198-020-05433-w
https://link.springer.com/10.1007/s00198-020-05433-w
Zablith N., Diaconu K., Naja F., El Koussa M., Loffreda G., Bou-Orm I., et al. Dynamics of non-communicable disease prevention, diagnosis and control in Lebanon, a fragile setting. Confl Health. 2021;15(1):4. Available from: https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-020-00337-2 DOI: https://doi.org/10.1186/s13031-020-00337-2
El-Hajj M., Salameh P., Rachidi S., Al-Hajje A., Hosseini H. Cigarette and Waterpipe Smoking are Associated with the Risk of Stroke in Lebanon. JEGH. 2019;9(1):62. Available from: DOI: https://doi.org/10.2991/jegh.k.181231.002
https://download.atlantis-press.com/article/125905696
Chand S.S., Singh B., Kumar S. The economic burden of non-communicable disease mortality in the South Pacific: Evidence from Fiji. Khan GA, editor. PLoS ONE. 2020;15(7):e0236068. Available from: DOI: https://doi.org/10.1371/journal.pone.0236068
https://dx.plos.org/10.1371/journal.pone.0236068
Spanakis M., Sfakianakis S., Kallergis G., Spanakis E.G., Sakkalis V. PharmActa: Personalized pharmaceutical care eHealth platform for patients and pharmacists. Journal of Biomedical Informatics. 2019;100:103336. Available from: DOI: https://doi.org/10.1016/j.jbi.2019.103336
https://linkinghub.elsevier.com/retrieve/pii/S1532046419302552
Ilardo M.L., & Speciale A. The Community Pharmacist: Perceived Barriers and Patient-Centered Care Communication. IJERPH. 2020;17(2):536. Available from: https://www.mdpi.com/1660-4601/17/2/536 DOI: https://doi.org/10.3390/ijerph17020536
Amara N., Naser A.Y., Taybeh E.O. Patient Satisfaction with Pharmaceutical Services in Jordan: A Cross-Sectional Study. Jordan J Pharm Sci. 2023;16(1):1–10. Available from: DOI: https://doi.org/10.35516/jjps.v16i1.1030
https://jjournals.ju.edu.jo/index.php/jjps/article/view/1030
Bukic J., Kuzmanic B., Rusic D., Portolan M., Mihanovic A., Seselja Perisin A., et al. Community pharmacists’ use, perception and knowledge on dietary supplements: a cross-sectional study. Pharm Pract (Granada). 2021;19(1):2251. Available from: DOI: https://doi.org/10.18549/PharmPract.2021.1.2251
https://www.pharmacypractice.org/index.php/pp/article/view/2251
Harahsheh M.M., Mukattash T.L., Al-shatnawi S., Abu-Farha R., Abuhammad S., Jarab A., et al. Community Pharmacists’ Perceptions of the most Important Interventions Implemented in Supporting Breastfeeding Women During Maternal Life: A Cross-Sectional Study in Jordan. Jordan J Pharm Sci. 2024;17(1):144–50. Available from: DOI: https://doi.org/10.35516/jjps.v17i1.630
https://jjournals.ju.edu.jo/index.php/jjps/article/view/630
Singla N., Jindal A., Mahapatra D.K. Role of Pharmacist in Nutrition Management-The Unexplored Path. Ind J Pharm Pract. 2023;16(2):83–8. Available from: DOI: https://doi.org/10.5530/ijopp.16.2.14
https://ijopp.org/article/1001
Douglas P., McCarthy H., McCotter L., Gallen S., McClean S., Gallagher A., et al. Nutrition Education and Community Pharmacy: A First Exploration of Current Attitudes and Practices in Northern Ireland. Pharmacy. 2019;7(1):27. Available from: DOI: https://doi.org/10.3390/pharmacy7010027
https://www.mdpi.com/2226-4787/7/1/27
Kelly D., Chawke J., Keane M., Conway H., Douglas P., Griffin A. An exploration of the self-perceived nutrition competencies of pharmacists. Exploratory Research in Clinical and Social Pharmacy. 2022;8:100203. Available from: DOI: https://doi.org/10.1016/j.rcsop.2022.100203
https://linkinghub.elsevier.com/retrieve/pii/S2667276622001020
Abu-Zaid A.M., Barakat M., Al-Qudah R., Abdalhafez A. The Role of Pharmacists in Patient Counselling for OTC Medication in Jordan: A Cross-Section Study. Jordan J Pharm Sci. 2021;14(4):445–54.
Sacks G.S. The Shrinking of Formalized Nutrition Education in Health Professions Curricula and Postgraduate Training. J Parenter Enteral Nutr. 2017;41(2):217–25. Available from: DOI: https://doi.org/10.1177/0148607116685049
https://aspenjournals.onlinelibrary.wiley.com/doi/10.1177/0148607116685049
Syed-Abdul M.M., Kabir S.S., Soni D.S., Faber T.J., Barnes J.T., Timlin M.T. Role of Nutrition Education in Pharmacy Curriculum—Students’ Perspectives and Attitudes. Pharmacy. 2021;9(1):26. Available from: DOI: https://doi.org/10.3390/pharmacy9010026
https://www.mdpi.com/2226-4787/9/1/26
Arfaoui L., Alkhaldy A., Alareeshi A., AlSaadi G., Alhendi S., Alghanmi A., et al. Assessment of Knowledge and Self-Reported Use of Nutrition Facts Labels, Nutrient Content, and Health Claims among Saudi Adult Consumers. J Multidiscip Healthc. 2021;14:2959–72. DOI: https://doi.org/10.2147/JMDH.S327700
Hassan H.F., & Dimassi H. Usage and understanding of food labels among Lebanese shoppers. Int J Consumer Studies. 2017;41(5):570–5. Available from: DOI: https://doi.org/10.1111/ijcs.12368
https://onlinelibrary.wiley.com/doi/10.1111/ijcs.12368
Cronbach L.J. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334. Available from: http://link.springer.com/10.1007/BF02310555 DOI: https://doi.org/10.1007/BF02310555
Spearman C. CORRELATION CALCULATED FROM FAULTY DATA. British Journal of Psychology, 1904-1920. 1910;3(3):271–95. Available from: DOI: https://doi.org/10.1111/j.2044-8295.1910.tb00206.x
https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/j.2044-8295.1910.tb00206.x
Piedmont R.L. Inter-item Correlations. In: Michalos AC, editor. Encyclopedia of Quality of Life and Well-Being Research. Dordrecht: Springer Netherlands; 2014. p. 3303–4. Available from: DOI: https://doi.org/10.1007/978-94-007-0753-5_1493
http://link.springer.com/10.1007/978-94-007-0753-5_1493
Hameed A., Abdullahi K.O., Yaqoob A. Knowledge of Pakistani Nurses about Theory Practice Gap in Nursing. PJMHS. 2023;17(3):40–2. Available from: DOI: https://doi.org/10.53350/pjmhs202317340
https://pjmhsonline.com/index.php/pjmhs/article/view/4235
Vasli P., Dehghan-Nayeri N., Khosravi L. Factors affecting knowledge transfer from continuing professional education to clinical practice: Development and psychometric properties of a new instrument. Nurse Education in Practice. 2018;28:189–95. Available from: https://linkinghub.elsevier.com/retrieve/pii/S147159531730759X DOI: https://doi.org/10.1016/j.nepr.2017.10.032
Payán D. D., Sloane D.C., Illum J., Farris T., Lewis L.B. Perceived Barriers and Facilitators to Healthy Eating and School Lunch Meals among Adolescents: A Qualitative Study. Am J Health Behav. 2017;41(5):661–9. Available from: DOI: https://doi.org/10.5993/AJHB.41.5.15
http://www.ingentaconnect.com/content/10.5993/AJHB.41.5.15
Chau M.M., Burgermaster M., Mamykina L. The use of social media in nutrition interventions for adolescents and young adults—A systematic review. International Journal of Medical Informatics. 2018;120:77–91. Available from: DOI: https://doi.org/10.1016/j.ijmedinf.2018.10.001
https://linkinghub.elsevier.com/retrieve/pii/S138650561830039X
Grunert K.G., Wills J.M. A review of European research on consumer response to nutrition information on food labels. J Public Health. 2007;15(5):385–99. Available from: DOI: https://doi.org/10.1007/s10389-007-0101-9
https://link.springer.com/10.1007/s10389-007-0101-9
Fraser A. The influence of package design on consumer purchase intent. In: Pascall MA, Han JH, editors. Packaging for Nonthermal Processing of Food. 1st ed. Wiley; 2018; 225–49. Available from: DOI: https://doi.org/10.1002/9781119126881.ch10
https://onlinelibrary.wiley.com/doi/10.1002/9781119126881.ch10