Self-reported advertising exposure to sugar-sweetened beverages among US youth

AbstractObjectiveAccording to the Federal Trade Commission, in 2009, the top food category with teen-directed marketing expenditures was sugar-sweetened beverages (SSB). The present study reports on exposure to SSB advertisements using self-report data from adolescents.DesignCross-sectional study design using descriptive statistics to assess self-reported frequency of exposure to SSB advertisements and multivariable logistic regression to examine associations between frequency of SSB advertising exposure and sociodemographic variables.SettingOnline survey conducted at home.SubjectsUS adolescents aged 12–17 years (n 847).ResultsAmong the surveyed adolescents, 42 % to 54 % reported seeing/hearing SSB advertisements ≥1 time/d. Those aged 14–15 years were more likely to report seeing/hearing soda, sports drink and energy drink advertisements ≥1 time/d than 16- to 17-year-olds. Males were more likely to report seeing/hearing sports drink advertising ≥1 time/d than females. Non-Hispanic black adolescents were more likely to report seeing/hearing fruit drink and sports drink advertisements ≥1 time/d than non-Hispanic white adolescents. Adolescents whose parents had high-school education or less were more likely to report seeing/hearing soda, fruit drink and energy drink advertisements ≥1 time/d than adolescents whose parents were college graduates.ConclusionsAlmost half of the adolescents sampled reported daily SSB advertising exposure, with higher exposure among African Americans and adolescents with less educated parents. These data can help inform potential actions that decision makers might take, such as education of adolescents and their caregivers on the potential impact of beverage advertising, especially among groups at higher risk for obesity.

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Abstract P280: Changes in Food Prices Improve Cardiovascular Disease (CVD) Outcomes

Circulation ◽

10.1161/circ.133.suppl_1.p280 ◽

2016 ◽

Vol 133 (suppl_1) ◽

Author(s):

Stephen Sy ◽

Jose Peñalvo ◽

Shafika Abrahams-Gessel ◽

Sartaj Alam ◽

Ankur Pandya ◽

...

Keyword(s):

Fruits And Vegetables ◽

Dietary Habits ◽

Food Group ◽

Food Prices ◽

Cvd Risk ◽

Sugar Sweetened Beverages ◽

Food Category ◽

Cross Sectional ◽

Sweetened Beverages ◽

The U.S

Introduction: Changes in food prices can lead to healthier dietary patterns. Recent meta-analyses suggest the responses differ by food category with respect to impact on disease outcome. Hypothesis: We tested the hypothesis that a 10% subsidy on price of fruits, vegetables and whole grains, and a 10% tax on sugar-sweetened beverages, would have differential effects on CVD mortality, non-fatal MI and stroke, and diabetes over a 5-year period through a 20-year period in the U.S. Methods: We used an individual-based microsimulation CVD risk prediction model of a million adults created from NHANES sample (aged 35+). Model inputs included patient risk factor information, CVD risk equations, and intervention effectiveness data. The baseline cohort was expanded by adding additional groups of 35-year olds annually to produce cross-sectional outcomes from 2015-2035. Results: Using a conservative estimate of population growth, we project that the subsidy-increased consumption of fruits and vegetables would lead to 5- and 20-year reductions of CVD deaths by 8% and 10%, reductions in non-fatal MI by 16% and 18%, and reductions in non-fatal stroke by 25% and 24%, respectively. Subsidy-increased whole grain consumption would have corresponding reductions of 2.5% and 3% for CVD deaths and 9.1% and 9.7% for MI (Table). Tax-induced decreased consumption of sugar sweetened beverages would reduce 5- and 20-year CVD deaths by 0.8% and 1.3%, MI by 2.5% and 2.5%, stroke by 1.8% and 2.3%, and diabetes by 2.6% and 9.8%. Combined these numbers translate to prevention of over 3.5 million CVD deaths and over 4 million combined CVD events by 2035, assuming independent benefits for each food group. Conclusions: Pricing interventions resulting in differential changes in dietary habits can significantly reduce CVD outcomes in the U.S by different amounts. Further research should be done in assessing the cost-effectiveness of applying these price changes, as well as the compliance of the population to maintain healthy dietary habits over the 20-year horizon.

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Association between commercial and traditional sugar-sweetened beverages and measures of adiposity in Costa Rica

Public Health Nutrition ◽

10.1017/s1368980012001000 ◽

2012 ◽

Vol 15 (8) ◽

pp. 1347-1354 ◽

Cited By ~ 10

Author(s):

Jinnie J Rhee ◽

Josiemer Mattei ◽

Hannia Campos

Keyword(s):

Costa Rica ◽

Fruit Juice ◽

Central Valley ◽

Skinfold Thickness ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Waist To Hip Ratio ◽

Sweetened Beverages ◽

Commercial Sugar ◽

Fruit Drink

AbstractObjectiveIncreasing trends in the consumption of commercial sugar-sweetened beverages (SSB) have occurred in parallel with rising levels of obesity in Latin America, but data showing the relationship between these SSB and obesity are limited. The current study examined the association between commercial and traditional SSB and measures of adiposity in Costa Rica.DesignA cross-sectional analysis was conducted in which the exposure, SSB intake, was defined as frequency of daily servings of ‘fresco’ (a traditional home-made beverage), fruit drink (commercially available SSB), soda and fruit juice (made from fruits at home). Multivariate linear regression was used to estimate associations between SSB intake and BMI, waist-to-hip ratio and skinfold thickness.SettingCentral Valley, Costa Rica.SubjectsControls (n 2045) of a case–control study on diet and heart disease in Costa Rica.ResultsFresco, fruit drink, soda and fruit juice were consumed ≥1 time/d by 47 %, 14 %, 4 % and 14 % of the population, respectively. One serving/d of soda, fruit drink and fresco was associated with 0·89, 0·49 and 0·21 kg/m2 higher BMI, respectively (all P < 0·05). Fruit drink (≥1 serving/d) was associated with higher waist-to-hip ratio (P = 0·004), while soda and fresco were associated with higher skinfold thickness (P = 0·02 and 0·01, respectively). Associations with fruit juice intake were modest and not statistically significant. Other factors associated with higher BMI were higher income and less education, smoking and physical inactivity (all P < 0·05).ConclusionsIncreasing intake of commercially available SSB could be in part responsible for the high prevalence of obesity among Hispanic adults.

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Does Dispositional Mindfulness Predict the Development of Grit?

Journal of Individual Differences ◽

10.1027/1614-0001/a000252 ◽

2018 ◽

Vol 39 (2) ◽

pp. 76-87 ◽

Cited By ~ 9

Author(s):

Buaphrao Raphiphatthana ◽

Paul Jose ◽

Karen Salmon

Keyword(s):

Undergraduate Students ◽

Online Survey ◽

Cross Sectional Study ◽

Self Report ◽

Dispositional Mindfulness ◽

Cross Sectional ◽

Report Data ◽

Self Report Data ◽

Acting With Awareness ◽

Mindfulness Facets

Abstract. Grit, that is, perseverance and passion for long-term goals, is a novel construct that has gained attention in recent years ( Duckworth, Peterson, Matthews, & Kelly, 2007 ). To date, little research has been performed with the goal of identifying the antecedents of grit. Thus, in order to fill this gap in the literature, self-report data were collected to examine whether mindfulness, a mindset of being-in-the-present in a nonjudgmental way, plays a role in fostering grittiness. Three hundred and forty-three undergraduate students completed an online survey once in a cross-sectional study, and of these, 74 students completed the survey again 4.5 months later. Although the cross-sectional analyses identified a number of positive associations between mindfulness and grit, the longitudinal analysis revealed that the mindfulness facets of acting with awareness and non-judging were the most important positive predictors of grit 4.5 months later. This set of findings offers implications for future grit interventions.

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Sugar-Sweetened Beverages Consumption and Associated Factors among Northeastern Chinese Children

Nutrients ◽

10.3390/nu13072233 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2233

Author(s):

Xuxiu Zhuang ◽

Yang Liu ◽

Joel Gittelsohn ◽

Emma Lewis ◽

Shenzhi Song ◽

...

Keyword(s):

Normal Weight ◽

Chinese Children ◽

Sugar Sweetened Beverages ◽

Related Factors ◽

Cross Sectional ◽

Time Frequency ◽

Sweetened Beverages ◽

Convenience Stores ◽

Pocket Money ◽

At Home

(1) Background: The present study aimed to investigate the association between home-related factors, community environmental factors, and sugar-sweetened beverages (SSBs) intake among Northeastern Chinese children. (2) Methods: Cross-sectional. Children with complete data were included in the analysis (n = 901). A questionnaire modified according to BEVQ-15 measured the intake of SSBs. Logistic regression was applied to determine the factors associated with the consumption of SSBs. IBM SPSS Statistics 23.0 was applied to perform all statistical analyses. (3) Results: The mean total amount of SSBs consumed on a weekly basis was 2214.04 ± 2188.62 mL. Children’s weekly pocket money, frequency of SSBs purchase, SSBs availability at home, the number of accessible supermarkets, and frequency of weekly visits to convenience stores were all found to be associated with a high intake of SSBs among all children. Among children of normal weight, the findings indicated that weekly pocket money, SSBs availability at home, and number of accessible supermarkets were associated with a high SSBs intake. At the same time, frequency of SSBs purchase, mother’s SSBs intake, and frequency of weekly visits to convenience stores were associated with a high SSBs intake among children with obesity. (4) Conclusions: Given the potential negative health effects of high SSBs intake, it is crucial to pay attention to home-related factors and community environment.

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JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

American Journal of Health Promotion ◽

10.1177/0890117120982408 ◽

2020 ◽

pp. 089011712098240

Author(s):

Kim Pulvers ◽

John B. Correa ◽

Paul Krebs ◽

Omar El Shahawy ◽

Crystal Marez ◽

...

Keyword(s):

College Student ◽

Undergraduate Students ◽

Online Survey ◽

Self Report ◽

Cross Sectional ◽

Quit Attempt ◽

Lower Confidence ◽

Perceived Difficulty ◽

Quit Attempts ◽

History Of

Purpose: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. Design: Cross-sectional study from a self-administered online survey. Setting: Two public southern California universities. Participants: A total of 1,001 undergraduate students completed the survey from February to May 2019. Measures: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. Analysis: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. Results: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). Conclusions: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.

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Development of a health literacy scale for preconception care: a study of the reproductive age population in Japan

BMC Public Health ◽

10.1186/s12889-021-12081-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maiko Suto ◽

Haruhiko Mitsunaga ◽

Yuka Honda ◽

Eri Maeda ◽

Erika Ota ◽

...

Keyword(s):

Health Literacy ◽

Online Survey ◽

Preconception Care ◽

Population Based ◽

Living Environment ◽

Reproductive Age ◽

Self Report ◽

Healthy Weight ◽

Cross Sectional ◽

Behavioral Skills

Abstract Background Preconception care aims to improve both maternal and child health in the short as well as long term, along with providing health benefits to adolescents, women, and men, whether or not they plan to become parents. However, there is limited evidence regarding the effectiveness of interventions for improving preconception health in population-based settings. To accumulate evidence in this field, this study focused on the concept of health literacy, and aimed to develop a self-report health literacy scale in Japanese, focusing on preconception care. Methods We conducted a cross-sectional online survey. Participants were recruited from December 2019 to February 2020 from the registered members of a web-based research company. Participants were Japanese men and women aged 16–49 (n = 2000). A factor analysis was conducted to select both factors and items for health-related behavior and skills (33 initial items were generated), along with an item response theory analysis to examine how the 16 items were related to people’s knowledge of preconception care. Results We developed a 6-factor (including “appropriate medical examinations,” “appropriate diet,” “stress coping,” “healthy weight,” “safe living environment,” and “vaccinations”), 25-item behavior and skills scale, as well as a 13-item knowledge scale, to evaluate participants’ health literacy around preconception care. A shortened version, consisting of 17 items, was also prepared from the 25 items. The reliability coefficients of total scores and each factor of the behavior and skills scale were comparatively high, with weak-to-moderate correlation between behavior and skills and knowledge. Conclusions The new scale will, ideally, provide information on the current state of preconception care health literacy of the general population. In addition, this scale, which consists of both behavioral/skills and knowledge dimensions, should help support the effective implementation of risk assessment programs and interventions aimed at promoting behavioral changes using a population-based approach. Future studies using different question/administration formats for diverse populations, and considering respondents’ opinions on health literacy scales should be effective in improving this scale.

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Depressive Risk among Italian Socioeconomically Disadvantaged Children and Adolescents during Covid-19 Pandemic: A Cross-Sectional Online Survey

10.21203/rs.3.rs-451360/v1 ◽

2021 ◽

Author(s):

Maria Serra ◽

Anna Presicci ◽

Luigi Quaranta ◽

Maria Rosaria Erminia Urbano ◽

Lucia Marzulli ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Children And Adolescents ◽

Low Income ◽

Online Survey ◽

Self Report ◽

Socioeconomically Disadvantaged ◽

Cross Sectional ◽

Disadvantaged Children ◽

Parent Version

Abstract Background Children and adolescents and low-income individuals are considered particularly vulnerable for mental health implications during the current COVID-19 pandemic. Depression is one of the most frequent negative emotional responses during an epidemic outbreak, mainly due to the imposed restriction of social contacts. We aimed to assess depressive symptomatology in a sample of Italian low-income minors and to determine if pandemic-related stressors and pre-existing neuropsychiatric diagnoses would behave as risk factors for depressive symptoms. Methods We performed a cross-sectional study during July 2020, at the end of the Italian first wave of COVID-19 pandemic. We recruited 109 Italian socioeconomically disadvantaged children and adolescents, from 7 to 17 years. We used an online survey to collect socio-demographic and clinical data and information about pandemic-related stressors, and to assess depressive symptoms with the Children’s Depression Inventory 2 (CDI 2), Parent Version (Emotional Problems subscale) and Self-Report Short Form. We performed logistic regression analysis to assess the association between depressive symptoms and potential risk factors for mental health. Results 22% and 14% of participants showed depressive symptoms at the CDI 2 Parent Version and Self-Report, respectively. Participants coming from families experiencing a lack of basic supplies during the pandemic (34.9%) were more expected to show depressive symptoms at CDI 2 Parent Version. Participants with a pre-existing neuropsychiatric diagnosis (26.6%) were more likely to exhibit depressive symptoms measured by CDI 2 Parent Version. Conclusions The results of our study may be representative of a particular group of frail subjects, the socioeconomically disadvantaged children and adolescents, who were more vulnerable to depressive symptoms if they suffered from a paucity of essential supplies during the pandemic or had pre-existing neurodevelopmental disorders. The promotion of educational and child-care programs and activities could be crucial in sustaining the prevention of mental distress in those frail subjects who particularly need support outside the family.

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Abstract P074: Substituting Homemade Fruit Juice for Sugar-Sweetened Beverages is Associated with Lower Odds of Metabolic Syndrome among Hispanic Adults

Circulation ◽

10.1161/circ.125.suppl_10.ap074 ◽

2012 ◽

Vol 125 (suppl_10) ◽

Author(s):

Josiemer Mattei ◽

Vasanti Malik ◽

Frank B Hu ◽

Hannia Campos

Keyword(s):

Metabolic Syndrome ◽

Waist Circumference ◽

Fruit Juice ◽

Prevalence Ratio ◽

Population Based ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Lower Odds ◽

Sweetened Beverages ◽

Ethnic Subgroups

Introduction: Consumption of sugar sweetened beverages (SSB) has been consistently associated with metabolic syndrome (MetS), while results on the role of fruit juice intake are conflicting. Hispanics consume both SSB and traditional fruit-based beverages; however, studies conducted on such ethnic group are scarce. Given the high prevalence of MetS among Hispanics, describing putative contributors to this condition is essential in proposing approaches that may successfully reduce its prevalence and avoid further complications. Hypothesis: We assessed the hypothesis that substituting fruit-based beverages traditionally consumed by Hispanics for SSB may be associated with lower odds of MetS. Methods: To determine the cross-sectional association between beverages consumed by Hispanics, and MetS and its components, data were analyzed in 1,872 Costa Rican adults who served as controls of a population-based case-control study of coronary heart disease. Multivariate adjusted means were calculated for components of MetS by servings (never, <1/week, 2–6/week, ≥1/day) of two traditional fruit-based beverages (‘fresco’ and homemade fruit juice, separately) and two SSB (instant drinks and regular sodas, separately and combined). Prevalence ratio (PR) of MetS was calculated for each beverage, and odds ratio (OR) was calculated by substituting one serving of homemade fruit juice or water for one of SSB. Results: Significant positive trends were observed for increasing servings of instant drinks and combined SSB with plasma triglyceride and waist circumference, and for regular soda with waist circumference (all P -trend<0.001). Increasing servings of homemade fruit juice were associated positively with HDL-C ( P -trend=0.033). Consuming ≥1 serving/day of instant drinks was associated with higher PR of MetS (1.42, 95%CI: 1.11, 1.83) compared to no consumption; similar results were obtained for combined SSB. Substituting one serving of homemade fruit juice for instant drink was associated with 29% (95% CI=7, 47%) lower odds of MetS, and for regular soda with 30% (1, 50%) lower odds. Substituting water for combined SSB was marginally significant (OR=0.86 (0.74, 1.00). Conclusion: In conclusion, reducing consumption of SSB and substituting them with homemade fruit juices in moderation, may be a culturally-appropriate approach to lower metabolic syndrome among Hispanics. Our study provides the groundwork for interventions on beverage intake that aim to prevent MetS and type 2 diabetes in Hispanic ethnic subgroups, and may support current public health efforts on limiting availability and intake of SSB, while substituting with a healthy beverage.

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Can Parenting Practices Moderate the Relationship between Reward Sensitivity and Adolescents’ Consumption of Snacks and Sugar-Sweetened Beverages?

Nutrients ◽

10.3390/nu12010178 ◽

2020 ◽

Vol 12 (1) ◽

pp. 178 ◽

Cited By ~ 2

Author(s):

Wendy Van Lippevelde ◽

Leentje Vervoort ◽

Jolien Vangeel ◽

Lien Goossens

Keyword(s):

Parenting Practices ◽

Reward Sensitivity ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Moderation Effect ◽

Sweetened Beverages ◽

Daily Intakes ◽

Reported Data ◽

The Impact ◽

The Relationship

Background: Reward sensitivity has been associated with adolescents’ intake of unhealthy snacks and sugar-sweetened beverages. However, so far, there are no studies published describing the impact of parenting practices on this relationship. The present study will, therefore, investigate whether food parenting practices can moderate the association between reward sensitivity and diet intakes. Method: A cross-sectional research study was conducted among 14- to 16-year old Flemish adolescents (n = 867, age 14.7 ± 0.8 y, 48.1% boys) and a subset of their parents (n = 131), collecting data on daily intakes, reward sensitivity, and food parenting practices. Linear regression was used to assess the moderation effect of parenting practices (both adolescent- and parent-reported) on the relationship between reward sensitivity, and diet using SPSS 25.0. Results: In the main analysis (adolescent-reported), no significant moderation effects were found for parenting practices on the relationship between reward sensitivity and diet. However, the sensitivity analysis (parent-reported) showed a moderation effect for health-reducing parenting practices on the association between reward sensitivity and unhealthy snack intake (β = 0.297, 95% CI = 0.062, 0.531, p = 0.01). Conclusion: Given the difference in the effect of parenting practices between the adolescent- and parent-reported data, our inconclusive findings warrant more research in larger adolescent-parent dyad samples.

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Associations between Child Snack and Beverage Consumption, Severe Dental Caries, and Malnutrition in Nepal

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217911 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7911

Author(s):

Neha Zahid ◽

Nehaa Khadka ◽

Madhurima Ganguly ◽

Tanya Varimezova ◽

Bathsheba Turton ◽

...

Keyword(s):

Dental Caries ◽

Dental Treatment ◽

Child Health Services ◽

Maternal Child Health ◽

Daily Consumption ◽

Oral Health Promotion ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Convenience Sample ◽

Sweetened Beverages

The global nutrition transition and increased consumption of sugar-sweetened beverages and ultra-processed snacks have contributed to increasing rates of child obesity and dental caries in developing countries. In Nepal, where child malnutrition rates are high, the relationship between malnutrition and dental caries is poorly understood. This cross-sectional study aims to assess this relationship among a convenience sample of 273 children age six months to less than 12 years in three communities in Nepal, using parent/caregiver interviews, child dental exams, and anthropometric measurements. Fisher’s exact test and independent t-tests examined associations between dietary practices and severe caries and between severe caries and malnutrition, respectively. Children consumed sugar-sweetened beverages and processed snacks frequently: 80% consumed tea with sugar, 60% consumed sweet snacks, and 65% consumed processed savory snacks daily. Overall, 74% of children had untreated tooth decay, and 21% exhibited stunting malnutrition, 14% were underweight, and 6% presented wasting. Significant associations were found between daily consumption of sweets and processed snacks with severe caries and between severe caries and poorer nutritional status. These findings underscore the need to incorporate nutrition and oral health promotion and dental treatment into maternal–child health services and schools and to strengthen policies to reduce children’s access to junk food.

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