Introduction
Hong Kong is home to a diverse population that views its diet differently, regardless of its wealth or social status. Nevertheless, self-conscious consumption of nutritional supplements is a normal eating behavior for city residents. To understand why people use nutritional supplements, it is necessary to consider both macro and micro approaches to health. From a macro perspective, one could focus on the economic, social, and environmental determinants of health in Hong Kong (Song et al., 2023).
Health Determinants
The use of food additives can reveal various aspects of people’s behavior across different contexts. The widespread consumption of supplements can primarily be attributed to their extensive production and to advertising that highlights their benefits. Thus, in this case, business interests and economic factors of influence play a predominant role. Promoting a healthy lifestyle and caring for the body significantly impact how people relate to food.
Another factor that drives the use of nutritional supplements is the micro-approach, which allows for a closer examination of people’s motives and beliefs. People perceive health as one of the key determinants of a successful and happy life, which influences their ideas about proper nutrition. Therefore, supplements are among the easiest ways to achieve their goals. Additionally, many people may not obtain the nutrients and other essential elements their bodies need from ordinary food (Centre for Health Protection, 2022). This leads them to believe that nutritional supplements are the right way to replace their essential vitamins and improve their health.
Thus, in both approaches, there is a clear common motive for caring for health through nutrition. Cultural and social beliefs also play a crucial role in how people perceive and utilize nutritional supplements (Bai et al., 2019). Hong Kong is a city where people hold deep respect for ancient traditions and traditional medicine. A key aspect is the use of additives derived from plant-based elements. Thus, people can feel safer taking supplements that significantly improve their health.
Macro Approaches to Health
Self-administered nutritional supplementation in Hong Kong is predominantly female, which can be attributed to several supporting factors. Demographic factors, including cultural differences and stereotypes, primarily determine the distribution of nutritional supplements between men and women. In Hong Kong, traditional views of society prevail, and therefore, different genders see different expectations (Centre for Health Protection, 2022). In this regard, the local population follows the expected behavior in which women should pay more attention to their appearance and health. Social norms and expectations significantly influence how people act and behave regarding health and food.
Instead, men are also subject to greater social pressure to seek the best possible jobs to achieve career success (Chung et al., 2020). This can lead to less time spent on nutritional supplements due to increased workload. In addition, the behavior of Hong Kong residents regarding nutritional supplements is significantly influenced by economic factors, such as gender differences in commuting to work. Men in Hong Kong are more likely to work in physically demanding jobs, which can lead to higher stress levels. As a result, they may pay less attention to their health and prefer to spend their free time differently. Additionally, men may avoid nutritional supplements, assuming their health and fitness are adequately maintained through regular physical activity.
On the other hand, women may be less involved in physically demanding work, leaving them more time to focus on their health through nutritional supplements. Additionally, Hong Kong’s health policy plays a significant role in shaping its citizens’ eating habits. State laws may regulate the sale and availability of nutritional supplements, thereby determining the frequency of their consumption among different groups of citizens. Specific health problems in people can be taken into account. Accordingly, more attention will be paid to them, leading to greater opportunities to consume nutritional supplements that address specific health issues.
Micro Approaches to Health
At a micro-level, the use of nutritional supplements can be characterized by individuals’ perceptions of specific enhancers. The primary value in the Health Belief Model (HBM) is perceived susceptibility, which explains how different people relate to their predispositions to certain diseases or risk conditions (Centre for Health Protection, 2022). People can use nutritional supplements based on their assessment of their health status. For example, some people may feel that their liver is not functioning properly and, based on this, select appropriate nutritional supplements.
At the same time, another part of the population can be sure that nothing threatens their health and, accordingly, will not consume supplements. The second essential component of the model is the perceived threat of disease, which determines how people respond to the threats it poses (Zhu et al., 2019). In this context, many citizens may believe that not taking dietary supplements can significantly harm their health or, conversely, will have no effect. At the same time, this segment is influenced by factors such as gender, age, ethnicity, and the aforementioned socio-economic factors. These variables, in turn, can create obstacles to taking supplements and vice versa.
Thus, for example, men take fewer nutritional supplements than women because the sex variable creates a difference in their conditions of access to supplements. All points of the model considered earlier can lead to consequences, including an increased likelihood of behavioral change (Centre for Health Protection, 2022). This sector indicates how much people can change their behavior in response to their internal beliefs or certain variables. For example, people who have not experienced health problems may become ill, increasing their concern about their condition and the future development of the disease.
Against this background, they can reconsider their views on nutritional supplements and radically change their behavior patterns by starting to take them daily (Zhu et al., 2019). Health risks can be significantly reduced by avoiding specific diseases and by taking supplements. However, at the same time, risks or side effects may come from people taking supplements that could harm their health. Whether people’s behavioral characteristics change depends on many internal factors, which are closely related to external ones.
Modifying Factor
Decisions regarding the intake of nutritional supplements can vary depending on several factors. Sex is a critical variable, as the data reviewed above suggest that it generally contributes to higher supplement intake in women (Neysanian et al., 2020). This is subject to various factors, such as cultural norms and traditions, as well as societal patterns of organization. Age is also a vital modifier, as older people may be more likely to use supplements due to their traditional medical views. According to the survey, the largest number of people taking nutritional supplements is in the 45- to 54-year age group (Centre for Health Protection, 2022).
At the same time, according to the frequency of their use, the second group is in the range of 55 to 64 years (Centre for Health Protection, 2022). Thus, age significantly influences people’s final decisions. Knowledge is also important in deciding to take supplements, as individuals with greater knowledge of the potential risks and benefits will take them with greater caution.
Likelihood of Action
Many factors determine the likelihood of people reacting to food additives, but the effect of these substances on the body can also vary. One of the key benefits of taking nutritional supplements is reducing the risk of developing serious diseases that could harm people’s health (Hurst et al., 2019). If supplements contain various vitamins and minerals, then their effect can be considered positive. It can also improve cardiovascular health through the beneficial effects of these elements when combined with exercise.
Diabetes and stroke are diseases whose risk can be significantly reduced by regular supplementation. In a diet that includes nutritional supplements, there may be substances that can positively affect the eyes and brain by enhancing their ability to rest, which in turn contributes to better performance in the future. Such effects, in turn, can lead to side effects that allow people to spend more time communicating with relatives rather than undergoing treatment (Hurst et al., 2019). Thus, nutritional supplements can be the correct preventive action tool.
Barriers
For people, there may be specific barriers that can prevent access to nutritional supplements. Supplements can sometimes be pretty expensive, depending on their ingredients. The quality of nutritional supplements varies significantly by manufacturer and their components; therefore, effective supplements may not be accessible to financially insecure people (Vargas-Robles et al., 2019). This obstacle can significantly impair people’s ability to improve their health and, as a result, prevent serious diseases.
Fear of side effects may be another barrier to citizens using supplements. Many people question the safety of the substances they take and therefore limit their supplement intake or refuse them altogether. Additionally, personal beliefs and stereotypes about nutritional supplements can also become barriers. They can often arise due to insufficient awareness of any drugs or due to unwillingness to delve into the study of one’s ratio.
Cues to Action
Regarding people’s behavior regarding their health status, several key signals for action can be identified. For example, public coverage of the effectiveness of preventive measures for certain diseases can be beneficial. The mass media may play this role on behalf of the Ministry of Health or within specific health broadcasts (Inzaghi et al., 2022). Thus, people’s awareness of their body condition will increase, potentially leading to the use of supplementation. The advice of medical staff is also an important aspect to consider when deciding whether to take nutritional supplements. Doctors are trusted persons whose opinion people tend to listen to. Family members or close people may suffer from serious illnesses, which is an additional factor if traditional medicine cannot help.
Conclusion
The studied facts on Hong Kong citizens’ consumption of nutritional supplementsprovide sufficient data on which categories tend to take them and for what reasons. Internal and external factors can significantly impact individuals considering improvements to their health status. Accordingly, one option for them is to take supplements. Modifying factors and barriers can significantly impact people’s well-being by discouraging them from taking supplements or, conversely, leading them to abstain. People tend to carefully consider this decision, often giving in to the opinions of those they trust, which can influence their final decision.
References
Bai, L., Wang, M., & Gong, S. (2019). Understanding the antecedents of organic food purchases: The important roles of beliefs, subjective norms, and identity expressiveness. Sustainability, 11(11), 3045.
Chung, R. Y. N., & Mak, J. K. L. (2020). Physical and mental health of live-in female migrant domestic workers: A randomly sampled survey in Hong Kong. American Behavioral Scientist, 64(6), 802-822.
Hurst, P., Kavussanu, M., Boardley, I., & Ring, C. (2019). Sport supplement use predicts doping attitudes and likelihood via sport supplement beliefs. Journal of Sports Sciences, 37(15), 1734-1740.
Inzaghi, E., Pampanini, V., Deodati, A., & Cianfarani, S. (2022). The effects of nutrition on linear growth. Nutrients, 14(9), 1752.
Neysanian, M., Iranbakhsh, A., Ahmadvand, R., Oraghi Ardebili, Z., & Ebadi, M. (2020). Comparative efficacy of selenate and selenium nanoparticles for improving growth, productivity, fruit quality, and postharvest longevity through modifying nutrition, metabolism, and gene expression in tomato; potential benefits and risk assessment. PloS One, 15(12), e0244207.
Non-Communicable Disease Branch Centre for Health Protection. (2022). Report of Population Health Survey 2020-22 (Part I). Department of Health.
Song, Q., Dou, Z., Qiu, W., Li, W., Wang, J., van Ameijde, J., & Luo, D. (2023). The evaluation of urban spatial quality and utility trade-offs for Post-COVID working preferences: A case study of Hong Kong. Architectural Intelligence, 2(1), 1.
Vargas-Robles, H., Castro-Ochoa, K. F., Citalán-Madrid, A. F., & Schnoor, M. (2019). Beneficial effects of nutritional supplements on intestinal epithelial barrier functions in experimental colitis models in vivo. World Journal of Gastroenterology, 25(30), 4181.
Zhu, L. Y., Chan, R., Kwok, T., Cheng, K. C. C., Ha, A., & Woo, J. (2019). Effects of exercise and nutrition supplementation in community-dwelling older Chinese people with sarcopenia: a randomized controlled trial. Age and Ageing, 48(2), 220-228.