School of Human Movement and Nutrition Sciences, The University of Queensland.
Queensland Children's Hospital, Centre for Children's Health Research, Children's Health Queensland Hospital and Health Service, Queensland.
Aust N Z J Public Health. 2020 Aug;44(4):295-300. doi: 10.1111/1753-6405.13013. Epub 2020 Jul 17.
The World Health Organization recommends people reduce their free sugar consumption to <10% of daily energy intake. This study aimed to determine the viability of the 'Healthier Drinks at Healthcare Facilities' strategy to reduce the amount of free sugar available in beverages and influence consumer purchasing patterns.
Beverage environment modifications at a children's hospital limited the availability of less healthy options. Using a convergent parallel mixed-methods design, sales data from retail food outlets (n=7) and vending machines (n=14) were collected from January 2017 to May 2018. Employees (n=105) and visitors (n=102) completed surveys, and retail food outlet managers (n=3) completed semi-structured interviews. Data were analysed via descriptive statistics, independent t-tests and content analysis.
The strategy decreased the availability of less healthy beverages and resulted in a significant increase in the proportion of 'green' (healthier) beverages sold (3%, p=0.002), and a decrease in the proportion of 'red' (less healthy) beverages sold (5%, p=0.011). Overall, sales did not change (p=0.243). The majority of participants supported the strategy.
Overall, a shift in consumer purchasing patterns resulted. Further modification of the beverage environment is encouraged to increase impact. Implications for public health: This strategy was feasible and acceptable in a healthcare setting.
世界卫生组织建议人们将游离糖摄入量减少到每日能量摄入的 10%以下。本研究旨在确定“医疗机构更健康饮品”策略的可行性，以减少饮料中的游离糖含量，并影响消费者的购买模式。
通过对儿童医院饮料环境的修改，限制了较不健康饮料的供应。采用平行混合方法设计，从 2017 年 1 月至 2018 年 5 月收集了零售食品店（n=7）和自动售货机（n=14）的销售数据。员工（n=105）和访客（n=102）完成了问卷调查，零售食品店经理（n=3）完成了半结构化访谈。使用描述性统计、独立 t 检验和内容分析对数据进行分析。
该策略减少了较不健康饮料的供应，导致“绿色”（更健康）饮料的销售比例显著增加（3%，p=0.002），“红色”（较不健康）饮料的销售比例下降（5%，p=0.011）。总体而言，销售额没有变化（p=0.243）。大多数参与者支持该策略。
总体而言，消费者购买模式发生了转变。鼓励进一步修改饮料环境以增加影响。对公共卫生的意义：该策略在医疗机构中是可行且可接受的。
