Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH, 44106, USA.
University of Connecticut Rudd Center for Food Policy & Obesity, One Constitution Plaza Suite 600 Hartford, CT, 06103, USA.
Appetite. 2021 Jun 1;161:105139. doi: 10.1016/j.appet.2021.105139. Epub 2021 Jan 26.
Sugar-sweetened beverages (SSBs) contribute to childhood obesity, long-term risks for diet-related diseases, and health disparities affecting communities of color. Hispanic children are disproportionately affected by obesity, but research is needed to better understand culturally specific reasons for providing SSBs to Hispanic children. This exploratory study utilized the Social Ecological Model framework to evaluate Hispanic parents' perceptions of SSBs and serving them to young children. A cross-sectional survey (in English and Spanish) used a national US online panel to recruit a convenience sample of Hispanic parents (N = 350) with young children (aged 1-5 years). Participants reported types of drinks and SSB brands that they served their child in the past month and rated drink healthfulness. Attitude questions assessed individual, community-level, and socio-cultural factors, including normative beliefs, about serving SSBs to young children. Nearly all parents (98%) reported serving their child SSBs in the past month, averaging 6.7 different SSB types. For all categories of SSBs except fruit-flavored drinks, parents who served that type of SSB rated it as significantly healthier than parents who did not serve them. A linear regression model examined associations between individual and socio-cultural factors and number of SSB types served to their child. In the model, higher average rating of SSB healthfulness, child's age, normative beliefs that others serve SSBs to children, being born in the US/Puerto Rico, and parent and child enjoyment of SSBs were positively associated with serving more SSB types, while concerns about SSBs for their own health was negatively related. Language-related acculturation and community-level factors assessed were not significant. Public health initiatives should focus on healthfulness misperceptions of some SSB categories and address normative beliefs to help reduce serving SSBs to Hispanic children.
含糖饮料（SSB）会导致儿童肥胖、与饮食相关的疾病长期风险，以及影响有色人种社区的健康差距。西班牙裔儿童受肥胖影响的比例不成比例，但需要研究以更好地了解向西班牙裔儿童提供 SSB 的文化特定原因。这项探索性研究利用社会生态模型框架评估西班牙裔父母对 SSB 的看法以及向幼儿提供 SSB 的情况。一项横断面调查（英语和西班牙语）使用美国全国在线小组招募了具有年幼子女（1-5 岁）的西班牙裔父母（N=350）的便利样本。参与者报告了他们在过去一个月中为孩子提供的饮料类型和 SSB 品牌，并对饮料的健康程度进行了评分。态度问题评估了个人、社区和社会文化因素，包括向幼儿提供 SSB 的规范信念。几乎所有父母（98%）报告在过去一个月中为孩子提供 SSB，平均提供 6.7 种不同的 SSB 类型。除了水果味饮料外，对于所有 SSB 类别，提供该类型 SSB 的父母对其健康程度的评分明显高于不提供此类 SSB 的父母。线性回归模型检验了个体和社会文化因素与向孩子提供的 SSB 类型数量之间的关联。在该模型中，对 SSB 健康程度的平均评分较高、孩子的年龄、他人向孩子提供 SSB 的规范信念、出生在美国/波多黎各，以及父母和孩子对 SSB 的喜爱与提供更多 SSB 类型呈正相关，而对 SSB 对自己健康的担忧则呈负相关。评估的与语言相关的文化适应和社区水平因素没有显著意义。公共卫生倡议应重点关注某些 SSB 类别的健康认知误区，并解决规范信念问题，以帮助减少向西班牙裔儿童提供 SSB。
