Abstract
Background
Understanding determinants of high consumption of sugar-sweetened beverages (SSBs),
a highly prevalent obesogenic behavior, will help build effective customized public
health interventions.
Objective
Our aim was to identify child and parent lifestyle and household demographic factors
predictive of high SSB consumption frequency in children from low-income, ethnically
diverse communities that may help inform public health interventions.
Design
We used a cross-sectional telephone household survey.
Participants/setting
Participants were 717 boys and 686 girls aged 3 to 18 years old from the New Jersey
Childhood Obesity Study living in five low-income cities (Camden, New Brunswick, Newark,
Trenton, and Vineland). The adult most knowledgeable about household food shopping
completed a questionnaire over the telephone inquiring about their and their child’s
dietary and physical activity habits, and household-, parent-, and child-level demographics.
Main outcome measures
Child’s SSB consumption frequency was measured.
Statistical analysis performed
Multivariate ordered logit models were designed to investigate a variety of variables
hypothesized to affect the frequency of SSB consumption. Exploratory stratified analyses
by race, sex, and age were also conducted.
Results
Eight percent of our study participants never consumed SSBs, 45% consumed SSBs at
least once per day, and 23% consumed twice or more per day. SSB consumption was higher
among children 12 to 18 years vs 3 to 5 years (P<0.0001), of non-Hispanic black vs non-Hispanic white race/ethnicity (P=0.010), who were moderate fast food consumers vs never consumers (P=0.003), and those whose parents were high vs low SSB consumers (P<0.0001). Living in a non–English-speaking household (P=0.030), having a parent with a college or higher education vs less than high school
(P=0.003), and having breakfast 6 to 7 days/wk vs never to 2 days/wk or less were associated
with lower SSB consumption (P=0.001).
Conclusions
We identified a number of household-, parent-, and child-level predictors of SSB consumption,
which varied by race, sex, and age, useful for building customized interventions targeting
certain behaviors in ethnically diverse, low-income children.
Keywords
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Biography
N. Tasevska is an assistant professor, School of Nutrition and Health Promotion, Arizona State University, Phoenix.
Biography
C. Lorts is a PhD candidate, School of Nutrition and Health Promotion, Arizona State University, Phoenix.
Biography
P. Ohri-Vachaspati is a professor, School of Nutrition and Health Promotion, Arizona State University, Phoenix.
Biography
D. DeLia is a research professor, Rutgers Center for State Health Policy, New Brunswick, NJ.
Biography
M. Yedidia is a professor, Rutgers Center for State Health Policy, New Brunswick, NJ.
Article info
Publication history
Published online: May 08, 2017
Accepted:
March 13,
2017
Received:
October 12,
2016
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This work was funded by a grant from the Robert Wood Johnson Foundation and the National Institute of Child Health and Human Development (no. 1R01HD071583-01A1).
Identification
Copyright
© 2017 by the Academy of Nutrition and Dietetics.
