Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics (K Morel, K Nichols, Y Nong, and JA Woo Baidal); Institute of Human Nutrition (K Morel and Y Nong), Columbia University Medical Center.
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics (K Morel, K Nichols, Y Nong, and JA Woo Baidal).
Acad Pediatr. 2019 Sep-Oct;19(7):748-755. doi: 10.1016/j.acap.2019.01.004. Epub 2019 Jan 21.
Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1000 days-pregnancy through age 2 years-are urgently needed.
To examine perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low-income families in the first 1000 days.
In this qualitative research, we performed semistructured, in-depth interviews of 25 women and 7 nutrition/health care providers. Eligible women were Women, Infants, and Children program-enrolled and pregnant or had an infant younger than age 2 years. Eligible providers cared for families during the first 1000 days. Using immersion-crystallization techniques, we examined perceptions, barriers, and facilitators related to avoidance of SSB consumption; acceptability of messages framed as positive gains or negative losses; and perceived influence on SSB consumption of various intervention modalities.
Themes related to SSB consumption included parental confusion about healthy beverage recommendations and maternal feelings of lack of control over beverage choices due to pregnancy cravings and infant tastes. Themes surrounding message frames included negative health consequences of sugary drink consumption are strong motivators for behavior change; and savings and cost count, but are not top priority. Highly acceptable intervention strategies included use of images showing health consequences of SSB consumption, illustrations of sugar content at the point of purchase, and multimodal delivery of messages.
Messages focused on infant health consequences and parental empowerment to evaluate and select healthier beverages based on sugar content should be tested in interventions to reduce SSB consumption in the first 1000 days.
迫切需要新的方法来减少在怀孕至 2 岁的 1000 天内含糖饮料（SSB）的摄入。
探讨低收入家庭对 SSB 消费的看法，以及对促进 SSB 回避的潜在干预策略的接受程度，这些策略旨在 1000 天内。
在这项定性研究中，我们对 25 名女性和 7 名营养/医疗保健提供者进行了半结构式深入访谈。符合条件的女性是妇女、婴儿和儿童计划的参与者，怀孕或有年龄在 2 岁以下的婴儿。符合条件的提供者在 1000 天内照顾家庭。使用沉浸结晶技术，我们研究了与避免 SSB 消费相关的看法、障碍和促进因素；以积极收益或消极损失为框架的信息的可接受性；以及各种干预方式对 SSB 消费的感知影响。
与 SSB 消费相关的主题包括父母对健康饮料建议的困惑，以及由于怀孕时的渴望和婴儿的口味，母亲对饮料选择感到缺乏控制。围绕信息框架的主题包括含糖饮料消费的负面健康后果是行为改变的强大动力；节省和成本很重要，但不是首要任务。高度可接受的干预策略包括使用显示 SSB 消费的健康后果的图像、在购买点显示糖含量的插图，以及多模式传递信息。
应以在怀孕至 2 岁的 1000 天内减少 SSB 消费的干预措施中测试以婴儿健康后果和赋予父母权力为重点的信息，以便他们根据糖含量评估和选择更健康的饮料。
