SAMRC/Centre for Health Economics and Decision Science, PRICELESS, Faculty of Health Sciences, University of Witwatersrand School of Public Health, Johannesburg, South Africa.
Faculty of Health Sciences, University of Witwatersrand School of Public Health, Johannesburg, South Africa.
Glob Health Action. 2021 Jan 1;14(1):1898130. doi: 10.1080/16549716.2021.1898130.
: Towards the end of the 2017 school year, a prominent beverage company in South Africa pledged to remove their sugar-sweetened beverages (SSBs) and advertisements from primary schools in order to contribute to the realization of a healthy school environment.: To assess the availability and advertising of the company's beverages in public primary schools in Gauteng province following their voluntary pledge to remove the products, and to explore perceptions of school staff regarding SSB availability in schools and processes related to the implementation of the pledge.: In 2019, we conducted a representative survey of public sector primary (elementary) schools in Gauteng province, South Africa. A random sample of schools was drawn, with schools stratified by whether or not they charge fees. This was a proxy for the socioeconomic status of the locale and student body. At each school, the availability of beverages and presence of advertising or not was assessed by an observational audit tool and differences across fee status assessed by Pearson test. Semi-structured interviews were conducted with a purposive sample of school officials. Data from the interviews were coded and thematic analysis conducted.: Two years following a voluntary pledge, the company's carbonated SSBs were available for sale in 54% (CI: 45-63%) of schools with tuck shops and advertised in 31% (CI: 25-39%). Qualitative interviews revealed a complex landscape of actors within schools, which, combined with indifference or resistance to the pledge, may have contributed to the continued availability of SSBs.: Though we were unable to examine SSB availability before and after the pledge, our findings provide some preliminary evidence that voluntary pledges by commercial entities are not sufficient to remove SSBs and advertisements from schools. Mandatory regulations coupled with in-depth engagement with schools may be an avenue to pursue in the future.
在 2017 学年即将结束之际，南非一家知名饮料公司承诺从小学撤掉含糖饮料（SSB）和广告，以助力营造健康的校园环境。
评估该公司在履行自愿承诺后，其产品是否仍在豪登省公立小学供应，以及广告是否仍在校园内出现，并探讨学校工作人员对学校供应 SSB 以及与实施该承诺相关程序的看法。
2019 年，我们对南非豪登省公立小学进行了一项具有代表性的调查。随机抽取了一些学校，按是否收取费用对学校进行分层。这是当地和学生群体社会经济地位的一个代表。在每所学校，我们使用观察性审计工具评估饮料供应情况和广告存在情况，并通过 Pearson 检验评估费用状况的差异。我们还对学校官员进行了有针对性的半结构化访谈。对访谈数据进行了编码和主题分析。
在自愿承诺两年后，该公司的碳酸 SSB 仍在 54%（95%CI：45-63%）设有小吃店的学校销售，并在 31%（95%CI：25-39%）的学校做广告。定性访谈揭示了学校内部存在复杂的行为者格局，再加上对该承诺的漠不关心或抵制，可能导致 SSB 持续供应。
尽管我们无法在承诺前后检查 SSB 的供应情况，但我们的研究结果提供了一些初步证据，表明商业实体的自愿承诺不足以从学校撤掉 SSB 和广告。未来可能需要采取强制性法规，并与学校进行深入接触。
