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Balancing nutrition, ethics, and sustainability about dairy: UK consumers’ knowledge, attitudes, practice, and intended choices

Published online by Cambridge University Press:  07 July 2026

Hattie Bracey
Affiliation:
Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
Michael Barnard
Affiliation:
Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK Aspens Services Ltd., Worcester, UK
Solveig Mendowski
Affiliation:
Valorex, La Messayais, France
Jérémie Renaud
Affiliation:
Bleu-Blanc-Coeur, Rennes, France
Stuart R. Gray
Affiliation:
School of Cardiovascular and Metabolic Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
Emilie Combet*
Affiliation:
Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
*
Corresponding author: Emilie Combet; Email: emilie.combetaspray@glasgow.ac.uk

Abstract

Content of image described in text.

Milk is nutritionally rich, but its production poses ethical and environmental concerns. Farming practices can influence milk’s nutritional quality and improve its sustainability, creating opportunities for innovation. This study explores consumer willingness to adopt improved products and the interrelationships of knowledge and attitudes towards the dairy industry in relation to purchasing and consumption. We conducted an online survey of UK adults from November 2021 to March 2022, covering knowledge and attitudes towards dairy, dairy consumption, likelihood to purchase improved milk, and socio-demographics. Participants were classified as low or high dairy consumers based on their intake: below or above 1.81 dairy portions per day. Of the 706 dairy consumers who completed the survey, 47% reported consuming ≥1.81 portions of dairy products daily. High dairy consumption predicted more positive attitudes towards dairy farmers than lower consumption. Conversely, low consumption was associated with greater concern for animal welfare and the environmental implications of dairy (p < 0.001). Price was the most important consideration when purchasing milk habitually; however, when presented with four different descriptions of milk, 41% of participants said they would definitely or very probably buy the product with improved trade, welfare, and sustainability standards, despite this product having the highest price per litre. Balancing the nutritional value of cows’ milk with the environmental consequences and ethical concerns of its production is a critical part of the debate to foster a food system that supports planetary and human health. Altering production methods and improving products can be part of the food system transformation.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society
Figure 0

Table 1. Packaging descriptions for different milk productsTable 1 long description.

Figure 1

Table 2. Variables contributing to attitude scoringTable 2 long description.

Figure 2

Table 3. Respondent characteristics stratified by daily dairy consumptionTable 3 long description.

Figure 3

Figure 1. Figure 1 long description.Dairy consumption and purchasing habits of survey respondents. (A) Consumption frequency of different types of milk, including plant-based alternatives. (B) Milk purchasing habits – milk type. (C) Frequency of purchasing other dairy products. (D) Considerations for habitual purchasing of dairy products. (E and F) Purchasing habits – shop type.

Figure 4

Figure 2. Figure 2 long description.Cumulative scores, shown as percentages, calculated using responses to Likert-type questions (e.g. 1 – strongly disagree; 5 – strongly agree) relating to the four domains: food security, animal welfare, dairy as nutritious products, and sustainability of dairy production). Higher scores indicate more positive attitudes. Where necessary, responses were reverse coded, for example, Q15.2 ‘The dairy industry in the UK is a major source of nitrogen emissions’, ‘strongly disagree’ scored 5. Responses stratified by consumption (high ≥ 1.81 portions/d; low < 1.81 portions/d). Higher scores indicate a more positive attitude.

Figure 5

Figure 3. Figure 3 long description.Words used by consumers to describe (A) Dairy products (B) The dairy industry.

Figure 6

Figure 4. Figure 4 long description.Responses to full profile conjoint analysis, (A) Participant likelihood to purchase milk products with different attributes presented on their packaging. (B) Ranked importance (1–7) of factors affecting the likelihood of buying the different milk products.

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