J Acad Nutr Diet. 2017 Dec;117(12):1900-1920. doi: 10.1016/j.jand.2017.03.013. Epub 2017 May 8.
Understanding determinants of high consumption of sugar-sweetened beverages (SSBs), a highly prevalent obesogenic behavior, will help build effective customized public health interventions.
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.
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.
Child's SSB consumption frequency was measured.
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.
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).
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.
了解导致高糖饮料（SSB）消费的因素，这是一种普遍存在的致肥胖行为，有助于制定有效的定制公共卫生干预措施。
我们旨在确定儿童和父母的生活方式以及家庭人口统计学因素，这些因素可以预测来自低收入、种族多样化社区的儿童 SSB 消费的高频度，这可能有助于为公共卫生干预措施提供信息。
我们使用了横断面电话家庭调查。
参与者/设置：参与者为来自新泽西州儿童肥胖研究的 717 名男孩和 686 名女孩，年龄在 3 至 18 岁，居住在五个低收入城市（卡姆登、新不伦瑞克、纽瓦克、特伦顿和维兰）。最了解家庭食品购物情况的成年人通过电话完成了一份问卷，询问他们和孩子的饮食和体育活动习惯，以及家庭、父母和孩子层面的人口统计学信息。
儿童 SSB 消费频率。
设计了多变量有序逻辑回归模型，以调查各种假设会影响 SSB 消费频率的变量。还按种族、性别和年龄进行了探索性分层分析。
我们的研究参与者中，有 8%的人从不消费 SSB，45%的人至少每天消费一次 SSB，23%的人每天消费两次或更多次。12 至 18 岁的儿童比 3 至 5 岁的儿童（P<0.0001）、非西班牙裔黑人比非西班牙裔白人种族/民族（P=0.010）、中等程度的快餐消费者比从不消费快餐的消费者（P=0.003）以及父母 SSB 消费高的儿童比 SSB 消费低的儿童（P<0.0001）的 SSB 消费更高。居住在非英语家庭（P=0.030）、父母受过大学或更高教育的比受过高中以下教育的（P=0.003）以及每周吃早餐 6 至 7 天/周的比每周吃 2 天/周或更少的儿童（P=0.001）与 SSB 消费较低有关。
我们确定了一些家庭、父母和儿童层面的 SSB 消费预测因素，这些因素因种族、性别和年龄而异，这对于针对不同种族、低收入儿童的特定行为制定定制干预措施非常有用。
