scholarly journals Kids SIPsmartER Baseline Cross-Sectional Analyses of the Socioecological Impact Variables in Sugar Sweetened Beverage Behaviors among Rural Appalachian Adolescents

2021 ◽  
pp. 1-23
Author(s):  
Brittany A. McCormick ◽  
Kathleen J. Porter ◽  
Wen You ◽  
Maryam Yuhas ◽  
Annie L. Reid ◽  
...  
Keyword(s):  
Health Literacy ◽  
Behavioral Control ◽  
Cross Sectional Study ◽  
Perceived Behavioral Control ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Nonlinear Regression Models ◽  
Sweetened Beverage ◽  
Rural Appalachia ◽  
Caregiver Behaviors

Abstract Objective: The objective of this study was to identify factors across the socioecological model (SEM) associated with adolescents’ sugar-sweetened beverage (SSB) intake. Design: This cross-sectional study surveyed adolescents using previously validated instruments. Analyses included descriptive statistics, ANOVA tests, and stepwise nonlinear regression models (i.e., two-part models) adjusted to be cluster robust. Guided by SEM, a 4-step model was used to identify factors associated with adolescent SSB intake - Step 1: demographics (i.e., age, gender), Step 2: intrapersonal [i.e., Theory of Planned Behavior (attitudes, subjective norms, perceived behavioral control, behavioral intentions), health literacy, media literacy, public health literacy], Step 3: interpersonal (i.e., caregiver’s SSB behaviors, caregiver’s SSB rules), and Step 4: environmental (i.e., home SSB availability) level variables. Setting: Eight middle schools across four rural southwest Virginia counties in Appalachia Participants: 790 7th grade students [55.4% female, 44.6% males, mean age 12 (SD=0.5) years]. Results: Mean SSB intake was 36.3 (SD=42.5) fluid ounces or 433.4 (SD=493.6) calories per day. In the final step of the regression model, seven variables significantly explained adolescent’s SSB consumption: behavioral intention (p < 0.05), affective attitude (p<0.05), perceived behavioral control (p<0.05), health literacy (p<0.001), caregiver behaviors (p<0.05), caregiver rules (p<0.05), and home availability (p<0.001). Conclusions: SSB intake among adolescents in rural Appalachia was nearly three times above national mean. Home environment was the strongest predictor of adolescent SSB intake, followed by caregiver rules, caregiver behaviors, and health literacy. Future interventions targeting these factors may provide the greatest opportunity to improve adolescent SSB intake.

Associations of Health Literacy and Menu-Labeling Usage With Sugar-Sweetened Beverage Intake Among Adults in Mississippi, 2016

2020 ◽  
Vol 34 (8) ◽  
pp. 923-928
Author(s):  
Seung Hee Lee ◽  
Lei Zhang ◽  
Donald L. Rubin ◽  
Sohyun Park
Keyword(s):  
Health Literacy ◽  
Food Chain ◽  
Fast Food ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Behavioral Risk ◽  
Menu Labeling ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage

Purpose: Examine association of health literacy (HL) and menu-labeling (ML) usage with sugar-sweetened beverage (SSB) intake among adults in Mississippi. Design: Quantitative, cross-sectional study. Setting: 2016 Mississippi Behavioral Risk Factor Surveillance System data. Participants: Adults living in Mississippi (n = 4549). Measures: Outcome variable was SSB intake (regular soda, fruit drinks, sweet tea, and sports/energy drinks). Exposure variables were 3 HL questions (find information, understand oral information, and understand written information) and ML usage among adults who eat at fast-food/chain restaurants (user, nonuser, and do not notice ML). Analysis: Multinomial logistic regressions were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for SSB intake ≥1 time/d (reference: 0 times/d) associated with HL and ML. Results: In Mississippi, 46.8% of adults consumed SSB ≥1 time/d, and 26.9% consumed ≥2 times/d. The odds of consuming SSBs ≥1 time/d were higher among adults with lower HL (aOR = 1.7; 95% CI = 1.3-2.2) than those with higher HL. Among adults who ate at fast-food/chain restaurants, the odds of consuming SSBs ≥1 time/d were higher among nonusers of ML (aOR = 2.3; 95% CI = 1.7-3.1) and adults who did not notice ML (aOR = 1.8; 95% CI = 1.3-2.6) than ML users. Conclusion: Adults with lower HL and adults who do not use or notice ML consumed more SSBs in Mississippi. Understanding why lower HL and no ML usage are linked to SSB intake could guide the design of interventions to reduce SSB intake in this population.

Underlying Beliefs Associated With College Student Consumption of Energy Beverages

2017 ◽  
Vol 40 (1) ◽  
pp. 5-19 ◽  
Author(s):  
Janet Thorlton ◽  
William B. Collins
Keyword(s):  
Behavioral Control ◽  
Cross Sectional Study ◽  
Subjective Norms ◽  
Perceived Behavioral Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Dependent Variables ◽  
Consumption Practices ◽  
Components Analysis ◽  
And Performance

College students are heavy consumers of energy beverages, yet further study is needed to better understand determinants of use. The purpose of this cross-sectional study ( N = 283) was to identify beliefs explaining unsafe consumption practices. A principal components analysis revealed three eigenvalues >1 explaining approximately 55% of the variance (health and appearance, performance and fatigue, and recreation and alcohol). Multiple regression analysis explained 75% of the variance for intent to consume. Standardized beta for attitude and subjective norms was p < .001; perceived behavioral control was p < .05. MANOVA was used to determine the effect of gender on eight dependent variables (Wilks’s lambda = 3.78, p < .001). Attitudes and subjective norms influenced the intent to consume energy beverages, particularly in males. Students viewed energy beverages as useful for managing health and appearance and performance and fatigue, and as a way to enhance recreation and alcohol consumption.

scholarly journals Sugar-sweetened beverage consumption and association with weight status in Irish children: a cross-sectional study prior to the introduction of a government tax on sugar-sweetened beverages

2020 ◽  
Vol 23 (12) ◽  
pp. 2234-2244
Author(s):  
Janas M Harrington ◽  
Catherine Perry ◽  
Eimear Keane ◽  
Ivan J Perry
Keyword(s):  
Energy Intake ◽  
Weight Status ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Sectional Study ◽  
Daily Energy Intake ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Daily Energy

AbstractObjective:To provide baseline evidence of sugar-sweetened beverage (SSB) consumption in a sample of Irish children prior to the introduction of the SSB tax; to identify the energy contribution of SSB to daily energy intake; and to explore the association between SSB consumption and overweight/obesity.Design:Cross-sectional study.Setting:Primary schools in Cork, Ireland in 2012.Participants:1075 boys and girls aged 8–11 years. SSB consumption was assessed from 3-d food diaries. BMI was used to define obesity (International Obesity Taskforce definitions). Plausible energy reporters (n 724, 68 % of total sample) were classified using Schofield equation.Results:Eighty-two per cent of children with plausible energy intake consumed SSB. Mean energy intake from SSB was 485 kJ (6 % of total kJ). Mean kilojoules from SSB increased with weight status from 443 kJ for normal-weight children to 648 kJ for children with overweight/obesity (5·8 and 7·6 % of total kJ, respectively). Mean SSB intake was significantly higher in children with overweight/obesity than normal-weight children (383 and 315 ml/d). In adjusted analyses, children consuming >200 ml/d had an 80 % increased odds of overweight/obesity compared to those consuming <200 ml/d (OR 1·8, 95 % CI 1·0, 3·5). Family socioeconomic status and lifestyle determinants, including frequency of takeaway consumption and TV viewing, were also significantly associated with SSB consumption.Conclusions:SSB account for a substantial proportion of daily energy intake and are significantly associated with child overweight/obesity. This study provides baseline data from a sample of children from which the impact of the SSB tax can be benchmarked.

scholarly journals Socio-cognitive Determinants of Plagiarism Intention Among Kermanshah University of Medical Sciences Students: A Cross-sectional Study in 2018

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Cyrus Jalili ◽  
Pedram Rezaei-Zadeh ◽  
Farzad Jalilian
Keyword(s):  
Linear Regression ◽  
University Students ◽  
Behavioral Control ◽  
Cross Sectional Study ◽  
Subjective Norms ◽  
Self Report ◽  
Perceived Behavioral Control ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional

Background: Plagiarism is one of the most common and important misconducts in the educational and research environment. Plagiarism means transcribing the works or ideas of others without authenticating the source and the original author and assigning them to self. Objectives: The current research aimed to investigate the socio-cognitive constructs associated with plagiarism among Kermanshah University of Medical Sciences (KUMS) students using the theory of planned behavior (TPB). Methods: This cross-sectional study was done at KUMS, the west of Iran, among 231 medical university students in 2018, which were selected randomly to participate voluntarily. Students filled out a self-report questionnaire that included the demographics and TPB variables. Data gathered were analyzed by the Statistical Package for Social Sciences (version 16) using a t-test, Pearson correlation, and linear regression. Results: The determinants of attitude, subjective norms (SN), and perceived behavioral control (PBC) accounted for 15% of behavioral intention (BI) to plagiarism. Linear regression showed that SN (beta = 0.229; P = 0.001) and PBC (beta = -0.217; P = 0.001) were the most influential predictors of plagiarism intention. Conclusions: According to the result, it seems that planning programs to increase perceived behavioral control against doing plagiarism and reduce subjective norms encouraging plagiarism may be useful for the prevention and reduction of plagiarism among university students.

scholarly journals Daily Adolescent Sugar-Sweetened Beverage Intake Is Associated With Select Adolescent, Not Parent, Attitudes About Limiting Sugary Drink and Junk Food Intake

2019 ◽  
Vol 34 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Omoye E. Imoisili ◽  
Sohyun Park ◽  
Elizabeth A. Lundeen ◽  
Amy L. Yaroch ◽  
Heidi M. Blanck
Keyword(s):  
Parental Attitudes ◽  
Cross Sectional Study ◽  
Junk Food ◽  
Parent Attitudes ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
No Consumption ◽  
Adolescent Attitudes ◽  
Logistic Regressions

Purpose: To examine associations of adolescent sugar-sweetened beverage (SSB) intake with parent SSB intake and parent and adolescent attitudes about limiting SSB and junk food (SSB/JF) intake. Design: Quantitative, cross-sectional study. Setting: The 2014 Family Life, Activity, Sun, Health, and Eating study. Sample: Parent–adolescent dyads (N = 1555). Measures: The outcome was adolescent SSB intake. Exposure variables were parent SSB intake, sociodemographics, and parent and adolescent attitudes about SSB/JF intake (responses: agree, neither, or disagree). Analysis: Multinomial logistic regressions estimated adjusted odds ratios (aOR) and 95% confidence intervals (CIs). Results: Half (49.5%) of adolescents and 33.7% of parents consumed SSB ≥1 time/day. Parent daily SSB intake was associated with adolescent daily SSB intake (aOR = 8.9; CI = 4.6-17.3) [referent: no consumption]. Adolescents who disagreed on having confidence to limit SSB/JF intake had higher odds of daily SSB intake (aOR = 3.5; CI = 1.8-6.8), as did those who disagreed they felt bad about themselves if they did not limit SSB/JF intake (aOR = 1.9; CI=1.1-3.3), compared to adolescents who agreed with these attitudes. No parental attitudes were significant. Conclusion: Higher odds of daily SSB intake among adolescents was associated with parent SSB intake and adolescent attitudes about confidence in, and feeling bad about, limiting SSB/JF intake. Parent attitudes were not associated with daily adolescent SSB intake. Efforts to reduce adolescent SSB intake could consider strategies geared toward improving adolescent attitudes and dietary behaviors and parental SSB intake.

scholarly journals Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Yoko Shimpuku ◽  
Frida Elikana Madeni ◽  
Shigeko Horiuchi ◽  
Sebalda Charles Leshabari
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Behavioral Control ◽  
Descriptive Analysis ◽  
Family Members ◽  
Cross Sectional Study ◽  
Subjective Norms ◽  
Perceived Behavioral Control ◽  
Cross Sectional Survey ◽  
Cross Sectional

ABSTRACT Objective: women are more likely to give birth at a health facility when their families agree with the birthplace. However, in rural areas of Tanzania, women are often marginalized from decision-making. This study predicted birthplace intention and identified factors to reduce perceptional gaps among pregnant women, husbands and family members. Method: explanatory cross-sectional survey was conducted in three villages in North Eastern Tanzania. Participants were 138 pregnant women and their families who answered the Birth Intention Questionnaire (BIQ), measuring knowledge, attitude, perceived behavioral control, subjective norms and intention for birthplace. Descriptive analysis, ANOVA, Chi-square, and multiple linear regression was used to analyze the data. Results: the regression model showed that knowledge, perceived behavioral control, and subjective norms predicted intention for birthplace (R2 = .28). While 81% of pregnant women thought their husbands were decision-makers for their birth, only 38% of husbands and 37% of family members agreed. Pregnant women had significantly lower scores on the item “I will prepare for childbirth with my family” compared with husbands (p < .01) and other family members (p < .001). Conclusion: providing evidence-based birth preparation and reducing the identified perceptual gaps may enhance women’s intention to deliver at health facilities.

Cognitions About Smoking and Not Smoking in Adolescence

2007 ◽  
Vol 36 (4) ◽  
pp. 660-672 ◽  
Author(s):  
Laura ter Doest ◽  
Arie Dijkstra ◽  
Winifred A. Gebhardt ◽  
Salvatore Vitale
Keyword(s):  
Secondary Students ◽  
Planned Behavior ◽  
Perceived Control ◽  
Behavioral Control ◽  
Explanatory Power ◽  
Smoking Behavior ◽  
Health Risk Behaviors ◽  
Cross Sectional Study ◽  
Perceived Behavioral Control ◽  
Cross Sectional

The theory of planned behavior identifies important proximal determinants of behavior, including attitude toward the behavior, perception of subjective norms exerted by significant others, and perception of perceived control over performance of the behavior. Because research in the planned behavior tradition has focused on desirable target behaviors, it is not clear how these determinants can best be conceptualized to account for adolescents' acquisition of health risk behaviors such as smoking. This cross-sectional study compared the explanatory power of planned behavior constructs assessed in relation to “smoking” and “not smoking” in a sample of 248 Dutch secondary students (aged 12 to 17 years; 56% girls). The results indicated that four variables—attitude toward smoking, perceived subjective norm, and perceived behavioral control over both smoking and not smoking—best explained the adolescents' smoking intentions and smoking behavior. Methodological and practical implications for smoking interventions are discussed.

scholarly journals Impact of Knowledge of Health Conditions on Sugar-Sweetened Beverage Intake Varies Among US Adults

2017 ◽  
Vol 32 (6) ◽  
pp. 1402-1408 ◽  
Author(s):  
Sohyun Park ◽  
Elizabeth A. Lundeen ◽  
Liping Pan ◽  
Heidi M. Blanck
Keyword(s):  
Heart Disease ◽  
Weight Gain ◽  
Cross Sectional Study ◽  
Health Conditions ◽  
High Cholesterol ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Logistic Regression Models ◽  
Adult Behavior ◽  
Sweetened Beverage

Purpose: This study examined associations between knowledge of sugar-sweetened beverage (SSB)-related health conditions and SSB intake among US adults. Design: Quantitative, cross-sectional study. Subject: The 2014 SummerStyles survey data for 4163 US adults (≥18 years) were used. Measures: The outcome measure was frequency of SSB intake (regular soda, fruit drinks, sports or energy drinks, sweetened coffee/tea drinks). Exposure measures were knowledge of 6 SSB-related health conditions: weight gain, diabetes, cavities, high cholesterol, heart disease, and hypertension. Analysis: Six logistic regression models were used to estimate adjusted odds ratios (ORs) for consuming SSBs ≥2 times/d according to knowledge of SSB-related health conditions. Results: Overall, 37.8% of adults reported consuming SSBs ≥2 times/d. Although most adults identified that weight gain (80.2%), diabetes (73.6%), and cavities (71.8%) are related to drinking SSBs, fewer adults identified high cholesterol (24.1%), heart disease (31.5%), and hypertension (33.0%) as being related to drinking SSBs. Crude analyses indicated that lower SSB intake was significantly associated with knowledge of the associations between SSBs and weight gain, diabetes, cavities, and heart disease. However, after adjustment for covariates, only lack of knowledge of the association between heart disease and SSBs was significantly associated with consuming SSBs ≥2 times/d (OR = 1.29) than non-SSB consumers. Conclusions: The finding that knowledge of SSB-related health conditions, in general, was not associated with high SSB intake suggests that knowledge on SSB-related health conditions alone may not be sufficient for adult behavior change.

scholarly journals Public perception and characteristics related to acceptance of the sugar-sweetened beverage taxation launched in France in 2012

2015 ◽  
Vol 18 (14) ◽  
pp. 2679-2688 ◽  
Author(s):  
Chantal Julia ◽  
Caroline Méjean ◽  
Florence Vicari ◽  
Sandrine Péneau ◽  
Serge Hercberg
Keyword(s):  
Public Perception ◽  
Formal Education ◽  
Multinomial Logistic Regression ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
Nationally Representative

AbstractObjectiveIn France, an excise tax on sugar-sweetened beverages was introduced on 1 January 2012. Our objective was to assess perception of this tax as well as the sociodemographic characteristics of its supporters and opponents.DesignCross-sectional study within the Nutrinet-Santé cohort. A sub-sample of 1996 individuals was selected among participants in the Nutrinet-Santé cohort study. Perceptions of the sugar-sweetened beverage tax were assessed via self-administered questionnaires. The sociodemographic and dietary profiles of supporters and opponents of this tax were explored by multinomial logistic regression.SettingNationally representative French sample, 2012.SubjectsAdults aged >18 years (largest sample n 1996).ResultsHalf of the study sample was generally supportive of the tax and 57·7 % perceived it as helpful in improving population health. Participants were more likely to support the tax model if the revenue it generated would be used for health-care system improvement (72·7 %) and if such taxing was associated with a corresponding decrease in the prices of other foodstuffs (71·5 %). Older participants were more likely to support the tax than were their younger counterparts (OR=2·37; 95 % CI 1·60, 3·49 for >65 years v. 26–45 years; P<0·001). Participants with lower educational levels were less likely to support the tax than were those with more formal education (OR=0·31; 95 % CI 0·19, 0·52 for low educational level v. high education level; P<0·001). In our models, sugar-sweetened beverage consumption was not associated with tax perception.ConclusionsThe French sugar-sweetened beverage tax appeared to be favourably perceived by the public. Sociodemographic factors modulated such perceptions and should thus be taken into consideration when drafting future public health measures.

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