James Shirley A, White Ashley H, Paulson Sjonna Whitsitt, Beebe Laura A
Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, 801 NE 13th Street, Oklahoma City, OK 73104 USA.
Oklahoma Tobacco Settlement Endowment Trust, 2800 N. Lincoln Blvd, Suite 202, Oklahoma City, OK 73105 USA.
BMC Nutr. 2020 Jun 17;6:23. doi: 10.1186/s40795-020-00349-4. eCollection 2020.
In 2016, Oklahoma launched "Shape Your Future - Rethink Your Drink" (SYF/RYD), an obesity prevention health communication program targeting parents and caregivers of children. The aims of this study are to compare sugar-sweetened beverage (SSB) consumption before and after the program and to report factors associated with SSB consumption, knowledge, and attitudes.
This repeated cross-sectional study involved 2656 Oklahoma adults with ≥ one child under 18 years in the home. Weighted prevalence estimates were calculated and the relationship between SSB consumption and covariates of interest were examined using logistic regression techniques appropriate for survey data.
Following the SYF/RYD program, SSB consumption decreased 18.6% ( = 0.0232) and heavy SSB consumption, ≥ three SSB per day, decreased 42.9% ( = 0.0083). Factors associated with SSB consumption, 1 year after the launch of SYF/RYD included high school education or less (AOR = 1.33 with 95% CI = 1.02, 1.73), fair or poor health status (AOR = 2.02 with 95% CI = 1.47, 2.78), drinking less than eight cups of water daily (AOR = 1.77 with 95% CI = 1.39, 2.25), inability to afford healthy foods (AOR = 1.33 with 95% CI = 1.06, 1.67), and self-identifying as American Indian/Alaska Native (AOR = 1.59 with 95% CI = 1.10, 2.29).
Health communication campaigns, such as SYF/RYD, are an evidence-based strategy for health behavior change and likely contributed to the declines observed in SSB consumption. Important differences in SSB consumption by population subgroups persist and have implications for future message development.
2016年，俄克拉荷马州发起了“塑造你的未来——重新思考你的饮品”（SYF/RYD）项目，这是一项针对儿童家长和照料者的肥胖预防健康传播项目。本研究的目的是比较该项目实施前后含糖饮料（SSB）的消费情况，并报告与SSB消费、知识和态度相关的因素。
这项重复横断面研究涉及俄克拉荷马州2656名家中有至少一名18岁以下儿童的成年人。计算加权患病率估计值，并使用适合调查数据的逻辑回归技术检查SSB消费与感兴趣的协变量之间的关系。
在SYF/RYD项目实施后，SSB消费量下降了18.6%（P = 0.0232），重度SSB消费（即每天饮用≥3份SSB）下降了42.9%（P = 0.0083）。SYF/RYD项目启动1年后，与SSB消费相关的因素包括高中及以下学历（调整后比值比[AOR]=1.33，95%置信区间[CI]=1.02，1.73）、健康状况一般或较差（AOR = 2.02，95% CI = 1.47，2.78）、每天饮水不足8杯（AOR = 1.77，95% CI = 1.39，2.25）、无力购买健康食品（AOR = 1.33，95% CI = 1.06，1.67）以及自我认定为美洲印第安人/阿拉斯加原住民（AOR = 1.59，95% CI = 1.10，2.29）。
诸如SYF/RYD这样的健康传播活动是一种基于证据的健康行为改变策略，可能促成了所观察到的SSB消费量下降。不同人群亚组在SSB消费方面存在的重要差异仍然存在，这对未来信息的制定具有启示意义。
