Snack preferences among school-aged children: evidence from discrete choice experiments
Accelerated economic development and innovative food industry trends have contributed to worsening dietary imbalanced among Chinese school-aged population. To investigate snack preferences among school-aged children, determine the relative importance of different snack attributes, and explore how these preferences vary by social-demographic characteristics to inform targeted nutritional interventions. A stratified cluster random sampling strategy was employed to recruit 854 school-aged children (grades 7 and 8) from Hubei and Anhui provinces. An evaluation framework comprising six attributes (taste, nutrient claims, purchase location, price, package size, and social influence) was constructed based on a Discrete Choice Experiment (DCE). A D-optimal design was implemented using SAS 9.4 software to generate 16 choice sets (divided into two versions), with two-stage questions incorporated to mitigate bias. A mixed logit model was applied to calculate preference coefficients (β), relative importance (RI), and willingness-to-pay (WTP) for different attributes. All six included attributes demonstrated statistically significant effects on local school-aged children’s snack choices (all P < 0.05). Specifically, school-aged children showed stronger preferences for snacks sold in supermarkets (β = 0.439), those rich in dietary fiber (β = 0.611), with sweet taste (β = 0.471), and commonly consumed by family members (β = 0.452). They were willing to pay an additional 46.49 CNY for snacks rich in dietary fiber. Large package size (β = -0.112) and price (β = -0.013) showed slight negative associations. Heterogeneity analysis revealed that boys preferred snacks rich in dietary fiber (β = 0.554) and were more price-sensitive (β = -0.026), while girls prioritized low-fat options (β = 0.738) and showed lower willingness to choose large packages (β = -0.259). School-aged children with less-educated parents placed greater emphasis on taste (RI = 25.33%), whereas those from highly-educated families valued package size more (RI = 10.43%). Overweight/obesity school-aged children preferred spicy snacks (β = 0.448) and were more price-sensitive (β = -0.115), while normal-weight school-aged children tended to choose sweet-tasting snacks (β = 0.510). Snack preferences among school-aged children vary significantly by socio-demographic characteristics. Interventions should be tailored to the specific characteristics of them, while simultaneously engaging both the school-aged children and their parents to enhance participation and educational effectiveness, thereby reducing the purchase and consumption of unhealthy snacks.
Authors
- Wei Zhou (ORCID: https://orcid.org/0000-0002-5461-3617)
- Shufa Du (ORCID: https://orcid.org/0000-0003-1156-0866)
- H Li
- Qi Guo (ORCID: https://orcid.org/0000-0003-2594-8634)
- Fangxu Guan
- Aidong Liu
- Xuefeng Zhong
- Xiaoyu Wu
- Jiguo Zhang
- Shuang Liu
- Xiaofang Jia
- Huijun Wang
Institutions
- Chinese Center For Disease Control and Prevention (CN)
- Anhui Medical University (CN)
- National Health and Family Planning Commission (CN)
- Hubei Provincial Center for Disease Control and Prevention (CN)
Publication Details
- Journal
- BMC Public Health
- Published
- 2026-03-09
- DOI
- https://doi.org/10.1186/s12889-026-26883-7
- Primary Topic
- Economic and Environmental Valuation
- Type
- article
- Field-Weighted Citation Impact
- 0.00