Assessment of Knowledge, Attitude and Practice of Front of package labels on packaged foods among the adultpopulation in urban field practice area of tertiary carecenter, Suraram, Hyderabad

Abstract

Background: Front-of-package labelling (FOPL) is an emerging public health strategy to enable consumers to make informed dietary choices. However, awareness, perception, and utilization of such labels remain variable across populations.

Objectives: The present study aimed to assess the knowledge, attitude, and practice (KAP) regarding FOPL among adults in the urban field practice area of a tertiary care centre in Suraram, Hyderabad, and to examine sociodemographic factors influencing FOPL use.

Materials and Methods: A cross-sectional study was conducted from May to August 2025 among 360 adults selected through systematic random sampling. Data were collected using a pretested semi-structured questionnaire covering sociodemographic details, awareness, attitude, and practice of FOPL. Knowledge scores were computed, and associations between demographic variables and KAP outcomes were analyzed using chi-square tests, correlation analysis, and multivariable logistic regression.

Results: Among 360 participants, 47.2% reported regularly reading FOPL, with the highest readership observed in the 30–44 years age group (57.1%) and the lowest among those ≥60 years (33.3%) (p = 0.02). Educational status significantly influenced awareness, with graduates and above showing the highest awareness (67.9%). Income was positively associated with frequent purchasing of packaged foods, particularly in high-income groups (87.5%). Simplified labels such as traffic-light and health-star schemes were more effective in guiding purchase decisions (75.0%) compared to nutrition facts panels (60.0%). Significant positive correlations were noted among knowledge, attitude, and practice scores (p < 0.001).

Conclusion: Awareness and utilization of FOPL among adults in this urban community were moderate, with education and awareness being strong predictors of positive attitudes and practices. Strengthening consumer-friendly FOPL policies and educational interventions could enhance healthier food choices and support nutrition-related public health goals.