Department of Public Health Sciences, Miller School of Medicine, University of Miami, Coral Gables, FL, USA.
New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, NY, USA.
J Community Health. 2019 Apr;44(2):297-306. doi: 10.1007/s10900-018-0587-9.
Sugary drink consumption is associated with many adverse health outcomes, including weight gain, diabetes, and other chronic conditions. These beverages are widely marketed and ubiquitously available. This analysis explores sugary drink consumption across all age groups among New York City (NYC) residents using representative survey data. Three population-based representative surveys of NYC residents of different age groups were analyzed. Adult participants, youth participants, and caregivers of child participants self-reported the number of sugary drinks they consumed per day. Mean sugary drink intake per day was estimated overall and by demographic characteristics, for the 2015 cycle of each survey and the 2007-2015 cycles of the adult survey. T tests were used to determine whether means differed by demographics. Long-term trends in mean sugary drink consumption among adult participants were conducted to examine changes over time overall and by demographic characteristics. In 2015, the mean daily number of sugary drinks consumed was 0.53 (95% CI 0.45, 0.61) among children 0-5 years old, 1.05 (95% CI 0.90, 1.21) among children 6-12 years old, and 1.16 (95% CI 1.09, 1.29) among NYC high school students. Among all NYC adults, sugary drink intake decreased 36% from 1.03 (95% CI 0.99, 1.08) in 2007 to 0.66 (95% CI 0.62, 0.70) drinks per day in 2015, p < 0.01. However, at each age level, there were persistent disparities in sugary drink consumption by sex, race/ethnicity, educational attainment, and poverty level. Decreasing overall rates of sugary drink consumption are promising; however, disparities by socio-demographics are a concern. Reducing sugary drink consumption across all ages is recommended as is minimizing the introduction at an early age. Reduction of sugary drink consumption will require a collaborative, multi-sectoral approach.
含糖饮料的消费与许多不良健康后果有关，包括体重增加、糖尿病和其他慢性疾病。这些饮料广泛宣传且随处可见。本分析使用代表性调查数据，研究了纽约市（NYC）不同年龄段居民的含糖饮料消费情况。分析了针对不同年龄组 NYC 居民的三项基于人群的代表性调查。成年参与者、青年参与者和儿童参与者的照顾者报告了他们每天饮用的含糖饮料数量。根据人口统计学特征，估计了 2015 年每个调查周期以及成人调查 2007-2015 年周期的平均每日含糖饮料摄入量。采用 t 检验确定平均值是否因人口统计学特征而有所不同。对成年参与者的平均含糖饮料消费长期趋势进行了研究，以观察总体和按人口统计学特征随时间的变化。2015 年，0-5 岁儿童的平均每日含糖饮料摄入量为 0.53（95%CI 0.45，0.61），6-12 岁儿童为 1.05（95%CI 0.90，1.21），NYC 高中生为 1.16（95%CI 1.09，1.29）。在所有 NYC 成年人中，含糖饮料摄入量从 2007 年的 1.03（95%CI 0.99，1.08）下降了 36%，至 2015 年的 0.66（95%CI 0.62，0.70），p<0.01。然而，在每个年龄水平上，性别、种族/族裔、教育程度和贫困水平仍然存在含糖饮料消费的差异。含糖饮料总消费率下降是令人鼓舞的；然而，社会人口统计学差异令人担忧。建议减少所有年龄段的含糖饮料消费，尽量减少早期引入。减少含糖饮料消费需要采取协作的、多部门的方法。
