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Satisfaction with food-related life and beliefs about food health, safety,
freshness and taste among the elderly in China: A segmentation analysis

Article  in  Food Quality and Preference · October 2020

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Contents lists available at ScienceDirect

Food Quality and Preference


journal homepage: www.elsevier.com/locate/foodqual

Satisfaction with food-related life and beliefs about food health, safety,
freshness and taste among the elderly in China: A segmentation analysis

Rongduo Liu a,b, ,1, Klaus G. Grunerta
a
MAPP Centre, D EPARTMENT of M ANAGEMENT , AARHUS University, FUGLESANGS Allé 4, 8210 AARHUS V, DENMARK
b
R ESEARCH Centre on Food, Consumer B EHAVIOR AND Gender, D EPARTMENT of FINANCE, CHINA Women’s University, No. 1 Yuhui E AST ROAD, CHAOYANG District, Beijing, CHINA

ARTI CLEINFO ABSTRACT

This paper focuses on Chinese elderly’s life satisfaction with food, a specific and important domain of Chinese
Keywords:
Satisfaction with food-related life people’s daily life, with two purposes: first, to investigate the relationship between satisfaction with food -related
Life satisfaction life and life satisfaction among Chinese elderly; second, to segment Chinese elderly based on their beliefs about
Food food health, safety, freshness and taste, and profile them by their life satisfaction, satisfaction with food -relate
Segmentation life, food-related goals, self-rated health status, self-rated economic status and socio-demographic character-
Older people istics. Data were collected by personal interviews conducted in Beijing with 452 participants above 60 years old
China from March to May 2018. The correlation between satisfaction with food-related life and life satisfaction in the
present study was positive and higher than in other countries. Three distinct segments were identified: health
and safety concerned (38.6%), hedonic and less health concerned (29.4%), and less safety and somewhat heal th
concerned (32.0%). The level of satisfaction with food-related life of the elderly was the lowest among the health
and safety concerned segment, neutral in the hedonic and less health concerned segment, and highest among the
less safety and somewhat health concerned segment. The elderly’s food safety belief might play a more dominant
role than other food attributes beliefs in their satisfaction with food-related life. Eating a healthy diet and eating
a safe diet were perceived as the most important food-related goals while keeping food expenditure as low as
possible was perceived as not important by participants. Implications for how to improve Chinese elderly’s
satisfaction with food-related life and future research were discussed.

1. Introduction indicators and subjective perception of quality of life (Diener & Suh, 1997;
Moons et al., 2006). The objective indicators are known as material quality
China’s population is aging dramatically. Understanding the factors of life, physical well-being or material well-being, while the subjective
that influence the quality of life of older people is important to develop perceptions part is often called subjective well-being, which in turn has
efficient strategies to improve the quality of older people’s life in China. been divided into an affective and a cognitive component (Andrew &
This paper focuses on the food dimension of quality of life of Chinese el- Withey, 1976). The cognitive component of subjective well-being can be
derly and on the factors influencing it. There is no consensus about how defined as a global assessment of a person’s quality of life based on his/her
the concept of quality of life is defined or how it should be measured subjective evaluation of life circumstances. A well-known measure of the
(Felce, 1997; Moons, Budts, & De Geest, 2006). It generally refers to cognitive component of subjective well-being is the Satisfaction With Life
evaluating the overall well-being of individuals and societies (Derek, Ron, Scale developed by Diener, Emmos, Larsen, and Griffin (1985).
& Geraldine, 2009). The concepts of quality of life and well-being have The Chinese government has been putting more emphasis on im-
been used interchangeably in a variety of disciplines (Diener & Suh, 1997; proving individual life satisfaction, which has been reflected in the post
Felce & Perry, 1995; Kahn & Juster, 2002; Steptoe, Deaton, & Stone, 2015). 2004 government policies when the 16th National Congress of the CPC
Measurements of quality of life include normally two aspects: objective set ‘harmonious society’2 as a goal of development in China to reduce


Corresponding author at: MAPP Centre, Department of Management, Aarhus University, Fuglesangs Allé 4, 8210 Aarhus V, Denmark.
E-MAIL ADDRESSES: liurd@cwu.edu.cn (R. Liu), klg@mgmt.au.dk (K.G. Grunert).
1
Present address: Research Centre on Food, Consumer Behavior and Gender, Department of Finance, China Women’s University, No. 1 Yuhui East Road, Chaoyang
District, Beijing 100101, China.
2
In folk conversation about well-being in China, the terms ‘happiness’, ‘satisfaction’ and ‘harmony’ are not always differentiated clearly ( Lau, Cummins, &
Mcpherson, 2005).

https://doi.org/10.1016/j.foodqual.2019.103775
Received 6 April 2019; Received in revised form 22 July 2019; Accepted 22 August 2019
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the negative effects of social problems such as environmental dete - lives. First, food still constitutes the largest part of expenditures of the
rioration, wealth gap, food safety problems, etc. that may result from elderly in China in general (XF9, 2018; CCA, 2013) and in economically
the single-minded pursuit of economic development (China Daily, less developed areas in particular (Chen & Liu, 2015). In addition, the
2004). For example, local governments in Guangdong and Zhejiang elderly are the key driver of functional foods consumption in China.
have already adopted life-satisfaction related indicators to measure They are increasing their expenditure on functional food, which are
development performance (The Guardian, 2011). more expensive than normal food, because this group values their
The elderly is a group of special concern in China as the Chinese health higher than other expenditure items such as cloth or dining out
elderly population has a higher prevalence of suicide than the general (Intelligence Research Group, 2017; USDA, 2012). Second, although
population (Dong, Chang, Zeng, & Simon, 2015) and the high risk of there has been a rise in the popularity of eating out among the young
suicide among Chinese elderly is associated with poor mental health, a generation as a consequence of economic change in China, the older
low level of life satisfaction or a low level of subjective well-being (Liu people in China are more likely to prepare food at home ( Zhai et al.,
& Jia, 2015; Luo, Li, & He, 2015; Dong et al., 2018). Accordingly, a 2014). Chinese people spend on average 2 to 3 h every day on f ood
large amount of research on Chinese elderly’s life satisfaction has been preparation and cooking, much more than people in other countries
emerging during last two decades, but most of it is limited by a general (Ma, 2015). Wu (2015) reports that food preparation and cooking is the
focus. Satisfaction with life can be defined as an assessment a person main part of older people’s daily activities in China. The elderly enjoy it
makes of his life in general or of particular aspects of life (such as work, because they regard food preparation and cooking as a kind of daily
family, health, finance) (Diener, Emmons, Larsen, & Griffin, 1985). physical activity to maintain health. Besides, in traditional Chinese
Domain-specific satisfaction-with-life measures are especially useful society, the elderly used to live with their children and grandchildren.
when trying to assess the impact that changes in life circumstances have They are more likely to regard sharing the responsibility of caring for
on a specific domain. This study will focus on food, an important do- grandchildren including cooking for the whole family as a source of
main of Chinese people’s life, to investigate Chinese elderly’s satisfac- family happiness (Sheng & Settles, 2006) and as having a beneficial
tion with food-related life. effect on their psychological well-being (Ku et al., 2013). However,
The importance of food to the Chinese can not be overemphasized there is a notable change in living arrangements of the elderly in recent
(Newman & Ludman, 1984; Ma, 2015). The activities and daily con- decades in China. More elderly, so-called ‘empty nest elders’, are living
siderations relating to the procurement, preparing and intake of foods alone or only with a spouse without children. Empty nest elders ac-
are important concerns of Chinese people. The concerns Chinese people counted for nearly 50 percent of the total aging population or around
have regarding food have been shifting from how to get enough food for 100 million Chinese elders in 2010 according to the 6th China's Census
survival to how to keep a healthy and safe diet. Chinese people have (Sun, 2013). Living away from their children prevents the elderly from
been historically health conscious. Food has a long history of being used receiving emotional support and physical help with their daily activ-
as medicine in the Chinese’s daily lives to keep healthy, resist disease ities. This change in living arrangements is weakening the traditional
and promote longevity (Wu & Liang, 2018). In recent decades, with the pattern of family support as a way of daily caring for the elderly in
increased living standards, the effects of urbanization, the aging po- China, and as a result food or meal cooking has become a main concern
pulation and the prevalence of no-communicable diseases, Chinese to empty nest elders in China because they lack the supports from
people are more health conscious than before. According to the survey children or siblings to cook (ZJonline, 2017). Xi (2015) and Zheng
of BCG (2014), Chinese consumers have become the most health con- (2013) found that some empty nest elders were in a status of mal-
scious in the world. They believe that healthy food and healthy diet is a nutrition due to consuming irregular or inadequate meals for a long
crucial factor to stay healthy and therefore pay more attention to what time. Peng (2011) reported that the empty nest elders who had house
they are eating. For example, more and more Chinese consumers are nurses helping them cooking presented a higher level of life satisfaction
concerned about food with low calories, no artificial additives, organic than those who didn’t have such help.
ingredients and are willing to pay a premium for healthy food or Food is thus strongly associated to Chinese elderly’s life and heavily
functional food (Nielsen, 2016). The increasing consumer concern with contributes to the quality of their life. However, food has so far been
food and health is closely related to the ongoing domestic issues on food neglected and, to our knowledge, no research has been conducted into
safety in China. Although the government has made great efforts to Chinese elderly’s satisfaction with their food-related life, its relation-
regulate the food industry, food safety is still one of the main concerns ship to overall life satisfaction, and its potential determinants. By
of Chinese people (Wike & Parker, 2015). Food safety has been per- identifying which factors are potentially associated with their sa-
ceived by Chinese people as the factor most influential on their life tisfaction with food-related life, it may be possible to increase older
quality, more important than housing and environment, due to the people’s satisfaction with their food and in turn contribute to a better
frequently emerging food safety incidents and their adverse health quality of life. Satisfaction with food-related life is a personal value or
consequences (China Daily, 2015; Wu, Yang, & Chen, 2017). In addi- life goal. According to means-end chain theory (Gutman, 1982), which
tion, and consistent with research conducted in a western cultural views consumers as goal-oriented decision-makers, satisfaction with
context, taste is one of the main considerations in food choice among food-related life can be achieved by means of food product attributes by
Chinese consumers (Thøgersen & Zhou, 2012; Ipsos, 2016). As one of which consumers achieve consumption benefits, which in turn allow
the three core characteristics (color, flavor, taste) of Chinese food and them to achieve the personal value of satisfaction with food-related life.
the soul of Chinese dishes, food taste acts as a source of happiness for However, it is not the food product attributes per se, but consumers’
Chinese people. Last, food and meals are an important vehicle used by belief about what the food product attribute is doing for them, i.e. the
Chinese people to strengthen their social interactions with other people self-relevant consequences of the food product attribute that links to the
(Ma, 2015). For example, in Chinese society, people usually treat others personal value (Grunert & Grunert, 1995; Grunert & Bech-Larsen,
with meals to establish or maintain interpersonal relationship ( Ma, 2005). Satisfaction with food-related life is an abstract goal and at the
2015). Therefore, considering the relation between food and health, the top level of the hierarchical structure of goal-directed consumer beha-
relation between food and pleasure, and the family and social interac- vior (Pieters, Baumgartner, & Allen, 1995). It can be achieved by the
tions around food, it can be expected that food is among the important fulfillment of sub-ordinate food-related goals of, for example, ‘eat a
domains of life that affect Chinese people’s life satisfaction. healthy diet’, ‘eat a safe diet’, etc.. Consumers’ goals influence the im -
Food occupies a considerable part of older Chinese people’s daily portance of product attributes in product satisfaction since consumers’

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goals determine which attributes they use to formulate overall sa- factor for the depression of older people (Tani, Sasaki, Haseda, Kondo,
tisfaction (Garbarino & Johnson, 2001). By this logic, food-related goals & Kondo, 2015). Thus, the level of satisfaction with food-related life
will affect consumers’ beliefs about the importance of food quality at- might decrease with age among the elderly.
tributes in their food-related life. For example, if consumers choose ‘eat Older people usually face economic constraints caused by retire -
a healthy diet’ as a food-related goal, they might hold the belief that ment-related income decline. Changes in economic status after retire-
healthy food is important in their food-related life, and the goal ment might affect older people’s diet variety not only by decreasing
achievement will affect their satisfaction with food-related life. quantity but also by worsening the nutritional quality of food pur-
Food quality attributes include four central dimensions: hedonic, chased, as healthier or more nutritional alternatives such as fruit, ve-
health-related, convenience-related and process-related attributes getables or fish often carry a price premium (Conklin, Maguire, &
(Grunert, 2005). According to means-end chain theory, the importance Monsivais, 2013). Thus, the elderly with higher income might have a
that consumers attach to these attributes is based on their beliefs on higher level of satisfaction with food-related life than those with lower
how these attributes contribute to the attainment of their food-related income.
goals and eventually, their goal of satisfaction with food-related life. The elderly’s perceived economic situation is likewise related to an
For example, consumers who think the healthiness of food is important unhealthy diet (Simsek, Doganay, Budak, & Ucku, 2014), depressed
may believe that a health attribute such as the low-salt content of food mood (Reyes Fernández, Rosero-Bixby, & Koivumaa-Honkanen, 2016),
will lead to a lower risk of hypertension as the consequence of con- poor health (Cheng, Chi, Boey, Ko, & Chou, 2002) and poor quality of
sumption, which will realize the sub-ordinate goal of ‘eat a healthy diet’ life (Chiao, Weng, & Botticello, 2011), so that the elderly with poor self-
and then finally contribute to the personal life value of satisfaction with rated economic status might have a lower level satisfaction with food-
food-related life. In the same vein, consumers who worry about food related life.
safety might have a lower level of satisfaction with food-related life Self-rated health refers to the subjective and personal perception of
because they would worry that the potential food hazards could be individuals’ own health (Schneider et al., 2004). It has been recognized
harmful to their health and that their diet is not safe. Taste is the he- as an important indicator of health and a strong predictor of functional
donic aspect of food consumption which can act as a stimulus to arouse decline and mortality in old age (Idler, Hudson, & Leventhal, 1999) and
happiness (Macht, Meininger, & Roth, 2005). Food with good taste a better predictor of older people’s subjective well-being than objective
could make people happy even though it is unhealthy food rich in fat, indicators (Angner, Ray, Saag, & Allison, 2009). Better self-rated health
sugar or calorie (Raghunathan, Naylor, & Hoyer, 2006; Wahl et al., of the elderly has been found to be associated with healthy dietary
2017). Brunsø, Fjord, and Grunert (2002) reported that consumers as- pattern (Govindaraju, Sahle, McCaffrey, McNeil, & Owen, 2018), a good
sociated better taste of meat with enjoyment while enjoyment led to a predictor of a higher level of life satisfaction (e.g. Borg, Hallberg, &
good feel and happiness. Thus, it could be inferred that consumers who Blomqvist, 2006) and satisfaction with food-related life (Morales et al.,
think that taste is an important food attribute realize a sub-ordinate 2014; Dean, Grunert, Raats, Nielsen, & Lumbers, 2008).
goal such as ‘choose food with better taste’ and then have a higher level A longitudinal study in China shows that elderly living together
of satisfaction with food-related life. Chinese consumers associate food have better self-rated health than those living alone (Zhou et al., 2018),
freshness with health, safety and taste (Jin, Li, & Li, 2017; Wang, because living with others can improve not only the diet quality of the
Zhang, Mu, Fu, & Zhang, 2009), it might therefore be inferred that elderly but also their psychological well-being. In addition, Chinese
consumers who believe that food freshness is important in their food elderly who live with their children usually share the responsibility
choices would have a higher level of satisfaction with food-related life. with their children to look after grandchildren and cook for the whole
The elderly’s beliefs on the importance of food health, safety, family. This contributary behavior of caring for grandchildren is posi-
freshness and taste as a means of achieving satisfaction with food-re- tively associated with a higher level of life satisfaction of Chinese el-
lated life vary across individuals with different personal and socio-de- derly due to Chinese cultural norms of collectivism and family soli-
mographic characteristics. Women usually have higher health con- darity (Liu, Zhang, Wu, & Wu, 2018). Furthermore, those who live with
sciousness (Wardle et al., 2004; Roininen, Lähteenmäki, & Tuorila, children might be more concerned about the importance of food health,
1999), are more aware about the health-diet relationship (Arganini, safety and freshness for the sake of children’s health and therefore
Saba, Comitato, Virgili, & Turrini, 2012) and more concerned about might have a higher level of satisfaction with food-related life. How-
food safety than men (Miles et al., 2004), while food is more likely a ever, research in recent years on Chinese elderly’s living arrangements
source of pleasure for men than women (Kiefer, Rathmanner, & Kunze, and life satisfaction finds that living with children does not yield higher
2005). life satisfaction compared to those living only with spouse or living
Education has a positive influence on the cognition functioning of alone (e.g. Jin, Pearce, & Hu, 2018; Ren & Treiman, 2015; Zhang &
the elderly (Cho, Martin, Poon, & Georgia Centenarian Study, 2014), Zhang, 2015) due to the family conflicts between the elderly and adult
thus education could improve cognition skills that can help the elderly children. Thus, the impact of living arrangement of Chinese elderly on
to recognize self-relevant consequences of food consumption. Higher their satisfaction with food-related life warrants further investigation.
education has been found to be strongly associated with a healthier The first objective of this study is to confirm the existence of a
dietary pattern of the elderly (Allès et al., 2016). Xue and Ge (2017) positive relation between satisfaction with life and satisfaction with
found that well-educated Chinese elderly reported a higher frequency food-related life among Chinese elderly. As the elderly’ beliefs vary
of fruit and vegetable consumption and better self-rated heath than across individuals and as Chinese older people constitute a hetero-
their poorly educated counterparts. Thus, the elderly with a higher geneous group with respect to health conditions, financial constraints,
education might have a higher level of satisfaction with food-related lifestyles, etc. (Liu, 2005), the second objective of this study is to
life than those with a lower education. identify different segments of the elderly based on their beliefs on the
Cognition functioning declines in the process of aging. Oldest-old importance of food health, safety, freshness and taste in their food-re-
people, compared with young-old people, are associated with a higher lated life. The last objective is to investigate the differences between the
prevalence of cognitive impairment. The oldest-old adults are also at an segments of the elderly with respect to their life satisfaction, satisfac-
increased risk of macronutrient malnutrition (e.g. low protein intake) tion with food-related life, the correlation between satisfaction with
and micronutrient (e.g. Vitamin D) deficiencies because of a range of food-related life and life satisfaction, food-related goals, self-rated
biologic, environmental and social factors such as the decline in taste health status, self-rated economic status and socio-demographic char-
sensitivity, poor oral health, diminished appetite, and loss of in- acteristics.
dependence (Granic et al., 2018). In addition, the oldest-old have more
probability of eating alone due to a spouse leaving, which may be a risk

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2. Materials and methods 2.2. SEGMENTATION VARIABLES

2.1. DATA collection This section describes measures used for segmenting the elderly.
Measures used for profiling the segments are introduced in the next
Quantitative data were collected from March to May 2018 in urban section.
areas of Beijing. Beijing is the second largest city in China in terms of The measure on beliefs about food safety was adopted from the
aging population. Two-thirds of the total aging population aged more study of Xun (2011). It consists of five items: ‘Generally, food products
than 60 in Beijing lived in the urban areas by the end of 2016 (ECNS, are safe’, ‘I trust in the quality of food’, ‘I am worried about the safety of
2016). Purposive sampling was used to obtain a sample of older par- food products’, ‘I am satisfied with the safety food products’ and ‘I am
ticipants aged 60 years and above in urban areas of Beijing. Concerning optimistic about the safety of food products’. This measure showed
the potential eyesight problems of the elderly and their reading and good reliability and validity when used in a large-scale survey in China.
comprehension ability, data was collected through face-to-face inter- Two measures for food health beliefs were used, general health
views with a structured questionnaire. Interviews were conducted at interest and light product interest, based on Roininen et al. (1999). The
public outdoor places such as public community garde ns where the measure on general health interest included three items, ‘The healthi-
elderly had their daily activities, mainly in the YaYunCun subdistrict of ness of food has important impact on my food choices’, ‘I am very
Beijing. Interviewers were female college students in Grade Three who particular about the healthiness of food I eat’, and ‘I always follow a
were trained in skills of interviewing older people. Average interview healthy and balanced diet’. The reason to include light product interest
time was 15 minutes. Although no compensation was provided to par- is that the long-term excessive intake of cooking oils and salt in Chinese
ticipants for their time, they showed high willingness to participate in dietary habit is associated with various adverse health outcomes such as
the interview. They indicated that they liked food-related topics and the hypertension among Chinese adults (Yuan et al., 2017). More than half
chats with interviewers reduced their loneliness. of the elderly in China have moderate and severe surplus of oil and salt
A total of 452 participants completed the interviews, from which 14 (Xu, Hall, Byles, & Shi, 2015), and almost half of the elderly have
cases with missing values were eliminated from further analysis, thus suffered from hypertension (Yuan et al., 2017). With government in-
yielding a final valid sample of n = 438. Table 1 shows the sample tervention to raise public awareness of healthy eating, the Chinese have
characteristics of 438 participants. Compared with the Beijing census increased their interests in light products (Li, Zhang, & Shi, 2016). The
data in 2016, there was an overrepresentation of the 70–79 years group measure on light product interest includes three items: ‘I think that light
and underrepresentation of the above 80 years group. A possible reason products are healthier than conventional products’, ‘In my opinion, the
could be that the oldest people have less outdoor physical activities use of light products can improve one’s health’ and ‘In my opinion, light
compared with other groups, which might reduce the possibility of their products can help to improve dyslipidemia’.
presence in places where the survey was carried out. Compared with “Freshness” to the Chinese means food that comes straight from the
Beijing census data in 2010, where 23 percentage of the urban elderly farm in a timely manner (Grunert et al., 2011). Food freshness beliefs
in Beijing held a college and above education degree, the re is an were measured by four items: ‘I prefer to buy vegetables straight from
overrepresentation of the high-educated group. A possible reason could the field’, ‘For vegetable and fruits, I always check its color, smell, etc.
be that the communities where the interviews were conducted have a to ensure that I am buying the freshest produce’, ‘For packaged food, I
large number of retired employees from public sectors such as gov- always check its product date to ensure that I am buying the freshest
ernment, state-owned enterprises, hospitals, universities, etc. who have produce’, and ‘I will only serve food that I know is fresh’.
received higher education. Accordingly, there is also an over- Beliefs about food taste were measured by three items ‘Taste is the
representation of the high-income (above 5000 RMB monthly personal most important attribute to me for food choice’, ‘It is more important to
income) group. Compared with the Sample Survey of the Aged Popu- choose food products for their nutritional value rather than for their
lation in Urban/Rural China (Liu, Lei, & Chen, 2014), there is an un- taste’ and ‘When cooking or eating, I first and foremost consider the
derrepresentation of the groups living only with a spouse and living taste’.
alone, and an overrepresentation of the group living with children. The All aforementioned items were measured on five-point Likert scales
overrepresentation of the group living with children might be due to the from 1 (totally disagree) to 5 (totally agree).
duty they have to buy food for the whole family or take their grand-
children outside, which might increase the possibility of their presence
in the survey places.

Table 1
Socio-demographic profile of the total sample and three segments (%).

Levels Total samplen = 438 Segment Segment Segment p-value F value/Chi-square


1n = 169 2n = 129 3n = 140

Age Mean (SD) 69.50 (6.87) 69.28 (6.79) 70.33 (6.77) 68.99 (7.05) 0.240 F = 1.431
2
Gender Male 47.72 37.87 49.61 57.86 0.002 χ = 12.525
Female 52.28 62.13 50.39 42.14
2
Live arrangement Live only with spouse 35.48 34.73 40.63 31.65 0.269 χ = 5.184
Live with children 58.99 60.48 77.34 63.31
Live alone 5.53 4.79 7.03 5.04
2
Education Illiteracy & Primary 16.32 13.10 14.84 21.58 0.108 χ = 10.410
school
Middle school 24.14 24.40 26.57 21.58
High school 21.61 24.40 14.84 24.46
College and above 37.93 38.10 43.75 32.38
2
Income < 3000 27.40 31.95 20.15 28.57 0.195 χ = 6.053
3000–4999 33.56 33.73 35.66 31.43
≥5000 39.04 34.32 44.19 40.00
2
Presence of Children less than 12 years Yes 45.75 45.83 36.22 54.29 0.013 χ = 8.757
at home No 54.25 54.17 63.78 45.71

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2.3. Segment profiling VARIABLES feedback, the questionnaire was refined and finalized.

Satisfaction with life (SWL): The SWL scale developed by Diener 2.4. DATA ANALYSIS
et al. (1985) is a five-item scale that measures global cognitive judge-
ment of subjective well-being. Studies conducted in mainland China Data were analyzed using SPSS (Statistical Package for the Social
report a high internal consistency of the scale in its Chinese version Sciences) Statistics version 22.0. Due to a large number of questions
(Bai, Wu, Zheng, & Ren, 2011). Cronbach’s alpha of the SWL scale in covering a wide range of issues, an exploratory factor analysis (EFA)
this study was 0.845. (using the principal components extraction method with Varima x ro-
Satisfaction with food-related life (SWFL): proposed and tested by tation) was first performed to discover the basic structure underlying
Grunert, Dean, Raats, Nielsen, and Lumbers (2007), it consists of five the measures of food safety, food taste, food freshness beliefs and in-
items: ‘Food and meals are positive elements’; ‘I am generally pleased terests in healthy eating and light products. The appropriateness of the
with my food’; ‘My life in relation to food and meals is close to ideal’; factor model was evaluated by the measurement of sampling adequacy,
‘With regard to food, the conditions of my life are excellent’; ‘Food and Kaiser-Meyer-Olkin (KMO) test and Bartlett test of sphericity (Hair,
meals give me satisfaction in daily life’. This scale showed good internal Black, Babin, Anderson, & Tatham, 2006). Second, a two-step clustering
consistency with Cronbach’s α between 0.79 and 0.88 in studies con- procedure (Ward's hierarchical clustering followed by K-means clus-
ducted in European countries (Grunert et al., 2007) and south-Amer- tering) was applied to identify distinctive and homogenous segments
ican country Chile (Morales et al., 2014). SWFL’s Cronbach’s α was (Wedel & Kamakura, 2000). Ward’s hierarchical clustering method was
0.896 in the present study, presenting an adequate level of internal used to identify segments based on the five confirmed factors: beliefs
consistency. To prompt participants to think about all elements of their about food safety, food taste and food freshness, light products interest
food-related life and to let the scale items primarily reflect satisfaction and general health interest. After having identified the optimal number
with this domain of life, the participant was asked to think of all the of segments on the basis of the examination of the agglomeration
things s/he did and experienced in relation to food and meals (e.g., schedule and the increase in agglomeration coefficient, the clustering
planning meals, shopping, preparing meals, eating meals) before an- was finetuned by using the non-hierarchical K-means clustering method
swering the SWFL questions. (Hair et al., 2006).
Self-rated health and economic status: Self-rated health was mea- Correlation analysis was used to investigate the relationship be-
sured by the SF8 items. The study of Lang et al. (2018), which used a tween SWL and SWFL. Segment profiling variables were not normally
large and representative sample from China, shows that the Chinese distributed. ANOVA is robust to violations of normality when there are
version of the SF8 (Ware, Kosinski, Dewey, & Gandek, 2001) has good at least 40 degrees of freedom and when group sizes are roughly equal
internal consistency and the traditional 2-factor structure of the SF-8 (Field, 2009), therefore both parametric test One-Way ANOVA F-tests
(physical and mental health) is applicable among city residents in and non-parametric Kruskal-Wallis tests were used to profile segments.
mainland China, The SF-8 Health Survey was therefore adopted to Results from One-Way ANOVA F-tests were kept if they were the same
measure participants’ health status (overall Cronbach’s α of 0.919; all as those from the Kruskal-Wallis test. Otherwise, results from the
data quality indicators satisfactory). Responses to the SF8 items were Kruskal-Wallis test were kept. Post hoc comparison tests of one -way
split into two dimensions, physical (PCS) and mental (MCS) health, ANOVA were Tukey post hoc test when equal variances were assumed
calculated by weighting each SF-8 item using a norm-based scoring and Dunnett's T3 post hoc test when equal variances were not assumed.
method given in the instrument guidelines. This standard-based scoring Dunn’s post hoc test was used for the Kruskal-Wallis test.
allows comparisons among SF-8 scores from different studies, since
these scores are normalized to the same reference population. Higher 3. Results
summary PCS and MCS scores indicate, better health. Scores above and
below 50 are considered above and below the average in the general 3.1. FACTOR AND SEGMENTATION ANALYSIS
U.S. population (Ware et al., 2001). Self-related economic status was
measured by one question developed from Peiro (2006): ‘To what ex- The KMO measure was 0.818 and the Bartlett’s test of sphericity was
tent are you satisfied with your current economic situation?’ answered highly significant, indicating that the data matrix (438 cases × 18
by a five-point scale from 1 (dissatisfied at all) to 5 (very satisfied). variables) is suitable for factor analysis. After Varimax rotation, five
Food-related goals: A qualitative study in form of semi-structured factors were derived, which explained 79% of the total variance with
in-depth interviews with 11 participants aged more than 60 years and food safety and light product interest accounting for nearly half of ex-
living in urban area of Beijing was conducted in November 2017 to plained variance. The factor loadings of all 18 items are presented in
extract food-related goals among Chinese elderly. The results of the Table 2.
qualitative study demonstrated a high external validity of the food-re- Hierarchical clustering was performed based on the mean values of
lated goals from Dean et al. (2008) in a Chinese context. However, due the five constructs resulting from the exploratory factor analysis as
to the food safety problems in China, participants indicated their desire segmentation variables. Examination of the agglomeration schedule
to have safe food, thus the goal of ‘eat a safe diet’ was added as a and the increase in agglomeration coefficient suggested that a three or
supplementary goal to those of Dean et al. (2008). In the final ques- four-cluster solution would be optimal. A three-cluster solution was
tionnaire, participants were asked ‘to what extent is each of the fol- identified as best explaining the data based on a) variable mean scores,
lowing twelve food-related goals important to your satisfaction with i.e. a 3-cluster solution represented a parsimonious balance between
food-relate life?’ based on a five-point scale from 1 (not important at minimizing the number of clusters and minimizing variance within
all) to 5 (very important). each cluster; b) cluster sizes, i.e. a 3-cluster solution provided the most
With the exception of food-related goals, self-rated health and substantial number of members in each group; and c) interpretability,
economic status, all aforementioned items for segment profiling vari- i.e. a 3-cluster solution provided the most straightforward and inter-
ables were measured on five-point Likert scales from 1 (totally disagree) pretable results (Hair et al., 2006). Next, a K-means cluster analysis was
to 5 (totally agree). The questionnaire was developed in English and performed with initial cluster centres resulting from the hierarchical
translated into Chinese by a professional English–Chinese translator. procedure. The respective size and mean scores of the segments are
Then back-translation was undertaken to ensure linguistic equivalence. reported in Table 3.
A preliminary version of the questionnaire was pretested in a small Segment 1 (38.59% of the sample) is constituted by participants
sample of 35 Chinese elderly for clarity of content, language/wording, who showed the highest level of worry about food safety, the highest
overall understanding and length of the survey. Based on their level of general health interest, the highest mean value of food freshness

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Table 2
Results of EFA with rotated factor loadings and variance explained.
Variables used to construct factors Factor loading Variance explained (%) Reliability

Factor 1 food safety beliefs 23.97 0.956


Generally, food products are safe* 0.947
I trust in the quality of food* 0.940
I am worried about the safety of food products 0.847
I am satisfied with the safety food products* 0.948
I am optimistic about the safety of food products* 0.937
Factor 2 light product interest 15.06 0.938
I think that light products are healthier than conventional products 0.921
In my opinion, the use of light products can improve one’s health 0.940
In my opinion, light products can help to improve dyslipidemia 0.905
Factor 3 food taste beliefs 14.31 0.917
Taste is the most important attribute to me for food choice 0.950
It is more important to choose food products for their nutritional value rather than for their taste* 0.799
When cooking or eating, I first and foremost consider the taste 0.953
Factor 4 food freshness beliefs 14.15 0.917
I prefer to buy vegetables straight from the field 0.647
For vegetable and fruits, I always check its color, smell, etc. to ensure that I am buying the freshest produce 0.831
For packaged food, I always check its product date to ensure that I am buying the freshest produce 0.812
I will only serve food that I know is fresh 0.708
Factor5 general health interest 11.97 0.815
The healthiness of food has important impact on my food choices 0.827
I am very particular about the healthiness of food I eat 0.793
I always follow a healthy and balanced diet 0.757
TOTAL VARIANCE EXPLAINED by the FACTOR (%) 79.46

Note: KMO measure: 0.818; Bartlett’s test of sphericity 6685.43, df = 153, p < 0.001.
* Reverse coded.

beliefs and the lowest mean value of food taste beliefs. They also re- possible’, and ‘choose food products and dishes that are quick and easy
ported a high level of interest in light products. We therefore refer to to prepare’ were perceived as not important goals. In general, partici-
this segment as ‘health and safety concerned’. pants reported a good psychical and mental health status, and a neutral
Segment 2 (29.45% of the sample) is constituted by participants level of satisfaction with their economic status. Gender and the pre-
who emphasized more than the other segments the importance of food sence of grandchildren younger than 12 years within the household
taste while assigning the smallest mean value of all segments to food were the only two significant socio-demographic profiling variables
health, although they were also worried about food safety. Therefore, (Table 1). There were no significant differences among the three seg-
we referred to this segment as ‘hedonic and health less concerned’. ments in terms of their life satisfaction, self-rated psychical status and
Segment 3 (31.96% of the sample) is constituted of participants who the food-related goals ‘vary your menu and have a wide range of foods
were the least worried about food safety and the least interested in food and dishes’, ‘be able to cook for others’ and ‘choose food products and
freshness of all the segments. In addition, similar with segment 1, they dishes that are quick and easy to prepare’ (Table 4).
reported less interest in light products compared with to segment 2. Segment 1 (health and safety concerned) comprised the highest
Based on these characteristics, we called this segment as ‘less safety and proportion of female participants. Members in this segment reported
somewhat health concerned’. the lowest level of satisfaction with food-related life, the lowest level of
mental health status and the lowest level of satisfaction with their
3.2. Cluster profiles economic status. There was a weak but positive correlation between
SWL and SWFL in this segment. Compared with the other two segments,
Participants were generally satisfied with their life in general and they attached higher importance to the food-related goals of ‘eat a
their food-related life in particular. A positive and moderate correlation healthy diet’, ‘eat a safe diet’, ‘choose food enjoy’, ‘eat in nice sur -
was found to exist between participants’ life satisfaction and satisfac- roundings’ and ‘not need help from others to arrange meals’.
tion with food-related life. ‘Eat a healthy diet’, ‘eat a safe diet’ and Segment 2 (hedonic and less health concerned) comprised the
‘choose food products and dishes that you enjoy eating’ were the three highest proportion of participants without grand- children living with
food-related goals that participants perceived as most important to them. They displayed a middle level of satisfaction with food-related
achieve their satisfaction with food-related life, while ‘control your life and self-rated mental health status, but the correlation between
weight through your choice of food’, ‘keep food expenditure as low as their SWFL and SWL was the strongest among the three segments.

Table 3
Mean ratings of the segmentation variables.

Segment 1 Segment 2 Segment 3 Total sample


Size (n and %) 169 (38.59%) 129 (29.45%) 140 (31.96%)
c b a
Food safety 4.00 3.86 2.18 3.38
B A B
Light product interest 4.06 3.67 3.90 3.89
A C B
Food taste 2.07 3.80 3.08 2.89
B A A
Food freshness 4.29 3.98 4.04 4.12
c a b
General health interest 4.05 3.51 3.85 3.83
Segment name Health and safety concerned Hedonic and less health concerned Less safety and somewhat health concerned

Note: The a-c superscripts indicate significantly different means between segments using Tukey post hoc.
The A-C superscripts indicate significantly different means between segments using Dunnett's T3 post hoc.

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Table 4
Differences of the profiling variables between three segments.

Total sample Segment 1 Segment 2 Segment 3 P – value F value/H-value


(n = 438) (n = 169) (n = 129) (n = 140)

Satisfaction with life (SWL) 3.90 3.84 3.92 3.97 0.060 F = 2.835
A AB B
Satisfaction with food-related life (SWFL) 3.92 3.85 3.93 4.01 0.011 F = 4.583
Correlation coefficients between SWL & SWFL 0.578** 0.479** 0.713** 0.509**
Self-rated health status
#
Physical component (PCS) 49.79 48.68 50.54 50.48 0.048 F = 3.062
a ab b
Mental component (MCS) 52.36 51.36 52.76 53.21 0.021 F = 3.883
c d d &
Self-rated economic status 3.74 3.62 3.82 3.82 0.048 H = 6.082
Food-related goal
b a a
Eat a healthy diet 4.40 4.54 4.32 4.32 0.010 F = 4.628
b a a
Eat a safe diet 4.40 4.53 4.30 4.33 0.013 F = 4.352
c d d &
Choose food products and dishes that you enjoy eating 4.16 4.24 4.10 4.11 0.021 H = 7.692
b a a
Eat your daily meals in nice surroundings 3.98 4.09 3.92 3.91 0.013 F = 4.388
B A A
Arrange shopping and preparation of meals so that you do 3.80 3.98 3.62 3.74 0.000 F = 8.497
not need help from others
B A B
Eat your meals in the company of other people 3.72 3.82 3.51 3.79 0.001 F = 7.634
Vary your menu and have a wide range of foods and dishes 3.71 3.68 3.73 3.74 0.802 F = 0.220
Be able to cook meals for others 3.60 3.65 3.52 3.61 0.421 F = 0.867
b a b
Maintain the cultural traditions of your country or region 3.52 3.59 3.29 3.65 0.005 F = 5.421
in relation to food and meals
b a ab
Control your weight through your choice of food 2.97 3.15 2.78 2.93 0.007 F = 5.036
c d d &
Keep your expenditures on food as low as possible 2.75 2.95 2.59 2.68 0.006 H = 10.221
Choose food products and dishes that are quick and easy to 2.62 2.54 2.73 2.63 0.236 F = 1.447
prepare

Note: The a, b superscripts indicate significantly different means between segments using Tukey post hoc.
The A, B superscripts indicate significantly different means between segments using Dunnett's T3 post hoc.
The c, d superscripts indicate significantly different mean ranks between segments using Dunn’s post hoc test.
& P value from Kruskal-Wallis test.
# No significant differences among the three segments.
**Correlation is significant at the 0.01 level.

Compared with segment 1, this segment together with segment 3 stated on the Chinese elderly’s subjective well-being. Considering the in-
a higher level of satisfaction with their economic status. Compared with creasing concerns on food health and safety among Chinese people,
the other two segments, they assigned the least importance to the food- future studies of Chinese older people’s satisfaction with their food-
related goals of ‘eat meals in the company of other people’, ‘maintain related life, its determinants and the effect of their satisfaction with
the cultural traditions’ and ‘control weight’. their food on overall satisfaction with life are therefore called for.
Segment 3 (less safety and somewhat health concerned) comprised The result that ‘keep your expenditures on food as low as possible’
the highest proportion of male participants and highest proportion of was not an important food-related goal while ‘eat a healthy diet’ and
participants with grandchildren at home. Members in this segment re- ‘eat a safe diet’ were important is another noteworthy finding from the
ported the highest level of satisfaction with food-related life and the present study. The importance of the goal related to food expenditure of
highest level of self-rated mental health status. Their satisfaction with Chinese elderly differs significantly from the result of Lobos, Schnettler,
food-related life was positively and moderately related to their life sa- Grunert, and Adasme (2017) which was conducted in Chile. One pos-
tisfaction. Compared with segment 1, this segment together segment 2 sible explanation is the overrepresentation of high-education and high-
more believed that ‘keeping low food expenditure’ was not important income groups in the sample, who put more weight on food health and
goal to their satisfaction with food-related life. safety than food price. Another possible explanation for this dis-
crepancy is the lower living standard as measured by the Engel coef-
4. Discussion ficient of Chile compared with China. According to World Bank figures
in 2016, Engel’s coefficient of China was 0.30, which has been con -
Previous studies on the measurement of life satisfaction of the el- sidered close to the well-off line set by the United Nations. An -
derly in China have focused heavily on the overall life and on mea- improvement in living standards leads to an upgrade in f ood con-
suring the results of health care, living arrangement and social services sumption in China, boosting emerging demand for food health, safety
(e.g. Shen & Yeatts, 2013; Liu et al., 2015). Little research has in- and better quality. This result is consistent with the Nielsen Global
vestigated other dimensions of basic needs linked to how old people Health and Ingredient-Sentiment Survey in 2016, which is re-
evaluate their satisfaction of life. Food is an important domain of Chi- presentative of online consumers in China mainly 10–39 years old
nese lives considering the relations between food and Chinese people’s (CNNIC, 2016), that safety and healthiness have become the top two
health and safety, social interaction around food, and activities and attributes that affect Chinese consumers’ decisions on food and price
daily considerations relating to the procurement, preparation and in- will no longer be as important as quality and healthiness ( Nielsen,
take of foods. The positive and moderate correlation between partici- 2016). This result demonstrates the evolution of principal contradiction
pants’ food-related life satisfaction and their general life satisfaction in facing Chinese society in the new era from meeting people’s basic need
the present study supports the inclusion of food among the important to meet their increasing needs for a better life (Xinhua, 2017), which
domains of life that affect the subjective well-being of individuals in provides a new perspective for future food-related research on older
China. The correlation between SWL and SWFL in the present study is consumer group in China.
higher than those obtained in European countries by Grunert et al. All of the Cronbach’s α values of the scales of SWFL and segmen-
(2007) which was 0.36, and in south-American countries by Schnettler tation variables were larger than 0.8, indicating that these measures
et al. (2012) and Schnettler et al. (2017), which was 0.534 in Chile and had good internal consistency (Hair et al., 2006) and well presented the
0.394 in Ecuador, implying that food has a potentially greater influence concepts this study explored. In addition, the relationships between the

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constructs measured in the study make sense based on both plausibility the relationship between income and subjective well -being (Diener,
and theoretical grounds, supporting the nomological validity of our Lucas, & Oishi, 2009). The elderly with more income might have higher
measures. We therefore conclude that the questionnaire used was well- goals for or expectations on their food-related lives, for example, eating
suited to investigate our research question. Three segments of elderly a safer diet that can not be realized or met due to the current food safety
were identified based on their beliefs on the importance of food health, situation in China, thus may not have a higher level of SWFL than their
safety, freshness and taste in their food-related life. The three segments counterparts with low income. The same explanation could be applied
differed in their satisfaction with food-related life, self-rated economic to the relation of the elderly’s education and SWFL, since education
and mental health status, food-related goals and socio-demographic could raise expectations, but it may not yield higher subjective well-
characteristics gender and presence of grandchildren younger than being if the expectations can not be met (Diener, Suh, Lucas, & Smith,
12 years. Participants in segment 1 were most interested in food health 1999). In addition, Diener et al. (1999) points out that the direct effect
and perceived food freshness reported the lowest level of SWFL because of education per se on subjective well-being is small while much of the
they were most worried about food safety while segment 3 who were relation between education and subjective well-being is accounted for
least worried about food safety reported the highest level of SWFL. This by the covariation of education and income. Thus, the effect of edu-
result is in line with the theoretical assumption and implies that the cation and income as a covariate in the elderly’s SWFL should be con-
elderly’s food safety belief might play a more dominant role than other sidered in future work.
food attributes beliefs in their satisfaction with food-related life. This Consumer goals will determine which product attributes are most
finding matches the current food safety situation in China, as Chinese important to them for attaining satisfaction (Garbarino & Johnson,
people has been increasing their concerns for food safety ( Liu, Pieniak, 2001) which was confirmed by the result that segment 1 who perceived
& Verbeke, 2014) and it is also consistent with the finding that parti- ‘eating a healthy diet’ and ‘eating a safe diet’ more important goals to
cipants perceived ‘eat a safe diet’ as the most important goal for their achieve satisfaction with food-related life correspondingly added more
satisfaction with food-related life. These findings suggest that sup- weight to the importance of food safety and was more interested in food
porting positive beliefs about food safety will contribute to the Chinese health than the other two segments. Understa nding the relationship
elderly’s satisfaction with food-related life and also their overall life between beliefs about food quality attributes, food-related goals and
satisfaction, given the relation between SWFL and SWL. Chinese con- satisfaction with food-related life is useful to gain insight into how the
sumers expect authorities to disclose information about food safety elderly use food quality attributes to achieve satisfaction with food -
incidents timely and accurately (Zhang, 2017). They hope to see more related life. In essence, this association reveals the possible reasons that
efforts from governments to improve food safety in China, for example, underlie the elderly’s satisfaction with food-related life. Consumers’
to push tougher punishments on the violators of food safety regulations, food-related goals impact their perception of food well-being and the
set stricter standards as well as supervision on food production and strategies they adopt to advance food well-being (Bublitz et al., 2013).
build a food traceability system for the entire food supply chain ( Daily, However, the impacts of the goals older people have on their satisfac-
2015). tion with food-related life interact with food-related resources available
A higher level of satisfaction with food-related life among the el- to them and these resources’ relevance to food-related goals (Dean
derly was found associated with being female, living with grand- et al., 2008). Resources can be seen as means that one can use to
children, better perceived economic situation and better perceived self- achieve goals. As people age, their living circumstances and resources
rated health. There were no significant differences in terms of age, can change, such that their functional ability to perform activities of
education, income and living arrangement among the three segments. daily living deteriorate. The elderly, especially those in very advanced
For age, this result is consistent with previous studies which report no age, tend to have difficulties in leading a normal life by themselves,
consistent independent relation of age with subjective well -being in the thus their dependency or need for assistance increases. The rise of
general population (Diener, 1984) and among the older people in ‘empty-nest’ elderly in China has been weakening the role of family as a
particular, if controlling the factors which often accompany aging, like main resource in caring for the dependent elderly, thus aging with
the decreased health or loss of a spouse (Larson, 1978). Furthermore, dependency requires new forms of assistance that provide care to the
even when not controlling for those factors, Larson (1978) finds that the aging population. For example, food-related services from public or
decline in subjective well-being with age among the elderly is slight. private sectors such as a supply of meal with good taste for the elderly
The result that there was no significant difference in terms of living or providing a nice place where empty nest elders could eat together
arrangement among the three segments is consistent with the study of could contribute to their well-being (Liu et al., 2015). To improve older
Chen and Short (2008), which found no significant differences in terms people’s satisfaction with food in China, future work should identify
of subjective well-being of the Chinese elderly between those living food-related resources including both material (e.g. income), social
only with a spouse and those living with children, and also i n line with (e.g. skills) and personal (e.g. family and friends) aspects relevant to
the study of Wang, Chen, and Han (2014), which found that married Chinese elderly.
couples living with children and married couples living independently The limitations of this study include the non-probabilistic and non-
did not differ significantly with respect to life satisfaction. This result representative nature of the sample. Low income and low education
demonstrates the trend that more seniors in China prefer to live sepa- consumers are underrepresented in the sample, as are elderly con-
rately from their children to avoid the conflicts with adult children and sumers with high level of dependency. In addition, there is a possible
enjoy a better quality of life. However, this result is in contrast with social desirability bias resulting from the self-reported measures and
previous studies which find that living alone is associated with lower interviewer biases. Also, given the exploratory and cross-sectional
life satisfaction among the elderly in China (e.g. Wang et al., 2014). A nature of the study, causal conclusions on the impacts of Chinese el-
possible explanation could be that the Chinese government has been derly’s beliefs about food health, safety, freshness and taste on their
accelerating the development of community-based and institution- satisfaction with food-related life can not be drawn from the present
based care services (including dining room, canteens or meal delivery study.
(Zhou & Walker, 2016)) as support or supplementary to traditional
family-based care for the elderly (Feng, Liu, Guan, & Mor, 2012). The 5. Conclusion
availability of community-based supports and services has been found
associated with a good quality of life of the elderly in China ( Zhang, The major findings of this study are that satisfaction with food-re-
Yeager, & Hou, 2018), which might increase the level of SWFL of the lated life is moderately and positively related to life satisfaction of the
elderly who live alone. elderly in China and that this correlation is higher than in other
Goals and expectation should be taken into account to understand countries. This result implies that food is an important life domain with

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