scholarly journals Sugar-Sweetened Beverages Perceived as Healthier Than Soda Among Young Adults and Groups at Risk for Misperceptions (P04-186-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Emily Roberts ◽  
Sarah Solar ◽  
Jennifer Falbe

Abstract Objectives To reduce sugar-sweetened beverage (SSB) consumption, public health campaigns have focused on soda. However, intake of other SSBs has increased, perhaps due to perceptions that they are healthier. Thus, we sought to examine differences in health perceptions between soda and four types of SSBs among young adults and determine if socioeconomic characteristics were associated with perceptions. Methods In a cross-sectional study, 1339 undergraduate students from three universities participated in an online survey in August-November of 2018. Items used 7-point Likert scales to assess 1) perceived healthfulness of daily consumption of soda, sweetened tea, Vitamin Water, fruit-flavored drinks and sports drinks and 2) agreement or disagreement that these beverages increase risk of diabetes. Surveys also assessed demographic characteristics and food insecurity as a proxy for socioeconomic status. Analyses used Chi-square tests with dichotomized outcomes and linear regression models adjusting for race/ethnicity, university, gender and age. Results Students were more likely to perceive daily consumption of fruit-flavored drinks, sweetened tea, sports drinks, and Vitamin Water as healthy compared to soda (9%, 5%, 6%, and 14% vs. 2%, respectively, all P-values < 0.05) and were less likely to agree that these SSBs increase risk of diabetes compared to soda (67%, 67%, 61%, and 46% vs. 95%, respectively, all P-values < 0.001). Food insecure students rated all SSBs (except Vitamin Water) as healthier than did food secure students (P-values < 0.05). Food insecure students were also less likely than food secure students to agree that soda and Vitamin Water increase risk for diabetes (P-values < 0.05). Conclusions To reduce SSB consumption, public health policies and programs should focus on all types of SSBs, not just soda. Policies like SSB warning labels, which apply to all SSBs, may help correct misperceptions of SSB healthfulness and potentially reduce health disparities. Funding Sources Research reported in this publication was supported by the National Institute Of Diabetes And Digestive And Kidney Diseases of the National Institutes of Health and the United States Department of Agriculture National Institute of Food and Agriculture. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or USDA.

10.2196/23000 ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. e23000
Author(s):  
Lauren Maytin ◽  
Jason Maytin ◽  
Priya Agarwal ◽  
Anna Krenitsky ◽  
JoAnn Krenitsky ◽  
...  

Background COVID-19 is an international health crisis of particular concern in the United States, which saw surges of infections with the lifting of lockdowns and relaxed social distancing. Young adults have proven to be a critical factor for COVID-19 transmission and are an important target of the efforts to contain the pandemic. Scalable digital public health technologies could be deployed to reduce COVID-19 transmission, but their use depends on the willingness of young adults to participate in surveillance. Objective The aim of this study is to determine the attitudes of young adults regarding COVID-19 digital surveillance, including which aspects they would accept and which they would not, as well as to determine factors that may be associated with their willingness to participate in digital surveillance. Methods We conducted an anonymous online survey of young adults aged 18-24 years throughout the United States in June 2020. The questionnaire contained predominantly closed-ended response options with one open-ended question. Descriptive statistics were applied to the data. Results Of 513 young adult respondents, 383 (74.7%) agreed that COVID-19 represents a public health crisis. However, only 231 (45.1%) agreed to actively share their COVID-19 status or symptoms for monitoring and only 171 (33.4%) reported a willingness to allow access to their cell phone for passive location tracking or contact tracing. Conclusions Despite largely agreeing that COVID-19 represents a serious public health risk, the majority of young adults sampled were reluctant to participate in digital monitoring to manage the pandemic. This was true for both commonly used methods of public health surveillance (such as contact tracing) and novel methods designed to facilitate a return to normal (such as frequent symptom checking through digital apps). This is a potential obstacle to ongoing containment measures (many of which rely on widespread surveillance) and may reflect a need for greater education on the benefits of public health digital surveillance for young adults.


2020 ◽  
Author(s):  
Lauren Maytin ◽  
Jason Maytin ◽  
Priya Agarwal ◽  
Anna Krenitsky ◽  
JoAnn Krenitsky ◽  
...  

BACKGROUND COVID-19 is an international health crisis of particular concern in the United States, which saw surges of infections with the lifting of lockdowns and relaxed social distancing. Young adults have proven to be a critical factor for COVID-19 transmission and are an important target of the efforts to contain the pandemic. Scalable digital public health technologies could be deployed to reduce COVID-19 transmission, but their use depends on the willingness of young adults to participate in surveillance. OBJECTIVE The aim of this study is to determine the attitudes of young adults regarding COVID-19 digital surveillance, including which aspects they would accept and which they would not, as well as to determine factors that may be associated with their willingness to participate in digital surveillance. METHODS We conducted an anonymous online survey of young adults aged 18-24 years throughout the United States in June 2020. The questionnaire contained predominantly closed-ended response options with one open-ended question. Descriptive statistics were applied to the data. RESULTS Of 513 young adult respondents, 383 (74.7%) agreed that COVID-19 represents a public health crisis. However, only 231 (45.1%) agreed to actively share their COVID-19 status or symptoms for monitoring and only 171 (33.4%) reported a willingness to allow access to their cell phone for passive location tracking or contact tracing. CONCLUSIONS Despite largely agreeing that COVID-19 represents a serious public health risk, the majority of young adults sampled were reluctant to participate in digital monitoring to manage the pandemic. This was true for both commonly used methods of public health surveillance (such as contact tracing) and novel methods designed to facilitate a return to normal (such as frequent symptom checking through digital apps). This is a potential obstacle to ongoing containment measures (many of which rely on widespread surveillance) and may reflect a need for greater education on the benefits of public health digital surveillance for young adults.


2021 ◽  
pp. e1-e9
Author(s):  
Jennifer M. Kreslake ◽  
Bethany J. Simard ◽  
Katie M. O’Connor ◽  
Minal Patel ◽  
Donna M. Vallone ◽  
...  

Objectives. To determine whether the COVID-19 pandemic affected e-cigarette use among young people in the United States. Methods. Data came from a weekly cross-sectional online survey of youths and young adults (aged 15–24 years). Logistic regression analyses measured odds of past-30-day e-cigarette use (n = 5752) following widespread stay-at-home directives (March 14–June 29, 2020), compared with the pre‒COVID-19 period (January 1–March 13, 2020). Logistic regression among a subsample of current e-cigarette users (n = 779) examined factors associated with reduced use following stay-at-home orders. Results. Odds of current e-cigarette use were significantly lower during the COVID-19 pandemic compared with the pre‒COVID-19 period among youths aged 15 to 17 years (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.54, 0.96) and young adults aged 18 to 20 years (OR = 0.65; 95% CI = 0.52, 0.81). E-cigarette users with reduced access to retail environments had higher odds of reporting reduced e-cigarette use (OR = 1.51; 95% CI = 1.07, 2.14). Conclusions. COVID-19 stay-at-home directives present barriers to e-cigarette access and are associated with a decline in e-cigarette use among young people. Public Health Implications. Findings support the urgent implementation of interventions that reduce underage access to e-cigarettes to accelerate a downward trajectory of youth and young adult e-cigarette use. (Am J Public Health. Published online ahead of print April 15, 2021: e1–e9. https://doi.org/10.2105/AJPH.2021.306210 )


2021 ◽  
pp. 237337992110336
Author(s):  
Bree L. Hemingway ◽  
Sarah Douville ◽  
Leslie A. Fierro

Objective. This study aimed to understand the extent to which master of public health (MPH) graduates engage in evaluation on the job, to learn how MPH graduates implement evaluation, and to hear from MPH graduates about how their academic training prepared them for the evaluation work they perform. Methods. Using the Centers for Disease Control and Prevention’s Evaluation Framework, this convergent mixed-methods study included an online survey with 89 public health practitioners and follow-up interviews with 17 survey respondents. The study was performed in the United States during summer 2020. Results. In addition to participating in evaluation activities related to all six Centers for Disease Control and Prevention framework steps, MPH graduates engage in evaluation capacity building, evaluating for health equity and social justice, and funding activities. Participants noted a disconnect between academic preparation and community practice, were least confident in focusing the evaluation design, and most often used surveys to collect data. Conclusions. Public health practitioners commonly engage in evaluation activities but do not feel fully prepared to do so given their MPH training. Many opportunities exist to enhance graduate/postgraduate training through connecting public health with the broader professional practice of evaluation.


2020 ◽  
pp. 237337992095656
Author(s):  
Katherine J. Johnson ◽  
Becky Corran ◽  
Andrea Salis ◽  
Anuradha Srivastava ◽  
Lillian U. Smith ◽  
...  

The role of community colleges in training public health professionals is of growing importance to the continuum of public health education. Some 5 years have passed since the Framing the Future initiative outlined curricular models at community colleges, and colleges deploying these models are serving as learning sites for public health education at community colleges. While past research has focused on capturing insights from community college executives and program administrators, this study captures perspectives from teaching faculty. Drawing on a national sample of teaching faculty at community colleges and universities accepting transfer students throughout the United States, an online survey of teaching faculty affiliated with public health programs was coupled with follow-up interviews. This study characterizes the nature and scope of public health programming in community colleges and transfer settings, and highlights associated challenges and opportunities as public health becomes further integrated into health professions pathways in 2-year settings and beyond.


2006 ◽  
Vol 95 (5) ◽  
pp. 989-995 ◽  
Author(s):  
Maria Kapiszewska ◽  
Malgorzata Miskiewicz ◽  
Peter T. Ellison ◽  
Inger Thune ◽  
Grazyna Jasienska

We hypothesized that among reproductive-age women consuming large quantities of tea, the production of estradiol would be suppressed. It has been shown that catechins and theaflavines, the major constituents of tea, inhibit aromatase, an enzyme which catalyses the conversion of androgens to oestrogens. Our study included Polish women living in urban (n 61) and rural (n 48) areas. Women collected daily saliva samples for one complete menstrual cycle and filled out dietary questionnaires. Saliva samples were analysed by RIA for concentration of 17β-estradiol (E2). Women with high (above the median) average daily consumption of black tea had reduced levels of salivary E2 in comparison with women who drank less black tea (below the median). This effect was observed within the whole study group, as well as separately within urban (P=0·0006) and rural (P=0·013) groups. High intake of the sum of subclasses of tea catechins and epigallocatechin gallate, assessed using the United States Department of Agriculture database (http://www.nal.usda.gov), was also associated with lower concentrations of E2 within all women (P=0·01 and P=0·0001, respectively) and within the urban group (P=0·0001 and P0·004, respectively). Similar relationships were observed between the sum of subclasses of theaflavines and thearubigines and E2 levels for the whole group (P=0·002) and for urban women (P=0·02). Women with high consumption of tea had lower levels of E2 concentration throughout the entire menstrual cycle. These results may have implications for reducing hormone-related cancer risk by a relatively easy dietary intervention.


2012 ◽  
Vol 1 (1) ◽  
pp. 12 ◽  
Author(s):  
Jenine K. Harris ◽  
Bobbi J. Carothers ◽  
Lana M. Wald ◽  
Sarah C. Shelton ◽  
Scott J. Leischow

<em>Background</em>. In public health, interpersonal influence has been identified as an important factor in the spread of health information, and in understanding and changing health behaviors. However, little is known about influence in public health leadership. Influence is important in leadership settings, where public health professionals contribute to national policy and practice agendas. Drawing on social theory and recent advances in statistical network modeling, we examined influence in a network of tobacco control leaders at the United States Department of Health and Human Services (DHHS). <em>Design and Methods.</em> Fifty-four tobacco control leaders across all 11 agencies in the DHHS were identified; 49 (91%) responded to a web-based survey. Participants were asked about communication with other tobacco control leaders, who influenced their work, and general job characteristics. Exponential random graph modeling was used to develop a network model of influence accounting for characteristics of individuals, their relationships, and global network structures. <em>Results</em>. Higher job ranks, more experience in tobacco control, and more time devoted to tobacco control each week increased the likelihood of influence nomination, as did more frequent communication between network members. Being in the same agency and working the same number of hours per week were positively associated with mutual influence nominations. Controlling for these characteristics, the network also exhibited patterns associated with influential clusters of network members. <em>Conclusions</em>. Findings from this unique study provide a perspective on influence within a government agency that both helps to understand decision-making and also can serve to inform organizational efforts that allow for more effective structuring of leadership.


2021 ◽  
Author(s):  
William J Young ◽  
Michelle Bover Manderski ◽  
Ollie Ganz ◽  
Cristine D Delnevo ◽  
Mary Hrywna

BACKGROUND Compared to heterosexuals, sexual minorities in the United States experience a higher incidence of negative physical and mental health outcomes. However, a variety of measurement challenges limit researchers’ ability to conduct meaningful survey research to understand these disparities. Many national health surveys only offer respondents three substantive options for reporting their sexual identities (straight/heterosexual, gay or lesbian, and bisexual) despite the prevalence of additional identities, which could lead to measurement error via misreporting and item non-response. OBJECTIVE This study compared the traditional three-option approach to measuring sexual identity with an expanded approach that offered respondents five additional options. METHODS An online survey experiment conducted among New Jersey residents between March and June 2021 randomly assigned 1,258 young adults (ages 18-21) to answer either the three-response measure of sexual identity or the expanded item. Response distributions for each measure were compared as were the odds of item non-response. RESULTS The expanded version of the question appeared to result in more accurate reporting among some subgroups and induced less item non-response. Twelve percent of participants answering the expanded version of the question selected a response that was not available in the shorter version. Females answering the expanded item were less likely to identify as gay or lesbian (2% vs.7%). Females and Non-Hispanic whites were slightly more likely to skip the shorter item (1% vs. 0%). Five percent of respondents answering the longer item were unsure of their sexual identity (a similar option was not available in the shorter version). Compared to respondents answering the longer version of the question, those answering the shorter version had substantially greater odds of skipping the question altogether (Odds Ratio 9.57, 95% CI 1.21-75.73, P=.03). CONCLUSIONS Results favor the use of a longer, more detailed approach to measuring sexual identity in epidemiological research. Such a measure will likely allow researchers to produce more accurate estimates of health behaviors and outcomes among sexual minorities.


1994 ◽  
Vol 11 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Brian Oldenburg

Last (1983) defines public health as: the efforts organised by society to protect, promote and restore the public's health. It is the combination of sciences, skills and beliefs that are directed to the maintenance and improvement of the health of all people through collective or social actions. The programs, services and institutions involved emphasise the prevention of disease and the health needs of the population as a whole. Public health activities change with changing technology and values, but the goals remain the same: to reduce the amount of disease, premature death and disability in the population. (p.45)Recommended goals and targets for addressing national public health problems and directed at reducing the amount of death and premature death have been proposed in many countries over the past 10 years, including the United States of America (United States Department of Health and Human Services, 1990), the United Kingdom (Department of Health, 1992), Canada (Ontario Premiers' Council on Health, 1987) and Australia (Nutbeam, Wise, Bauman, Harris, & Leeder, 1993). In Australia for example, over the past 2 years, much attention has been directed at health outcomes related to cardiovascular disease, cancers, accidents and injuries and mental health. All of these reports have emphasised the importance of changing those lifestyle and related risk factors associated with preventable causes of death. Priority lifestyle areas that have been identified include physical inactivity, diet and nutrition, smoking, alcohol and other drug use, safety behaviours, sun protective behaviours, appropriate use of medicines, immunisation, sexuality and reproductive health, oral hygiene, and mental health. Priority populations and appropriate settings for intervening in these areas have also been identified.


Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 311
Author(s):  
Xin Yu Yang ◽  
Rui Ning Gong ◽  
Samuel Sassine ◽  
Maxime Morsa ◽  
Alexandra Sonia Tchogna ◽  
...  

To explore factors influencing adolescents and young adults’ (AYAs) risk perception of COVID-19 and adherence to public health measures, we conducted a cross-sectional online survey of AYAs (14–22 years old) from Quebec (Canada) recruited through school and community partners in April 2020 during the first wave of the COVID-19 pandemic. The study included 3037 participants (mean age = 17.7 years, 74.6% female). AYAs had higher mean (standard deviation (SD)) risk perception of COVID-19 for their relatives (8.2 (1.9)) than for themselves (5.6 (2.6)) (p < 0.001). Factors associated with higher risk perception included higher disease knowledge (adjusted odds ratio (aOR) 1.06, 95% CI 1.01–1.11), presence of chronic disease (aOR 2.31, 95%CI 1.82–2.93) and use of immunosuppressants (aOR 2.53, 95%CI 1.67–3.87). AYAs with a higher risk perception (aOR 1.06, 95%CI 1.02–1.10) those wishing to help flatten the disease curve (aOR 1.18, 95%CI 1.12–1.25) or to protect their family/friends (aOR 1.14, 95%CI 1.05–1.24) were more likely to engage in preventive behaviors. Self-perceived risk and desire to protect others were significantly associated with adherence to preventive measures among youth. These findings may help inform public health messaging to AYAs in the current and future pandemics.


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