Lee Seung Hee, Zhang Lei, Rubin Donald L, Park Sohyun
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA.
Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS, USA.
Am J Health Promot. 2020 Nov;34(8):923-928. doi: 10.1177/0890117120927302. Epub 2020 May 21.
Examine association of health literacy (HL) and menu-labeling (ML) usage with sugar-sweetened beverage (SSB) intake among adults in Mississippi.
Quantitative, cross-sectional study.
2016 Mississippi Behavioral Risk Factor Surveillance System data.
Adults living in Mississippi (n = 4549).
Outcome variable was SSB intake (regular soda, fruit drinks, sweet tea, and sports/energy drinks). Exposure variables were 3 HL questions (find information, understand oral information, and understand written information) and ML usage among adults who eat at fast-food/chain restaurants (user, nonuser, and do not notice ML).
Multinomial logistic regressions were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for SSB intake ≥1 time/d (reference: 0 times/d) associated with HL and ML.
In Mississippi, 46.8% of adults consumed SSB ≥1 time/d, and 26.9% consumed ≥2 times/d. The odds of consuming SSBs ≥1 time/d were higher among adults with lower HL (aOR = 1.7; 95% CI = 1.3-2.2) than those with higher HL. Among adults who ate at fast-food/chain restaurants, the odds of consuming SSBs ≥1 time/d were higher among nonusers of ML (aOR = 2.3; 95% CI = 1.7-3.1) and adults who did not notice ML (aOR = 1.8; 95% CI = 1.3-2.6) than ML users.
Adults with lower HL and adults who do not use or notice ML consumed more SSBs in Mississippi. Understanding why lower HL and no ML usage are linked to SSB intake could guide the design of interventions to reduce SSB intake in this population.
研究密西西比州成年人的健康素养（HL）和菜单标签（ML）使用情况与含糖饮料（SSB）摄入量之间的关联。
定量横断面研究。
2016年密西西比州行为风险因素监测系统数据。
居住在密西西比州的成年人（n = 4549）。
结果变量为SSB摄入量（常规苏打水、果汁饮料、甜茶和运动/能量饮料）。暴露变量为3个HL问题（查找信息、理解口头信息和理解书面信息）以及在快餐/连锁餐厅就餐的成年人中的ML使用情况（使用者、非使用者和未注意到ML）。
采用多项逻辑回归来估计与HL和ML相关的SSB摄入量≥1次/天（参考：0次/天）的调整优势比（aOR）和95%置信区间（CI）。
在密西西比州，46.8%的成年人每天饮用SSB≥1次，26.9%的成年人每天饮用≥2次。HL较低的成年人饮用SSB≥1次/天的几率高于HL较高的成年人（aOR = 1.7；95% CI = 1.3 - 2.2）。在快餐/连锁餐厅就餐的成年人中，ML非使用者（aOR = 2.3；95% CI = 1.7 - 3.1）和未注意到ML的成年人（aOR = 1.8；95% CI = 1.3 - 2.6）饮用SSB≥1次/天的几率高于ML使用者。
在密西西比州，HL较低的成年人以及不使用或未注意到ML的成年人饮用的SSB更多。了解为何较低的HL和不使用ML与SSB摄入量相关，可为减少该人群SSB摄入量的干预措施设计提供指导。
