Choy Cherry, Isong Inyang A
1 Harvard School of Dental Medicine, Boston, MA, USA.
2 Boston Children's Hospital, Boston, MA, USA.
Clin Pediatr (Phila). 2018 Jun;57(6):711-721. doi: 10.1177/0009922817737076. Epub 2017 Nov 1.
Childhood obesity and caries are linked to sugar-sweetened beverage (SSB) and excessive juice consumption. We assessed psychosocial factors influencing children's beverage consumption and strategies to promote healthier choices. Using a quantitative and qualitative approach guided by the theory of planned behavior, we surveyed and interviewed 37 parents of preschool-aged children on barriers and facilitators of children's beverage consumption. Most children (83.8%) consumed SSBs, 67.6% drank >4 to 6 oz of juice per day. Parent's self-efficacy was the strongest correlate of parent's behavioral intention to limit SSB (0.72, standard error 0.08, P = .03). Parents' motivations to limit their child's SSB intake extended beyond simply preventing caries and obesity; they also considered the implications of these conditions on children's self-image, future health, and quality of life. Yet, the influence of multidimensional barriers made it difficult to reduce children's SSB consumption. Interventions that address parental attitudes, values, and self-efficacy to address external factors could help reduce children's SSB consumption.
儿童肥胖和龋齿与含糖饮料（SSB）及过量饮用果汁有关。我们评估了影响儿童饮料消费的心理社会因素以及促进更健康选择的策略。采用计划行为理论指导的定量和定性方法，我们对37名学龄前儿童的家长进行了调查和访谈，了解儿童饮料消费的障碍和促进因素。大多数儿童（83.8%）饮用SSB，67.6%的儿童每天饮用超过4至6盎司的果汁。家长的自我效能感是家长限制SSB行为意图的最强相关因素（0.72，标准误差0.08，P = 0.03）。家长限制孩子SSB摄入量的动机不仅限于预防龋齿和肥胖；他们还考虑了这些状况对孩子自我形象、未来健康和生活质量的影响。然而，多维障碍的影响使得减少儿童SSB消费变得困难。针对家长态度、价值观和自我效能感以应对外部因素的干预措施可能有助于减少儿童SSB消费。
