Franken Saskia C M, Smit Crystal R, de Leeuw Rebecca N H, van Woudenberg Thabo J, Burk William J, Bevelander Kirsten E, Buijzen Moniek
Faculty for Accounting, Finance, and Marketing, University of Aruba, J.E. Irausquinplein 4, Oranjestad, Aruba.
Erasmus School of Social and Behavioural Sciences, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands.
Dialogues Health. 2023 Jan 18;2:100101. doi: 10.1016/j.dialog.2023.100101. eCollection 2023 Dec.
Substituting the consumption of sugar-sweetened beverages (SSB) with that of water can have a positive effect on adolescents' health. However, despite the attention on this topic in the Global North, it is relatively understudied in other regions of the world, such as the Caribbean. To guide the development of future interventions, understanding the factors determining water consumption among Caribbean adolescents is important. This study examined the behavioral determinants of water consumption among adolescents in Aruba (the Caribbean) and compared them to those in the Netherlands (Western Europe). We used a theoretical model that integrates the dominant theoretical perspectives in the field of public health, including theories of planned behavior, social norms, and intrinsic motivation. This cross-country study included 1,584 adolescents from Aruba and the Netherlands (52% girls; = 12.34 years; = 2.14). The data were analyzed using regression analyses. This study found that in Aruba, adolescents with higher scores of intrinsic motivation, friends' descriptive norms, attitudes, and behavioral control regarding water consumption drank more water. Moreover, the associations between water consumption and both intrinsic motivation as well as friends' descriptive norms for adolescents in Aruba were stronger than those found in the Netherlands. These associations imply that it is even more important for Aruban adolescents than Dutch adolescents to be intrinsically motivated or to perceive their friends often consuming water to drink more water. The cross-country comparison implies that future interventions in Aruba aimed at increasing adolescents' water consumption as an alternative to SSB should focus on enhancing their intrinsic motivation while considering their friends' social norms.
用饮用水替代含糖饮料（SSB）的消费对青少年健康有积极影响。然而，尽管全球北方地区对这一话题予以关注，但在世界其他地区，如加勒比地区，相关研究相对较少。为指导未来干预措施的制定，了解加勒比地区青少年饮用水消费的决定因素很重要。本研究调查了阿鲁巴（加勒比地区）青少年饮用水消费的行为决定因素，并将其与荷兰（西欧）青少年的相关因素进行比较。我们使用了一个理论模型，该模型整合了公共卫生领域的主要理论观点，包括计划行为理论、社会规范理论和内在动机理论。这项跨国研究包括来自阿鲁巴和荷兰的1584名青少年（52%为女孩；平均年龄 = 12.34岁；标准差 = 2.14）。数据采用回归分析进行分析。本研究发现，在阿鲁巴，内在动机、朋友的描述性规范、态度以及对饮用水消费的行为控制得分较高的青少年饮水量更多。此外，阿鲁巴青少年的饮用水消费与内在动机以及朋友的描述性规范之间的关联比在荷兰发现的更强。这些关联意味着，对于阿鲁巴青少年而言，内在动机或察觉到朋友经常饮水对于他们增加饮水量比荷兰青少年更为重要。跨国比较表明，未来在阿鲁巴旨在增加青少年饮用水消费以替代含糖饮料的干预措施应注重增强他们的内在动机，同时考虑他们朋友的社会规范。
