Innovation and Policy Centre for Population Health and Sustainable Environment (Population Health Research Centre, PHRC), College of Public Health, National Taiwan University, Taipei, Taiwan.
Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
Public Health Nutr. 2022 Sep;25(9):2465-2474. doi: 10.1017/S1368980022001185. Epub 2022 May 18.
To explore the factors influencing Taiwanese adolescents' consumption of sugar-sweetened beverages (SSB) and sugary snacks from a socio-ecological perspective.
This study adopted a qualitative design by using face-to-face, in-depth interviews guided by a semistructured questionnaire.
Eight junior high schools in New Taipei City and Changhua County, Taiwan, September to November 2018.
Fifty-nine participants aged 12-14 years participated in this study.
Reflexive thematic analysis was used to analyse the data. This study identified four themes to address the multifaceted factors that influence adolescents' consumption of SSB and sugary snacks. At the intrapersonal level, physiological factors, psychological factors, individual economic factors and taste preferences were mentioned in connection with people's consumption of SSB and sugary snacks. Positive or negative influences of parents, siblings, peers and teachers on SSB and sugary snack intake were identified at the interpersonal level. The availability of SSB and sugary snacks at home, their availability in vending machines or in school stores in the school environment and participants' access to convenience stores and hand-shaken drink shops in the broader community influenced SSB and sugary snack consumption. Additionally, food culture and food advertising were identified as influencing societal factors.
Overall, this qualitative study determined not only that the consumption of SSB and sugary snacks is influenced by intrapersonal factors but also that interpersonal, environmental and societal factors affect adolescents' increased sugar intake. The findings are helpful to broaden the options for designing and developing interventions to decrease SSB and sugary snack consumption by adolescents.
从社会生态学的角度探讨影响台湾青少年饮用含糖饮料（SSB）和含糖零食的因素。
本研究采用定性设计，使用面对面、半结构式问卷引导的深入访谈。
台湾新北市和彰化县的 8 所初中，2018 年 9 月至 11 月。
59 名年龄在 12-14 岁的参与者参加了这项研究。
使用反思性主题分析对数据进行分析。本研究确定了四个主题，以解决影响青少年 SSB 和含糖零食消费的多方面因素。在个体层面上，与人们饮用 SSB 和含糖零食有关的生理因素、心理因素、个人经济因素和口味偏好。在人际层面上，提到了父母、兄弟姐妹、同伴和教师对 SSB 和含糖零食摄入的积极或消极影响。家庭中 SSB 和含糖零食的供应情况、学校环境中自动售货机或学校商店中的供应情况以及参与者在更广泛社区中获得便利店和手摇饮料店的情况影响 SSB 和含糖零食的消费。此外，饮食文化和食品广告被确定为影响社会的因素。
总的来说，这项定性研究不仅确定了 SSB 和含糖零食的消费不仅受到个体因素的影响，而且还受到人际、环境和社会因素的影响，从而增加了青少年的糖摄入量。这些发现有助于拓宽设计和开发干预措施的选择，以减少青少年对 SSB 和含糖零食的消费。
