Cervi Meredith M, Agurs-Collins Tanya, Dwyer Laura A, Thai Chan L, Moser Richard P, Nebeling Linda C
Department of Health and Kinesiology, Purdue University, 800 W. Stadium Avenue, West Lafayette, IN, 47907, USA.
National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850-9761, USA.
J Community Health. 2017 Aug;42(4):748-756. doi: 10.1007/s10900-016-0313-4.
Obesity among adolescents in the United States has risen by 16% in the past 30 years. One important contributing factor may be the increased consumption of sugar sweetened beverages (SSBs), which is encouraged by advertisements for unhealthy foods and drinks that are targeted to adolescents. The purpose of this analysis was to determine the association between susceptibility to food and drink advertisements and sugar-sweetened beverage (SSB) consumption in non-Hispanic black (NHB) and non-Hispanic white (NHW) adolescents and to examine if BMI is associated with SSB consumption. Data were obtained from 765 NHB and NHW of ages 14-17 who were surveyed in the Family Life, Activity, Sun, Health, and Eating study sponsored by the National Cancer Institute. Two weighted adjusted logistic regression models were conducted. The first examined the associations of advertisement susceptibility, race, and BMI with SSB consumption. The second examined the associations of race and BMI with advertisement susceptibility. Adolescents with high advertisement susceptibility were more likely to consume at least one SSB daily (OR 1.73, 95% CI 1.21, 2.47). Additionally, non-Hispanic blacks were more likely to consume at least one SSB daily (OR 1.75, 95% CI 1.08, 2.85) and more likely to be highly susceptible to advertisements (OR 1.72, 95% CI 1.19, 2.48) than non-Hispanic whites. No significant associations were found between BMI and advertising susceptibility or BMI and daily SSB consumption. One approach to addressing the consumption of SSBs may be to reduce advertising that markets unhealthy food and beverages to adolescents and minorities.
在过去30年中，美国青少年肥胖率上升了16%。一个重要的促成因素可能是含糖饮料（SSB）的消费量增加，针对青少年的不健康食品和饮料广告对此起到了推动作用。本分析的目的是确定非西班牙裔黑人（NHB）和非西班牙裔白人（NHW）青少年对食品和饮料广告的易感性与含糖饮料（SSB）消费之间的关联，并研究BMI是否与SSB消费有关。数据来自765名年龄在14至17岁的NHB和NHW青少年，他们参与了由美国国家癌症研究所赞助的家庭生活、活动、阳光、健康和饮食研究中的调查。进行了两个加权调整逻辑回归模型。第一个模型研究了广告易感性、种族和BMI与SSB消费之间的关联。第二个模型研究了种族和BMI与广告易感性之间的关联。广告易感性高的青少年更有可能每天至少饮用一种SSB（OR 1.73，95%CI 1.21，2.47）。此外，与非西班牙裔白人相比，非西班牙裔黑人更有可能每天至少饮用一种SSB（OR 1.75，95%CI 1.08，2.85），并且更有可能对广告高度敏感（OR 1.72，95%CI 1.19，2.48）。未发现BMI与广告易感性或BMI与每日SSB消费之间存在显著关联。解决SSB消费问题的一种方法可能是减少向青少年和少数族裔推销不健康食品和饮料的广告。
