%0 Journal Article %T Legitimacy of Front-of-Pack Nutrition Labels: Controversy Over the Deployment of the Nutri-Score in Italy %+ Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153) %+ Réseaux Innovation Territoires et Mondialisation (RITM) %+ Hôpital Avicenne [AP-HP] %A Fialon, Morgane %A Nabec, Lydiane %A Julia, Chantal %Z This work was supported by public grants from the French National Cancer Institute [INCa, n° PREV19-017]. %< avec comité de lecture %J International journal of health policy and management %I Kerman University of Medical Sciences %V 11 %N 11 %P 2574–2587 %8 2022-02-20 %D 2022 %R 10.34172/ijhpm.2022.6127 %K Front-of-Pack %K Nutri-Score %K Stakeholder Theory %K Italy %K Legitimacy %Z Life Sciences [q-bio]/Food and NutritionJournal articles %X Background: Front-of-pack nutrition labels (FoPLs) aim at increasing transparency and consumers' awareness of the nutritional composition of pre-packed food products in order to improve the nutritional quality of their food choices. Nevertheless, the legitimacy of the Nutri-Score-the FoPL officially adopted in France and several other European countries-is subject to both technical and political controversy, particularly in Italy. In this study, we investigated how and by whom the legitimacy of the Nutri-Score, recognized by several institutional authorities, could be deconstructed within a specific system of norms, values and beliefs among Italian stakeholders. Methods: A netnography completed with qualitative interviews with eight Italian and French nutrition and public health experts were carried out to highlight the dimensions (pragmatic, normative and cognitive) in which the Nutri-Score's legitimacy is being challenged among the stakeholders involved in FoPLs' implementation in Italy. The degree of influence and the position of these stakeholders on the debate around the Nutri-Score were assessed through the Stakeholder Theory (SHT), using their respective level of power, legitimacy and urgency. Furthermore, we compared the Italian and the French contexts on the issue. Results: The direct implication of political parties and media outlets in framing the Italian debate around Nutri-Score as well as the high influence of corporate unions, led to a different political outcome than in France. Results also show that the deconstruction of the legitimacy of the Nutri-Score in Italy pertained mainly to its pragmatic dimension according to the Italian public health experts. Nevertheless, its two other dimensions (normative and cognitive) are also questioned by high-influence stakeholders. Conclusion: Due to the limited mobilization of scientific expertise over the issue, the debate in Italy stayed centered around the "attack" of the Nutri-Score to the Italian way of life, mixing up concepts such as Made in Italy products and the Mediterranean diet. %G English %2 https://cnam.hal.science/hal-03921107/document %2 https://cnam.hal.science/hal-03921107/file/IJHPM_Volume%2011_Issue%2011_Pages%202574-2587.pdf %L hal-03921107 %U https://cnam.hal.science/hal-03921107 %~ UNIV-PARIS13 %~ CNAM %~ APHP %~ UNIV-PARIS-SACLAY %~ INRAE %~ SORBONNE-PARIS-NORD %~ UNIV-PARIS %~ UNIVERSITE-PARIS %~ UP-SANTE %~ UNIVERSITE-PARIS-SACLAY %~ GS-ECONOMICS-MANAGEMENT %~ RITM %~ CRESS %~ TEST3-HALCNRS %~ HESAM-CNAM %~ HESAM