Athena Roesler1, Nadia Rojas2, Jennifer Falbe3. 1. Department of Human Ecology, University of California Davis, Davis, CA. 2. Changelab Solution, Oakland, CA. 3. Department of Human Ecology, University of California Davis, Davis, CA. Electronic address: jfalbe@ucdavis.edu.
Abstract
OBJECTIVE: To examine the association between sugar-sweetened beverage (SSB) perceptions-knowledge, attitudes, and norms and media literacy-and beverage consumption, and to identify differences in beverage consumption and SSB perceptions by race/ethnicity and socioeconomic status. DESIGN: Cross-sectional. SETTING: Diverse California school district. PARTICIPANTS: A total of 992 fifth-grade (elementary), seventh-grade (middle), and ninth-12th-grade (high school) students. MAIN OUTCOME MEASURES: Questionnaire-assessed continuous beverage consumption and perceptions. ANALYSIS: Linear regression adjusting for school, grade, gender, race/ethnicity, and free and reduced-price meal (FRPM) eligibility. RESULTS: Knowledge, attitudes, and norms, and media literacy items were associated with SSB consumption in expected directions (P < 0.05). Among elementary students, FRPM-eligible and Black students had higher SSB consumption (P < 0.01). In middle/high school, non-Hispanic White students consumed fewer SSBs than all other racial/ethnic groups (P < 0.01). There were differences in SSB-related perceptions by race/ethnicity and socioeconomic status (eg, Black students perceived sugary drinks as less unhealthy); Black, Hispanic, and FRPM-eligible students expressed less distrust of food/beverage advertisements; and Black, Hispanic, Asian, multirace, and FRPM-eligible students perceived more frequent SSB consumption among their peers (P < 0.05). CONCLUSIONS AND IMPLICATIONS: Sugar-sweetened beverage perceptions were associated with SSB consumption. There were racial/ethnic and socioeconomic disparities in SSB consumption and perceptions. Sugar-sweetened beverage perceptions and related social and commercial determinants like marketing may be useful targets for reducing SSB consumption.
OBJECTIVE: To examine the association between sugar-sweetened beverage (SSB) perceptions-knowledge, attitudes, and norms and media literacy-and beverage consumption, and to identify differences in beverage consumption and SSB perceptions by race/ethnicity and socioeconomic status. DESIGN: Cross-sectional. SETTING: Diverse California school district. PARTICIPANTS: A total of 992 fifth-grade (elementary), seventh-grade (middle), and ninth-12th-grade (high school) students. MAIN OUTCOME MEASURES: Questionnaire-assessed continuous beverage consumption and perceptions. ANALYSIS: Linear regression adjusting for school, grade, gender, race/ethnicity, and free and reduced-price meal (FRPM) eligibility. RESULTS: Knowledge, attitudes, and norms, and media literacy items were associated with SSB consumption in expected directions (P < 0.05). Among elementary students, FRPM-eligible and Black students had higher SSB consumption (P < 0.01). In middle/high school, non-Hispanic White students consumed fewer SSBs than all other racial/ethnic groups (P < 0.01). There were differences in SSB-related perceptions by race/ethnicity and socioeconomic status (eg, Black students perceived sugary drinks as less unhealthy); Black, Hispanic, and FRPM-eligible students expressed less distrust of food/beverage advertisements; and Black, Hispanic, Asian, multirace, and FRPM-eligible students perceived more frequent SSB consumption among their peers (P < 0.05). CONCLUSIONS AND IMPLICATIONS: Sugar-sweetened beverage perceptions were associated with SSB consumption. There were racial/ethnic and socioeconomic disparities in SSB consumption and perceptions. Sugar-sweetened beverage perceptions and related social and commercial determinants like marketing may be useful targets for reducing SSB consumption.
Authors: Emma J Boyland; Sarah Nolan; Bridget Kelly; Catrin Tudur-Smith; Andrew Jones; Jason Cg Halford; Eric Robinson Journal: Am J Clin Nutr Date: 2016-01-20 Impact factor: 7.045
Authors: Jennifer Falbe; Justin S White; Desiree M Sigala; Anna H Grummon; Sarah E Solar; Lisa M Powell Journal: Nutrients Date: 2021-11-22 Impact factor: 5.717