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Understanding influences on consumers’ dietary stress in healthy food buying

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Abstract

Purpose This study aims to investigate relationships among body mass index (BMI), socioeconomic variables, dietary self-efficacy and consumer dietary stress in healthy food buying and explore whether different levels of personal values influence these relationships. Design/methodology/approach The study is based on an online representative cross-sectional study with 380 food consumers. Structural equation modeling served to estimate direct, mediating and moderating effects between the studied constructs and variables. Findings Examples of moderating and moderated mediating effects include a negative impact of BMI on dietary stress for consumers with low levels of enjoyment value but no significant effect for consumers with high levels of enjoyment. BMI also had a greater negative impact on dietary self-efficacy when the level of respect/achievement was high (vs low), and respect/achievement positively moderated the mediating effect of BMI on dietary stress through dietary self-efficacy. Research limitations/implications This study focuses on analyzing healthy food buying in a particular cultural setting and may suffer from a lack of generalizability to other cultures. The results suggest that research should take into account personal values when investigating stress. Practical implications Food managers and health authorities can improve their ability to reduce dietary stress when addressing consumers by understanding the role of personal values in healthy food choice and the impact on mental well-being. Originality/value This study offers a novel, more fine-grained conceptual model of how consumers develop dietary stress when buying healthy food.

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... Additionally, studies indicate that there may be differences between genders in food preferences [25,26], eating behaviors [27,28], and emotional reactions [29][30][31]. However, according to our knowledge, no previous studies have holistically explored potential gender-specific reactions to tempting food cues by simultaneously investigating emotions, perceived dietary quality, and future willingness to eat (WtE). ...
... The individual dimension reflects individual autonomy and preferences and is related to individual variables such as gender, age, and educational level; personal choices; emotions; knowledge; values; and attitudes about food. For instance, Hansen and Thomsen [28] found that women have a higher level of dietary self-efficacy than men and are more likely to show dietary stress. Also, personal values, such as environmental consciousness and health priorities, may be related to food behaviors. ...
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Purpose This paper aims to first investigate how unit pricing affects consumers’ grocery purchase decisions and perceptions of the shopping task’s information load. The second goal is to test how time pressure enhances the behavioural and perceptual effects of displaying unit prices. Design/methodology/approach Two on-line experiments were conducted using national samples of shoppers. In Study 1, participants indicated their choices and perceptions in an inter-brand shopping scenario where prepackaged products have conflicting positions on retail price and unit price. In Study 2, participants conducted the same shopping task but now under a condition of time pressure. Findings Study 1 shows that unit pricing shifts consumer choices towards the lower unit priced options and improves their perceptions of task information load. Study 2 shows that when consumers are under time pressure, unit pricing shows stronger effects on choices but not on perceptions. Research limitations/implications The study comprised a fairly homogenous set of low involvement categories and relatively small assortments in a hypothetical purchase setting. Exploration of the role of unit pricing in more complex and more realistic purchase environments pose suitable avenues for future research. Practical implications This study shows that consumers benefit from unit pricing because it makes it easier for them to find the lower unit priced items and to more quickly complete their shopping task. Retailers will benefit from increased customer satisfaction and possibly an improved store image. Social implications The study shows that consumers generally benefit from the presence of unit pricing and that unit price information does not create harmful effects in terms of increasing their information load. Originality/value This study uses a specifically designed and controlled but nevertheless realistic grocery choice task to study the effects of unit pricing in an inter-brand context where there are only small differences in size and price. The study contributes to the literature by showing that in such conditions, unit prices help consumers compare the economic losses associated with product options. Their heuristic role is more pronounced when consumers are under time pressure. The study shows that consumers generally benefit from the presence of unit prices.
Article
This paper explores the relationship between individual level variables, stimulus variables and the experience of information overload in conjoint experiments. Drawing on theories of contingent information processing, it develops a set of hypotheses linking product class involvement and product class knowledge to the level of information overload experienced by individuals when performing a conjoint task. It also investigates the effects on overload of the total amount of information. The paper also explores to what extent the amount of information to be processed prompts respondents to change their information-processing strategy in order to avoid the unpleasant effects of information overload.
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A growing body of literature supports the association between adverse stress experiences and health inequities, including obesity, among African American/Black women. Adverse stress experiences can contribute to poor appetite regulation, increased food intake, emotional eating, binge eating, and sedentary behavior, all of which can contribute to weight gain and obesity. Most research studies concerning the effect of psychological stress on eating behaviors have not examined the unique stress experience, body composition, and eating behaviors of African American/Black women. Even fewer studies have examined these constructs among Black female college students, who have an increased prevalence of overweight and obesity compared to their counterparts. Therefore, the aim of the current study is to examine the associations among emotional eating, perceived stress, contextualized stress, and BMI in African American female college students. All participants identified as African American or Black (N=99). The mean age of the sample was 19.4years (SD=1.80). A statistically significant eating behavior patterns×perceived stress interaction was evident for body mass index (BMI) (β=0.036, S.E.=.0118, p<.01). In addition, a statistically significant eating behavior patterns×contextualized stress interaction was observed for BMI (β=0.007, S.E.=.0027, p=.015). Findings from this study demonstrate that the stress experience interacts with emotional eating to influence BMI. Based on these findings, culturally relevant interventions that target the unique stress experience and eating behavior patterns of young African American women are warranted.
Article
Despite substantial evidence of the linkage between stress and weight change, previous studies have not considered how stress trajectories that begin in childhood and fluctuate throughout adulthood may work together to have long-term consequences for weight change. Working from a stress and life course perspective, we investigate the linkages between childhood stress, adulthood stress and trajectories of change in body mass (i.e., Body Mass Index, BMI) over time, with attention to possible gender variation in these processes. Data are drawn from a national longitudinal survey of the Americans' Changing Lives (N = 3617). Results from growth curve analyses suggest that both women and men who experienced higher levels of childhood stress also report higher levels of stress in adulthood. At the beginning of the study period, higher levels of adulthood stress are related to greater BMI for women but not men. Moreover, women who experienced higher levels of childhood stress gained weight more rapidly throughout the 15-year study period than did women who experienced less childhood stress, but neither childhood nor adulthood stress significantly modified men's BMI trajectories. These findings add to our understanding of how childhood stress-a more important driver of long-term BMI increase than adult stress-reverberates throughout the life course to foster cumulative disadvantage in body mass, and how such processes differ for men and women. Results highlight the importance of considering sex-specific social contexts of early childhood in order to design effective clinical programs that prevent or treat overweight and obesity later in life. Copyright © 2015. Published by Elsevier Ltd.
Article
Consumers are confronted with conflicting health information in the form of risks and benefits on a regular basis. One way to understand how different consumers handle the challenge of this conflicting information is by considering consumers’ epistemic beliefs, that is, their beliefs about the nature of knowledge and knowing. In two studies, it is shown that both measured and manipulated epistemic beliefs similarly influence consumer assessments of conflicting risk–benefit health information through two epistemic dimensions—texture (simple or complex) and variability (stable or dynamic). Moderated mediation findings indicate that those who were presented risk–benefit information about health-related products and diets that were perceived as being less (more) familiar had a lower (greater) likelihood of using the product or following the diet through the mediators of thinking about both the risks and the benefits involved, for several of the moderating variability and texture epistemic beliefs. The contribution of this research is to show how epistemic beliefs can differentially frame and inform consumer perceptions and evaluations of conflicted health information.
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This study explores influences of human values and trust on stated preferences for food labeled with environmental footprints. We apply survey data to assess the impact of these individual-specific characteristics on German consumers’ choices of potatoes, through an attribute-based choice experiment in which product alternatives are described by footprint labels and prices. We find that accounting for consumers’ value systems, but not generalized trust beliefs, aids in understanding choices and identifying possible markets for footprint-labeled food products.
Article
Major life changes and role transitions are often treated as stressors that create a generalized demand for adjustment by the individual. Empirically, however, these transitions have been shown to produce a wide range of effects on mental health. Two kinds of models have been proposed to explain this variation: differential access to coping resources for dealing with stressful situations, and variation in the characteristics of transitions, such as their undesirability, foreseeability, etc. This paper emphasizes a logically prior issue: the role context within which the transition event occurs, specifically, the level of pre-existing chronic stress in the social role. The model tested envisions life transition events as nonproblematic, or even beneficial to mental health, when preceded by chronic role problems--a case where more "stress" is actually relief from existing stress. Nine transition events are studied: job loss, divorce, pre-marital break-up, retirement, widowhood, children moving out of the house, first marriage, job promotion, and having a child. Results support the hypothesis that prior role stress reduces the impact of life transition events on mental health for seven of nine events, with some differences in impact by gender. The findings provide a basic framework for interpreting the effects of varying types of life transitions, and argue against the presumption that life transitions are inherently stressful, suggesting instead a need to specify prior social circumstances that determine whether or not a transition is potentially stressful.
Article
Using the 1957-1993 data from the Wisconsin Longitudinal Study, we explore reciprocal associations between socioeconomic status (SES) and body mass in the 1939 birth cohort of non-Hispanic white men and women. We integrate the fundamental cause theory, the gender relations theory, and the life course perspective to analyze gender differences in (a) the ways that early socioeconomic disadvantage launches bidirectional associations of body mass and SES and (b) the extent to which these mutually reinforcing effects generate socioeconomic disparities in midlife body mass. Using structural equation modeling, we find that socioeconomic disadvantage at age 18 is related to higher body mass index and a greater risk of obesity at age 54, and that this relationship is significantly stronger for women than men. Moreover, women are more adversely affected by two mechanisms underlying the focal association: the obesogenic effect of socioeconomic disadvantage and the SES-impeding effect of obesity. These patterns were also replicated in propensity score-matching models. We conclude that gender and SES act synergistically over the life course to shape reciprocal chains of two disadvantaged statuses: heavier body mass and lower SES.
Article
Prior research suggests that knowledge calibration (KC) supports consumers’ maintenance of a healthy diet. However, no previous studies have considered that learned helpless consumers may refrain from using their knowledge, even though they may be fully aware that they possess it. This research gap is considered in three studies. Study 1 investigates the moderating effect of learned helplessness (LH) by means of a cross‐sectional survey. Studies 2 and 3 are online choice studies. Besides from replicating Study 1, Studies 2 and 3 eliminate potential social desirability bias by objectively measuring respondents’ dietary choice quality. In addition, Study 3 takes into account the possibility that respondents’ responses may be biased by food preferences, medical conditions, and/or food allergies. Moreover, Studies 2 and 3 both investigate the consequences of the findings on consumers who live under a dieting regime. These studies demonstrate that consumers suffering from LH do not stand to gain from calibrating their dietary knowledge to the same degree as other consumers. It is also shown that dieting behavior has a tendency to weaken this negative moderating effect of LH on the relationship between KC and dietary choice quality. Finally, the implications of the findings for marketers and public policymakers are discussed.
Article
Across four experiments, the authors find that when information pertaining to the assessment of the healthiness of food items is provided, the less healthy the item is portrayed to be, (1) the better is its inferred taste, (2) the more it is enjoyed during actual consumption, and (3) the greater is the preference for it in choice tasks when a hedonic goal is more (versus less) salient. The authors obtain these effects both among consumers who report that they believe that healthiness and tastiness are negatively correlated and, to a lesser degree, among those who do not report such a belief. The authors also provide evidence that the association between the concepts of "unhealthy" and "tasty" operates at an implicit level. The authors discuss possibilities for controlling the effect of the unhealthy = tasty intuition (and its potential for causing negative health consequences), including controlling the volume of unhealthy but tasty food eaten, changing unhealthy foods to make them less unhealthy but still tasty, and providing consumers with better information about what constitutes "healthy."
Article
Studies have demonstrated that the ordinal, ipsative data provided by the Rokeach Value Survey (RVS; Rokeach 1973) are not suited to factor analysis. In this study, nonmetric multidimensional scaling (MDS) was used with a sorting task to identify the underlying subset of values. American college students were the participants, and the results indicate that individualism-achievement and collectivism-affiliation are the underlying dimensions of the RVS for both the terminal and the instrumental values. Observed variation in the use of MDS space was predicted, based on participants' developmental differences as measured by the Maslowian Assessment Survey (Williams & Page, 1989). Gender differences in the use of MDS space by participants were not observed. Analysis of angular variance was used to test both hypotheses.
Article
Stress is associated with obesity, and the neurobiology of stress overlaps significantly with that of appetite and energy regulation. This review will discuss stress, allostasis, the neurobiology of stress and its overlap with neural regulation of appetite, and energy homeostasis. Stress is a key risk factor in the development of addiction and in addiction relapse. High levels of stress changes eating patterns and augments consumption of highly palatable (HP) foods, which in turn increases incentive salience of HP foods and allostatic load. The neurobiological mechanisms by which stress affects reward pathways to potentiate motivation and consumption of HP foods as well as addictive drugs is discussed. With enhanced incentive salience of HP foods and overconsumption of these foods, there are adaptations in stress and reward circuits that promote stress-related and HP food-related motivation as well as concomitant metabolic adaptations, including alterations in glucose metabolism, insulin sensitivity, and other hormones related to energy homeostasis. These metabolic changes in turn might also affect dopaminergic activity to influence food motivation and intake of HP foods. An integrative heuristic model is proposed, wherein repeated high levels of stress alter the biology of stress and appetite/energy regulation, with both components directly affecting neural mechanisms contributing to stress-induced and food cue-induced HP food motivation and engagement in overeating of such foods to enhance risk of weight gain and obesity. Future directions in research are identified to increase understanding of the mechanisms by which stress might increase risk of weight gain and obesity.
Article
It is argued that there is now sufficient evidence to regard psychosocial variables, in particular personality and stress, as important risk factors for cancer and coronary heart disease (CHD), equal in importance to smoking, heredity, cholesterol level, blood pressure, and other physical variables. Furthermore, it is now clear that both types of factors act synergistically; that is, each by itself is relatively benign, but their effects multiply to produce high levels of disease. Last but not least, it is argued that there is now good evidence to show that psychological treatment can modify a person's reaction to stress, so that risk of cancer and CHD can be greatly diminished, and duration of survival significantly increased in those terminally ill with cancer. Psychological influences on physical diseases are much greater than suspected in the past; we are only now beginning to trace the causal pathways.
Article
A secondary analysis of data from a study of nutritional vulnerability among 153 women in families seeking charitable food assistance was undertaken to estimate the extent and nutritional significance of at-home food preparation activity for these women. At-home food preparation was estimated from women's reported food intakes from three 24-hour recalls. The relationships between food preparation and energy and nutrient intake, food intake, and 30-day household food security status were characterized. Almost all participants (97%) consumed foods prepared from scratch at least once during the three days of observation; 57% did so each day. Both the frequency and complexity of at-home food preparation were positively related to women's energy and nutrient intakes and their consumption of fruits and vegetables, grain products, and meat and alternates. The intakes by women in households with food insecurity with hunger reflected less complex food preparation but no less preparation from scratch than women in households where hunger was not evident, raising questions about the extent to which food skills can protect very poor families from food insecurity and hunger. Our findings indicate the need for nutrition professionals to become effective advocates for policy reforms to lessen economic constraints on poor households.
Article
The aim of this study was to clarify the direction of the stress-neuroticism relationship in a sample of 200 nursing students from three Spanish universities before their entry into the work force using a two-wave longitudinal design. The Stressful Life Events Scale and NEO-FFI Neuroticism subscale were administered at the beginning (T1) and end (T2) of nursing studies. Female students reported higher scores in both perceived stress due to life events and neuroticism than males. Older students scored higher in life events stress than younger ones. High neuroticism was associated with a high level of stress. Finally, neuroticism scores rose in the group in which stress increased from T1 to T2. Our findings partially support the stress causation interactionist model of stress in which life events can modify personality traits. © 2012 Wiley Periodicals, Inc. Res Nurs Health.
Article
Doubts about the viability of material explanations of social inequalities in health have led to a renewed focus on the aetiological role of psychological stress, and, moreover, on how psychological stress is generated by society’s inequality structures. Some researchers maintain that the emerging psychosocial perspective will become the dominant paradigm in research on health inequalities. After commenting on some aetiological topics, the paper outlines how a comprehensive understanding of health inequalities can be constructed from a social stress model, the self-efficacy approach, the sociology emotions, and the social cohesion approach. The emerging perspective is a striking attempt to deal with health inequalities as it seems to solve some of the difficulties that other perspectives have had in accounting for existing empirical patterns. Nevertheless, it is perhaps too much to claim that it signifies a paradigm shift. It should rather be considered as an enrichment of the social causation explanation. The latter, when studying health inequalities, should be developed further by considering both material and psycho-social environments, and their mutual interaction.
Article
The purpose of this review is to spark integrative thinking in the area of eating behaviors by critically examining research on exemplary constructs in this area. The eating behaviors food responsiveness, enjoyment of eating, satiety responsiveness, eating in the absence of hunger, reinforcing value of food, eating disinhibition and impulsivity/self-control are reviewed in relation to energy intake, body mass index and weight gain over time. Each of these constructs has been developed independently, and little research has explored the extent to which they overlap or whether they differentially predict food choices, energy intake and weight gain in the naturalistic environment. Most available data show positive cross-sectional associations with body mass index, but fewer studies report associations with energy intake or food choices. Little prospective data are available to link measures of eating behaviors with weight gain. Disinhibition has the largest and most consistent body of empirical data that link it prospectively with weight gain. An overarching conceptual model to integrate the conceptual and empirical research base for the role of eating behavior dimensions in the field of obesity research would highlight potential patterns of interaction between individual differences in eating behaviors, specific aspects of the individual's food environment and individual variation in state levels of hunger and satiety.