When Food Choices Tell a Bigger Story: Understanding Food Literacy among Young Adults in India

As nutrition researchers, we often ask an important question: why do people know what is healthy, yet still struggle to eat well? This question became the starting point of our research journey.

Published in Education

When Food Choices Tell a Bigger Story: Understanding Food Literacy among Young Adults in India
Like

Share this post

Choose a social network to share with, or copy the URL to share elsewhere

This is a representation of how your post may appear on social media. The actual post will vary between social networks

Explore the Research

BioMed Central
BioMed Central BioMed Central

Assessment of self-perceived food literacy and diet quality for early prevention of non-communicable diseases among young urban adults in Delhi NCR - Discover Public Health

Background Food literacy is increasingly recognized as a multidimensional determinant of diet quality and non-communicable disease (NCD) risk, particularly among young adults exposed to rapidly changing food environments. Evidence from India remains limited, especially using validated multidimensional tools linked to population-level diet quality indicators. Methods A cross-sectional study was conducted among 119 Indian adults aged ≥ 18 years. Food literacy was assessed using an adapted 42-item Self-Perceived Food Literacy Scale encompassing planning, management, and selection, preparation, and consumption domains. Diet quality was evaluated using the Diet Quality Questionnaire India (DQQ-India), generating indicators of dietary diversity score, NCD-protective score, NCD-risk score, and global dietary recommendation adherence score. Exploratory factor analysis examined construct validity, and internal consistency was assessed using Cronbach’s alpha. Multivariable linear and exploratory logistic regression analyses were performed to examine associations between food literacy domains, diet quality indicators, BMI, and gender. Results Participants had a mean age of 26.1 ± 9.6 years, with 46.2% classified as overweight or obese. Although subdomain-specific food literacy skills were moderately high, only 19.3% achieved the operational threshold for comprehensive food literacy. Exploratory factor analysis supported a six-factor structure explaining 71.6% of variance (KMO = 0.893). Higher food literacy in selection, planning, and preparation domains was associated with better diet quality and lower NCD-risk food consumption, while no significant association was observed with BMI. Gender differences were limited, with nutrition knowledge modestly associated with female gender. Conclusion Indian young adults demonstrate fragmented food literacy alongside mixed dietary patterns characterized by coexistence of protective foods and high ultra-processed food consumption. The findings from this study highlight the need for multi-level strategies integrating food literacy development with supportive food environments.

Living and working in Delhi NCR, we observed a growing contradiction among young adults. Many were aware of concepts like “healthy eating,” “balanced diets,” and “junk food,” yet daily eating habits often reflected a different reality. Fast food deliveries had become routine, meal skipping was common, packaged snacks replaced homemade meals, and eating patterns were increasingly shaped by stress, convenience, social media, and busy urban lifestyles. 

 
At the same time, India is witnessing a sharp rise in obesity, diabetes, hypertension, and other non-communicable diseases (NCDs), even among younger populations. We wanted to understand whether the issue was simply a lack of nutrition knowledge or whether something deeper was happening.

 
This led us to explore the concept of food literacy.

 
Food literacy goes beyond knowing which foods are healthy. It includes the practical and behavioural skills needed to make healthy eating possible in everyday life: planning meals, reading labels, shopping wisely, preparing food, managing time, and making informed choices despite environmental pressures.


Although food literacy has been studied in several countries, very little research has explored it in the Indian context using validated multidimensional tools. We saw an opportunity to contribute evidence from India, especially among urban young adults who are rapidly transitioning toward modern food environments.


Our study, conducted among 119 adults in Delhi NCR, examined self-perceived food literacy and diet quality using internationally validated assessment tools.


One of the most surprising findings was that while many participants demonstrated moderate skills in certain areas, such as healthy food preparation or nutrition awareness, only about 19% showed comprehensive food literacy across all major domains.

 
This finding revealed something important: food literacy is fragmented.

 
A person may know how to cook but struggle with meal planning. Another may understand nutrition labels but still rely heavily on ultra-processed foods because of time constraints, stress, or convenience. Food decisions are rarely shaped by knowledge alone.

 
Our diet quality findings reflected this “dual dietary burden.” Many participants consumed protective foods like fruits, vegetables, pulses, and dairy, yet these foods coexisted with frequent consumption of sugary beverages, deep-fried foods, packaged snacks, and fast foods.

  
This pattern mirrors what many of us see every day in urban India a mix of traditional eating habits and rapidly expanding processed food culture.

  
Another interesting aspect of the study was that higher food literacy was associated with better diet quality, particularly in areas such as food selection, label reading, meal planning, and nutrition self-efficacy. However, food literacy alone was not directly associated with body weight or BMI. This reminded us that obesity and metabolic health are influenced by many interconnected factors, including stress, sleep, physical activity, environment, affordability, and lifestyle.

 
The research also highlighted the emotional and environmental dimensions of eating. Many young adults today navigate food choices in environments filled with aggressive marketing, online food delivery apps, social pressures, and limited time for cooking. Healthy eating is no longer simply a matter of “willpower”; it is deeply connected to the systems surrounding us.

 
As researchers, this study changed how we think about nutrition education.

 
Traditional nutrition messaging often focuses only on information: telling people what to eat and what to avoid. But our findings suggest that knowledge alone is insufficient. Young adults also need practical life skills, supportive food environments, affordable healthy options, and opportunities to develop confidence in managing food choices.

 
Food literacy, therefore, becomes not just an educational concept but a public health strategy.

 
We believe future interventions should move beyond classroom-style nutrition advice and instead include cooking skills, meal planning workshops, digital food literacy, label-reading education, emotional eating awareness, and policy-level actions that make healthy foods more accessible and convenient.

 
This research journey was especially meaningful because it brought together behavioural science, nutrition, and public health within the Indian context. It also reinforced the importance of understanding people’s lived experiences around food rather than viewing dietary behaviour in isolation.

 
Most importantly, the study reminded us that healthy eating is not simply about individual choices. It is about the interaction between knowledge, skills, emotions, culture, time, economics, and the environments we live in.

 
As India continues to urbanize and younger populations face increasing lifestyle-related disease risks, understanding food literacy may help us design more realistic and compassionate approaches to nutrition promotion.

 
Research is often driven by data, but behind every dataset are real people trying to make food choices in increasingly complex environments. We hope that this work contributes to creating healthier, more supportive food systems for the next generation.

Please sign in or register for FREE

If you are a registered user on Research Communities by Springer Nature, please sign in

Follow the Topic

Literacy
Humanities and Social Sciences > Education > Skills > Literacy
Spotlight on Research from India
Research Publishing > Spotlight on Research from India

Related Collections

With Collections, you can get published faster and increase your visibility.

Promoting Healthy Diets and Food Security across Global Public Health Systems

The interconnection between healthy diets and food security is a critical concern for global public health systems, particularly in the context of escalating population growth, climate change, and socioeconomic disparities. Proper nutrition is essential for overall health and well-being; however, millions worldwide face malnutrition in its various forms, including undernutrition, micronutrient deficiencies, and obesity. Food security encompasses not only the availability of food but also its accessibility, utilization, and stability. Addressing these complex challenges is vital for achieving sustainable development goals and improving health outcomes across diverse populations.

This Collection is motivated by the urgent need to strengthen the integration of health policy with healthy diet promotion and food security within public health frameworks. As nations work to build resilient health systems, innovative strategies that promote healthy eating and ensure food security are essential. This Collection aims to gather interdisciplinary insights and research that address these pressing issues, fostering collaboration among public health experts, nutritionists, policymakers, and community stakeholders.

The purpose of this Collection is to provide a platform for sharing research findings and practical solutions that enhance healthy diets and food security through effective health policies. We welcome contributions that explore policy interventions, community-based initiatives, and innovative programs focused on promoting nutrition education and improving food access. By highlighting diverse perspectives and successful models, this Collection seeks to inform future public health strategies and contribute to the development of effective, equitable food systems worldwide.

Topics of interest include, but are not limited to:

- Evidence-based community interventions to enhance food security

- The influence of health policy on food systems and public health outcomes

- Global case studies demonstrating effective food access and health promotion

This Collection supports and amplifies research related to SDG 2 and SDG 3.

Keywords: healthy diets; food security; nutrition promotion; malnutrition; public health; health policy; food access and availability

Publishing Model: Open Access

Deadline: Dec 05, 2026

The Economics of Longevity: Health Expenditure and Societal Implications for Public Health Systems

The relationship between health investment and life expectancy has long been a focal point in public health research and policy. As nations grapple with rising healthcare costs and varying health outcomes, understanding how financial allocations influence population health becomes increasingly critical. Numerous studies have illustrated that increased spending on health services often correlates with improvements in life expectancy; however, the complexities of this relationship are not fully understood. Factors such as socioeconomic status, healthcare accessibility, and the efficiency of health systems play significant roles in determining how investments translate into health outcomes.

At the national level, health investments primarily encompass government expenditure on healthcare systems, public health initiatives, and health infrastructure. Nations that allocate substantial resources toward healthcare often experience better health outcomes and increased life expectancy among their populations. For instance, countries with robust healthcare funding tend to provide more comprehensive services, including preventive care, chronic disease management, and health promotion programs, all of which contribute to enhanced population health. However, it is crucial to consider how these investments are distributed across different segments of the population. Inequities in health spending can exacerbate existing disparities, leading to significant differences in life expectancy among various demographic groups. Effective health investment strategies must address these disparities to ensure that improvements in life expectancy are equitable and inclusive.

The motivation for this Collection arises from the urgent need to bridge the gap between health expenditures and tangible improvements in life expectancy. Recent global health crises and ongoing disparities in health outcomes across different populations have underscored the necessity for a deeper exploration of how resource allocation affects health dynamics. This Collection seeks to provide a platform for researchers and practitioners to discuss empirical evidence, theoretical frameworks, and innovative approaches to understanding these critical interactions. By fostering dialogue around effective health investment strategies, we aim to contribute to the development of more equitable and efficient health systems worldwide.

The purpose of this Collection is to gather comprehensive research that elucidates the dynamics between health investment and life expectancy across diverse contexts. We welcome contributions that analyze historical trends, comparative studies, and policy evaluations, as well as those that explore the implications of financial investments on health equity. By highlighting interdisciplinary perspectives and fostering collaboration, this Collection aspires to advance the discourse on optimizing health investments for improved population health outcomes.

Topics of interest include, but are not limited to:

- Economic evaluations of health interventions

- Policy impacts on health spending and life expectancy

- Health equity and investment disparities

- Longitudinal studies on health expenditures and population health

This Collection supports and amplifies research related to SDG 3.

Keywords: health expenditure; healthcare economics; life expectancy; economic evaluation; population health; health investment; health policy

Publishing Model: Open Access

Deadline: Sep 04, 2026