scholarly journals Missed Opportunities: The Need to Promote Public Knowledge and Awareness of Sugar-Sweetened Beverage Taxes

2021 ◽  
Vol 18 (9) ◽  
pp. 4607
Author(s):  
Emily A. Altman ◽  
Kristine A. Madsen ◽  
Laura A. Schmidt
Keyword(s):  
San Francisco ◽  
Correct Recall ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Before And After ◽  
Education Levels ◽  
Missed Opportunity

Despite a growing body of evidence showing that sugar-sweetened beverage (SSB) taxes nudge consumers away from SSBs, we lack an understanding of people’s awareness and perceptions of SSB taxes and whether tax awareness and perceptions differ based on sociodemographic characteristics. We used serial cross-sectional study intercept surveys (n = 2715) in demographically diverse neighborhoods of Berkeley and Oakland in 2015 and 2017, and San Francisco and Richmond in 2017. In the year following successful SSB tax ballot measures, 45% of respondents correctly recalled that an SSB tax had passed in their city. In untaxed cities, 14% of respondents incorrectly thought that a tax had passed. Perceived benefits of SSB taxes to the community and to children’s health were moderate and, like correct recall of an SSB tax, were higher among respondents with higher education levels. Awareness of SSB taxes was low overall, and perceptions about taxes’ benefits varied by educational attainment, reflecting a missed opportunity to educate citizens about how SSB taxes work and their importance. Public health efforts should invest in campaigns that explain the benefits of SSB taxes and provide information about how tax revenues will be invested, both before and after a tax proposal has passed.

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 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 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.

scholarly journals Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study

2019 ◽  
Vol 16 (24) ◽  
pp. 4984 ◽  
Author(s):  
Ting-Ti Lin ◽  
Yue Leon Guo ◽  
Christopher Gordon ◽  
Elizabeth Cayanan ◽  
Yi-Chuan Chen ◽  
...  
Keyword(s):  
Occupational Stress ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Asian Countries ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
Binomial Regression ◽  
Obesity Interventions

Background: High occupational stress has been associated with altered eating behaviors and obesity. Occupational stress is reported to be high in Asian countries. Furthermore, many Asian countries are increasingly consuming Western-type foods (e.g., incorporating drinks with meals) which collectively may also be contributing to obesity. Therefore, the aim of this study was to examine (a) associations between sugar-sweetened beverage (SSB) consumption as meal replacement and obesity and (b) associations between workload and substituting meals with SSB in nurses. Methods: A representative sample of 854 hospital-based nurses completed a structured questionnaire about SSB consumption, workload, and body mass index (BMI). Log binomial regression models were employed to test associations between SSBs and obesity rates and associations between workload and SSBs. Results: Most participants (57.6%) consumed SSBs as meal replacements during work. This was related to high workloads during shifts. Substituting SSBs for meals was significantly associated with increased likelihood of obesity (aPRR = 1.4, 95% CI (1.1, 1.7)). Workload was positively associated with SSB intake as meal substitutes (aPRR = 1.4, 95% CI (1.2, 1.6)). Conclusions: Our findings show that SSBs are used as meal substitutes and is due to the workload demands. Sugar-sweetened beverage consumption is also positively associated with the increased likelihood of obesity. Interventions that modify workloads and decrease SSB consumption may improve workers’ eating behaviors and health.

scholarly journals Sugar-Sweetened Beverage Consumption and Associated Factors in School-Going Adolescents of New Caledonia

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 452 ◽  
Author(s):  
Guillaume Wattelez ◽  
Stéphane Frayon ◽  
Yolande Cavaloc ◽  
Sophie Cherrier ◽  
Yannick Lerrant ◽  
...  
Keyword(s):  
Public Schools ◽  
Energy Expenditure ◽  
New Caledonia ◽  
Weight Perception ◽  
Cross Sectional Study ◽  
Living Environment ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Unit Energy

This cross-sectional study assessed sugar-sweetened beverage (SSB) consumption and its associations with the sociodemographic and physical characteristics, behavior and knowledge of New Caledonian adolescents. The survey data of 447 adolescents from ages 11 to 16 years were collected in five secondary public schools of New Caledonia between July 2015 and April 2016. These data included measured height and weight, SSB consumption, sociodemographic characteristics, body weight perception, physical activity, and knowledge (sugar quantity/SSB unit; energy expenditure required to eliminate a unit) and opinions about the SSB‒weight gain relationship. Ninety percent of these adolescents declared regularly drinking SSBs. Quantities were associated with living environment (1.94 L·week−1 in urban environment vs. 4.49 L·week−1 in rural environment, p = 0.001), ethnic community (4.77 L·week−1 in Melanesians vs. 2.46 L·week−1 in Caucasians, p < 0.001) and knowledge about energy expenditure (6.22 L·week−1 in unknowledgeable adolescents vs. 4.26 L·week−1 in adolescents who underestimated, 3.73 L·week−1 in adolescents who overestimated, and 3.64 L·week−1 in adolescents who correctly responded on the energy expenditure required to eliminate an SSB unit, p = 0.033). To conclude, community-based health promotion strategies should (1) focus on the physical effort needed to negate SSB consumption rather than the nutritional energy from SSB units and (2) highlight how to achieve sustainable lifestyles and provide tools for greater understanding and positive action.

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.

Factors Associated With Frequency of Sugar-Sweetened Beverage Consumption Among US Adults With Diabetes or Prediabetes

2017 ◽  
Vol 32 (7) ◽  
pp. 1489-1497 ◽  
Author(s):  
Fang Xu ◽  
Sohyun Park ◽  
Karen R. Siegel
Keyword(s):  
Blood Sugar ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Behavioral Characteristics ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Median Response ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Median Response Rate

Purpose: This study assessed the associations between sociodemographic and behavioral characteristics and sugar-sweetened beverage (SSB) intake among US adults with diabetes or prediabetes. Design: Quantitative, cross-sectional study. Setting: The 2013 Behavioral Risk Factor Surveillance System. Participants: A total of 13 268 adults with diabetes and 9330 adults with prediabetes (median response rate: 46.8%). Measures: The outcome measure was SSB intake (0, >0 to <1, and ≥1 time/day). The exposure measures were sociodemographic and behavioral characteristics. Analysis: Both crude and age-adjusted prevalences were calculated. Multinomial logistic regressions were used to estimate the adjusted prevalence ratio (PR) for SSB intake by participants’ characteristics. Results: In 2013, 22.0% adults with diabetes and 38.2% adults with prediabetes consumed SSBs ≥1 time/day. Among adults with diabetes, adjusted PR for consuming SSBs ≥1 time/day was significantly greater for those who had shorter duration of diabetes (≤5 years: PR = 1.47; 6-10 years: PR = 1.33 vs ≥11 years), less frequently self-checking blood sugar (≥0 to <1 time/day: PR = 1.69; ≥1 to <3 times/day: PR = 1.43 vs ≥3 times/day), and no self-management of diabetes course taken (PR = 1.25 vs yes). Among adults with prediabetes, testing blood sugar ≤3 years was not associated with consuming SSBs ≥1 time/day. Conclusion: Daily SSB intake was associated with various characteristics among adults with diabetes or prediabetes. The findings can inform efforts to decrease SSB intake among high-risk populations.

Association of sugar-sweetened beverage intake with risk of metabolic syndrome among children and adolescents in urban China

2020 ◽  
Vol 23 (15) ◽  
pp. 2770-2780
Author(s):  
Shuyi Li ◽  
Muqing Cao ◽  
Chen Yang ◽  
Hao Zheng ◽  
Yanna Zhu
Keyword(s):  
Metabolic Syndrome ◽  
Children And Adolescents ◽  
Abdominal Obesity ◽  
Family Environment ◽  
International Diabetes Federation ◽  
Cross Sectional Study ◽  
Urban China ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage

AbstractObjective:High sugar-sweetened beverage (SSB) intake has been shown to correlate with a higher risk for CVD and metabolic disorders, while the association between SSB intake and the risk of metabolic syndrome (MetS) remains unclear. The present study aimed to explore the association between SSB intake and MetS among children and adolescents in urban China.Design:A cross-sectional study involving 7143 children and adolescents was conducted in urban China. MetS definition proposed by the International Diabetes Federation was adopted. Data on SSB intake, diet, physical activity and family environment factors were obtained through questionnaires. Logistic regression models with multivariable adjustment were adopted to analyse the association between SSB intake and the risk of MetS and its components.Setting:Primary and secondary schools in three urban cities of China.Participants:Children and adolescents (n 5258) aged 7–18 years.Results:Among the participants, 29·9 % of them had high SSB intake (at least 0·3 servings/d) and the overall MetS prevalence was 2·7 %. Participants with high SSB intake were at higher risk for MetS (OR = 1·60; 95 % CI 1·03, 2·54) and abdominal obesity (OR = 1·55; 95 % CI 1·28, 1·83) compared with their counterparts with no SSB intake (0 servings/d).Conclusions:High SSB intake is significantly associated with increased MetS and abdominal obesity risk among children and adolescents in urban China. These results suggest that strong policies focusing on controlling SSB intake might be effective in preventing MetS and abdominal obesity.

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