Karpyn Allison, Lessard Laura, McCallops Kathleen, Harpainter Phoebe, Apsley Adam, Kennedy Nicole, Tracy Tara, Ritchie Lorrene D
University of Delaware, Department of Human Development and Family Studies, Center for Research in Education and Social Policy, Pearson Hall Room 107, 125 Academy Street, Newark, DE 19716, United States.
University of Delaware, Behavioral Health and Nutrition, 017 Carpenter Sports Building, United States.
Prev Med Rep. 2020 Dec 1;20:101272. doi: 10.1016/j.pmedr.2020.101272. eCollection 2020 Dec.
The consumption of sugar-sweetened beverages (SSBs) has been linked to obesity, diabetes, and other negative health outcomes among children. In response, many government entities have enacted healthy default beverage policies that require restaurants offering bundled kids' meals-food and drink items combined and sold as a single unit-to include only healthier drinks. Despite growing interest in these policies, little is known about their potential reach, restaurant management perceptions, and possible implementation challenges. This study evaluated restaurant managers' knowledge and support of a policy in Delaware that had passed, but not yet gone into effect. We conducted structured in-person interviews with managers (n = 50) from full-service and quick-service chain and non-chain restaurants (QSRs) using a stratified random sample. Managers were interviewed about the number of bundled meals sold, beverage sales with those meals, and awareness and perceptions of the policy. On average, QSRs sold significantly more bundled kids' meals per week (281) compared to full-service restaurants (111), and managers from chain restaurants reported selling significantly more bundled kids' meals per week (233) compared to non-chain restaurants (91). Managers reported 72.5% of those meals were sold with a healthier beverage (water, milk, or 100% juice), consistent with the forthcoming policy, while 28% were sold with SSBs. Furthermore, although only three managers (6%) reported knowing about the policy, the majority supported it when it was explained. Our findings indicate general support for the intent of the policy, but suggest the need for tailored implementation approaches and additional education for restaurant manager's and staff.
含糖饮料（SSB）的消费与儿童肥胖、糖尿病及其他负面健康结果有关。作为回应，许多政府实体已颁布健康默认饮料政策，要求提供套餐儿童餐（食品和饮料项目组合在一起作为一个单元出售）的餐厅仅提供更健康的饮品。尽管对这些政策的兴趣日益浓厚，但对于它们的潜在覆盖范围、餐厅管理层的看法以及可能的实施挑战却知之甚少。本研究评估了特拉华州一项已通过但尚未生效的政策的餐厅经理的了解情况和支持度。我们使用分层随机抽样方法，对全服务和快速服务连锁及非连锁餐厅（QSR）的经理（n = 50）进行了结构化的面对面访谈。就出售的套餐餐数量、与这些餐搭配的饮料销售情况以及对该政策的知晓度和看法对经理进行了访谈。平均而言，与全服务餐厅（111份）相比，QSR每周出售的套餐儿童餐显著更多（281份），连锁餐厅的经理报告称，与非连锁餐厅（91份）相比，他们每周出售的套餐儿童餐显著更多（233份）。经理们报告说，这些餐中有72.5%搭配更健康的饮料（水、牛奶或100%果汁）出售，这与即将出台的政策一致，而28%的餐搭配含糖饮料出售。此外，虽然只有三名经理（6%）报告知晓该政策，但大多数经理在政策被解释后表示支持。我们的研究结果表明对该政策意图的普遍支持，但表明需要量身定制的实施方法以及对餐厅经理和员工进行额外培训。
