Lundeen Elizabeth A, Park Sohyun, Onufrak Stephen, Cunningham Solveig, Blanck Heidi M
1 Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Am J Health Promot. 2018 Nov;32(8):1661-1670. doi: 10.1177/0890117118763008. Epub 2018 Apr 4.
To examine associations of adolescent sugar-sweetened beverage (SSB) intake with parent SSB intake and parent and adolescent knowledge of SSB-related health risks.
Quantitative, cross-sectional.
2014 SummerStyles survey.
Nine hundred and ninety parent and adolescent (12-17 years) pairs.
The outcome was self-reported adolescent intake (0, >0 to <1, or ≥1 time/day) of SSBs (soda, fruit drinks, sports/energy drinks, other SSBs). The exposures were self-reported parent SSB intake (0, >0 to <1, ≥1 to <2, or ≥2 times/day) and parent and adolescent knowledge of SSB-related health risks (weight gain, diabetes, and dental caries).
Separate multinomial logistic regression models were used to estimate adjusted odds ratios (aORs) for adolescent SSB intake ≥1 time/day (ref: 0 times/day), according to (1) parent SSB intake and (2) parent and (3) adolescent knowledge.
About 31% of adolescents consumed SSBs ≥1 time/day, and 43.2% of parents consumed SSBs ≥2 times/day. Adolescent and parent knowledge that SSB intake is related to health conditions ranged from 60.7% to 80.4%: weight gain (75.0% and 80.4%, respectively), diabetes (60.7% and 71.4%, respectively), and dental caries (77.5% and 72.9%, respectively). In adjusted models, adolescent SSB intake ≥1 time/day was associated with parent intake ≥2 times/day (aOR = 3.30; 95% confidence interval = 1.62-6.74) but not with parent or adolescent knowledge of health risks.
Parental SSB intake may be an important factor in understanding adolescent behavior; knowledge of SSB-related health conditions alone may not influence adolescent SSB behavior.
研究青少年含糖饮料（SSB）摄入量与父母SSB摄入量以及父母和青少年对SSB相关健康风险的认知之间的关联。
定量横断面研究。
2014年夏季风格调查。
990对父母与青少年（12 - 17岁）。
结果变量为青少年自我报告的SSB摄入量（0次/天、>0至<1次/天或≥1次/天）（苏打水、果汁饮料、运动/能量饮料、其他SSB）。暴露因素为父母自我报告的SSB摄入量（0次/天、>0至<1次/天、≥1至<2次/天或≥2次/天）以及父母和青少年对SSB相关健康风险（体重增加、糖尿病和龋齿）的认知。
根据（1）父母SSB摄入量、（2）父母以及（3）青少年的认知情况，分别使用多项逻辑回归模型来估计青少年SSB摄入量≥1次/天（参照：0次/天）的调整后比值比（aORs）。
约31%的青少年每天饮用SSB≥1次，43.2%的父母每天饮用SSB≥2次。青少年和父母对SSB摄入与健康状况相关的认知范围在60.7%至80.4%之间：体重增加（分别为75.0%和80.4%）、糖尿病（分别为60.7%和71.4%）以及龋齿（分别为77.5%和72.9%）。在调整后的模型中，青少年SSB摄入量≥1次/天与父母摄入量≥2次/天相关（aOR = 3.30；95%置信区间 = 1.62 - 6.74），但与父母或青少年对健康风险的认知无关。
父母的SSB摄入量可能是理解青少年行为的一个重要因素；仅了解SSB相关的健康状况可能不会影响青少年的SSB行为。
