Barriers, enablers, and perceptions on dietary salt reduction in the out-of-home sectors: A scoping review

Michael, Viola and You, Yee Xing and Shahar, Suzana and Manaf, Zahara Abdul and Haron, Hasnah and Shahrir, Siti Nurbaya and Majid, Hazreen Abdul and Chia, Yook Chin and Brown, Mhairi Karen and He, Feng J. and MacGregor, Graham A. (2021) Barriers, enablers, and perceptions on dietary salt reduction in the out-of-home sectors: A scoping review. International Journal of Environmental Research and Public Health, 18 (15). ISSN 1660-4601, DOI https://doi.org/10.3390/ijerph18158099.

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Abstract

In this review, we have investigated the perceptions, barriers, and enabling factors that were responsible for a dietary salt reduction in the out-of-home sectors. For this purpose, we examined different knowledge databases such as Google Scholar, Ebscohost, MEDLINE (PubMed), Ovid, and Cochrane Library for research articles from September to December 2020. The inclusion criteria for the research articles were that they had to be published in English and had to be a qualitative or quantitative study that was conducted after 2010. These studies also had to report the various enablers, barriers, and perceptions regarding salt reduction in the out-of-home sectors. After implementing the inclusion criteria, we successfully screened a total of 440 studies, out of which 65 articles fulfilled all the criteria. The perceived barriers that hindered salt reduction among the out-of-home sectors included lack of menu and food variabilities, loss of sales due to salt reduction, lack of technical skills for implementing the salt reduction processes for cooking or reformulation, and an absence of environmental and systemic support for reducing the salt concentration. Furthermore, the enablers for salt reduction included the intervention programs, easy accessibility to salt substitutes, salt intake measurement, educational availability, and a gradual reduction in the salt levels. With regards to the behavior or perceptions, the effect of organizational and individual characteristics on their salt intake were reported. The majority of the people were not aware of their salt intake or the effect of salt on their health. These people also believed that low salt food was recognized as tasteless. In conclusion, the enablers, barriers, and perceptions regarding salt reduction in the out-of-home sectors were multifaceted. Therefore, for the implementation of the strategies, policies, and initiatives for addressing the barriers, the policymakers need to encourage a multisectoral collaboration for reducing the salt intake in the population.

Item Type: Article
Funders: Newton Fund Impact Scheme by the Medical Research Council on behalf of UK Research and Innovation in the UK, Malaysia Industry Government Group for High Technology (MIGHT)[NN-2020-082], Malaysia Industry Government Group for High Technology (MIGHT)[MR/V005847/1]
Uncontrolled Keywords: Barriers;Enablers;Perception;Salt reduction;Out-of-home
Subjects: R Medicine
R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 14 Jun 2022 06:55
Last Modified: 14 Jun 2022 06:55
URI: http://eprints.um.edu.my/id/eprint/34449

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