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Determinants of Sugar-Sweetened Beverage Consumption among Low-Income Children: Are There Differences by Race/Ethnicity, Age, and Sex?
- Source :
-
Journal of the Academy of Nutrition and Dietetics [J Acad Nutr Diet] 2017 Dec; Vol. 117 (12), pp. 1900-1920. Date of Electronic Publication: 2017 May 08. - Publication Year :
- 2017
-
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.<br />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.<br />Design: We used a cross-sectional telephone household survey.<br />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.<br />Main Outcome Measures: Child's SSB consumption frequency was measured.<br />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.<br />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).<br />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.<br /> (Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Child
Child, Preschool
Cross-Sectional Studies
Ethnicity
Exercise
Family Characteristics
Female
Humans
Life Style
Male
New Jersey ethnology
Nutrition Surveys
Pediatric Obesity ethnology
Socioeconomic Factors
Surveys and Questionnaires
Telephone
Beverages
Nutritive Sweeteners administration & dosage
Pediatric Obesity epidemiology
Poverty
Sugars administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 2212-2672
- Volume :
- 117
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of the Academy of Nutrition and Dietetics
- Publication Type :
- Academic Journal
- Accession number :
- 28495478
- Full Text :
- https://doi.org/10.1016/j.jand.2017.03.013