# What Drives Consumers’ Breakfast Food Choices? Case Study in South Africa—A Multiethnic Middle-Income Country

**Authors:** Colin D. Rehm, John R. N. Taylor, Henriëtte L. de Kock, Suné Donoghue, Andrew Johnson, Chanelle Thompson, Yulia Berezhnaya

PMC · DOI: 10.3390/foods15010014 · Foods · 2025-12-20

## TL;DR

This study explores what influences breakfast choices in South Africa, revealing that health, taste, and affordability are key factors across different ethnic and income groups.

## Contribution

The study provides novel insights into breakfast food drivers in a multiethnic, middle-income country context.

## Key findings

- Quick-and-easy options like bread and RTE cereals are dominant, especially among lower-income respondents.
- Healthfulness and nutritional value were top priorities for choosing 13 out of 21 foods.
- Traditional foods were more commonly consumed by Black respondents.

## Abstract

What people consume for breakfast and why they do so have not been widely studied, especially in developing-economy countries. This study aimed to determine the breakfast food habits and their drivers of adults in South Africa, a multiethnic middle-income country. An online cross-sectional survey was conducted among 1000 representative consumers of moderate to higher living standard (Living Standard Measure [LSM] range ≥ 5). Data from 842 respondents (mean age 41 years, 51.7% females and 48.3% males) was analyzed. Of 21 different food types in descending order, the most frequently consumed were bread, ready-to-eat (RTE) cereals, fruits/nuts, high-fibre cereal, yoghurt, and leftovers, all consumed weekly by 42–65% of respondents. Principal component analysis revealed that three components had eigenvalues > 1 characterized as “On-the-go”, “Traditional”, and “Ready-to-eat and functional cereals”. They explained 49% of the data. Decision tree analysis revealed that, for example, Black respondents were more likely to consume foods in the “traditional” category. Quick-and-easy options, notably bread, RTE cereals, fruits/nuts, and leftovers, were dominant, especially among lower LSM respondents. Tasty and filling, and value for money, as exemplified by leftovers and vetkoek (fried dough), were important considerations, particularly among these respondents. These drivers can lead to unhealthy choices, a major concern in South Africa with its high level of diet-related diseases. This study, however, indicates that South African consumers, irrespective of age, ethnicity, and living standard, rated healthfulness and nutritional value highly as a benefit, the highest for choosing 13 of the 21 foods. Additionally, aspects of wellness, e.g., feeling energized/recharged, rated very highly. Thus, it is concluded that the opportunity exists to support consumer needs of nutrition and wellness together with affordability, taste, and satiety.

## Full-text entities

- **Genes:** PCSK1 (proprotein convertase subtilisin/kexin type 1) [NCBI Gene 5122] {aka BMIQ12, NEC1, PC1, PC1/3, PC3, SPC3}, INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, PKD2 (polycystin 2, transient receptor potential cation channel) [NCBI Gene 5311] {aka APKD2, PC2, PKD4, Pc-2, TRPP2}
- **Diseases:** fatigue (MESH:D005221), constipation (MESH:D003248), obesity (MESH:D009765), diabetes (MESH:D003920), undernutrition (MESH:D044342), hypertension (MESH:D006973), injury to (MESH:D014947)
- **Chemicals:** cholesterol (MESH:D002784), water (MESH:D014867), carbohydrates (MESH:D002241), sugar (MESH:D000073893), fat (MESH:D005223), Bran (-)
- **Species:** Human immunodeficiency virus 1 (no rank) [taxon 11676], Sorghum bicolor (broomcorn, species) [taxon 4558], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

57 references — full list in the complete paper: https://tomesphere.com/paper/PMC12786268/full.md

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Source: https://tomesphere.com/paper/PMC12786268