Lee-Kwan Seung Hee, Pan Liping, Kimmons Joel, Foltz Jennifer, Park Sohyun
1 Epidemic Intelligence Service Officer, Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
2 Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Health Promot. 2017 Mar;31(2):128-135. doi: 10.4278/ajhp.141113-QUAN-575. Epub 2016 Nov 17.
Sugar-sweetened beverage (SSB) consumption is high among U.S. adults and is associated with obesity. Given that more than 100 million Americans consume food or beverages at work daily, the worksite may be a venue for interventions to reduce SSB consumption. However, the level of support for these interventions is unknown. We examined associations between workday SSB intake and employees' support for worksite wellness strategies (WWSs).
We conducted a cross-sectional study using data from Web-based annual surveys that gather information on health-related attitudes and behaviors.
Study setting was the United States.
A total of 1924 employed adults (≥18 years) selected using probability-based sampling.
The self-reported independent variable was workday SSB intake (0, <1 or ≥1 times per day), and dependent variables were employees' support (yes/no) for the following WWSs: (1) accessible free water, (2) affordable healthy food/drink, (3) available healthy options, and (4) less available SSB.
Multivariable logistic regression was used to control for sociodemographic variables, employee size, and availability of cafeteria/vending machine.
About half of employees supported accessible free water (54%), affordable healthy food/drink (49%), and available healthy options (46%), but only 28% supported less available SSB. Compared with non-SSB consumers, daily SSB consumers were significantly less supportive of accessible free water (adjusted odds ratio, .67; p < .05) or less available SSB (odds ratio, .49; p < .05).
Almost half of employees supported increasing healthy options within worksites, although daily workday SSB consumers were less supportive of certain strategies. Lack of support could be a potential barrier to the successful implementation of certain worksite interventions.
美国成年人中含糖饮料(SSB)的消费量很高,且与肥胖有关。鉴于超过1亿美国人每天在工作场所食用食品或饮料,工作场所可能是减少SSB消费干预措施的一个场所。然而,这些干预措施的支持程度尚不清楚。我们研究了工作日SSB摄入量与员工对工作场所健康策略(WWSs)支持之间的关联。
我们使用基于网络的年度调查数据进行了一项横断面研究,该调查收集了与健康相关的态度和行为信息。
研究地点为美国。
共有1924名成年雇员(≥18岁)采用基于概率的抽样方法选取。
自我报告的自变量是工作日SSB摄入量(每天0次、<1次或≥1次),因变量是员工对以下WWSs的支持(是/否):(1)可获取的免费水;(2)价格合理的健康食品/饮料;(3)有健康选择;(4)减少SSB供应。
采用多变量逻辑回归来控制社会人口统计学变量、员工规模以及自助餐厅/自动售货机的可用性。
约一半的员工支持可获取免费水(54%)、价格合理的健康食品/饮料(49%)和有健康选择(46%),但只有28%的员工支持减少SSB供应。与不消费SSB的人相比,每天消费SSB的人对可获取免费水(调整后的优势比,0.67;p<0.05)或减少SSB供应(优势比,0.49;p<0.05)的支持明显较少。
尽管工作日每天消费SSB的人对某些策略的支持较少,但几乎一半的员工支持在工作场所增加健康选择。缺乏支持可能是某些工作场所干预措施成功实施的潜在障碍。