Pepping Rian, Waterlander Wilma, Groot Barbara, Kistemaker Sanne, Verhoeff Arnoud P, Seidell Jacob C, Busch Vincent
Department of Healthy Living, Public Health Service of Amsterdam (GGD), Amsterdam, Netherlands.
Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
BMC Public Health. 2025 Mar 8;25(1):925. doi: 10.1186/s12889-025-22167-8.
Despite continuing efforts to reduce teenagers' consumption of sugar-sweetened beverages (SSBs), intake remains high across the globe. Currently, we lack a holistic understanding that also includes the lived experiences of teenagers in today's online and offline environments regarding the role of SSB's. The aim of the present paper is therefore twofold: (1) to gain a holistic understanding of teenagers' perspectives, beliefs, barriers, contextual triggers and latent needs (that is, their lived experiences) in relation to SSB consumption; and (2) to explore their views about which intervention strategies would be most likely to reduce their SSB consumption.
A qualitative context-mapping approach, including prior sensitising assignments, was used to gain in-depth insights into the lived experiences with regard to SSB consumption of teenagers attending prevocational-level secondary school (VMBO) and living in low socioeconomic position neighbourhoods in Amsterdam, the Netherlands. From March to April 2021, 48 teenagers, aged 12 to 16, took part in the study. Due to COVID-19 restrictions, data were collected partly online and partly in person. All data were coded and analysed using thematic analysis.
Four main themes were identified that appeared to influence the teenage SSB consumption: (1) social norms - drinking SSBs is normal; (2) attitudes and beliefs with regard to health versus enjoyment; (3) the easy availability and affordability of SSBs; and (4) intense industry marketing efforts. We additionally explored teenage views about changes most likely to reduce their SSB consumption and found that they would be receptive to population-level interventions such as taxation.
The study provides comprehensive insights into teenagers' lived experiences in relation to SSBs. It highlights the prominent roles of strong social norms, conflicting beliefs, and the pervasive marketing, easy availability and low prices of SSBs. This underlines the need for a systems approach, applying combinations of effective, integrated strategies that can be specifically tailored to the perspectives of today's teenagers.
尽管一直在努力减少青少年对含糖饮料（SSB）的消费，但全球范围内的摄入量仍然很高。目前，我们缺乏一种全面的理解，其中也包括青少年在当今线上和线下环境中关于含糖饮料作用的生活经历。因此，本文的目的有两个：（1）全面了解青少年在含糖饮料消费方面的观点、信念、障碍、情境触发因素和潜在需求（即他们的生活经历）；（2）探讨他们对于哪些干预策略最有可能减少其含糖饮料消费的看法。
采用定性情境映射方法，包括先前的敏感化任务，以深入了解荷兰阿姆斯特丹处于职业前中等教育水平（VMBO）且生活在社会经济地位较低社区的青少年在含糖饮料消费方面的生活经历。2021年3月至4月，48名年龄在12至16岁的青少年参与了该研究。由于新冠疫情限制，数据部分通过线上方式收集，部分通过线下方式收集。所有数据均采用主题分析法进行编码和分析。
确定了四个似乎影响青少年含糖饮料消费的主要主题：（1）社会规范——饮用含糖饮料很正常；（2）关于健康与享受的态度和信念；（3）含糖饮料易于获取且价格实惠；（4）行业的大力营销。我们还探讨了青少年对最有可能减少其含糖饮料消费的变化的看法，发现他们会接受诸如征税等针对全体人群的干预措施。
该研究全面深入地了解了青少年在含糖饮料方面的生活经历。它突出了强大的社会规范、相互冲突的信念以及含糖饮料无处不在的营销、易于获取和低价所起的显著作用。这强调了需要采用一种系统方法，应用有效、综合的策略组合，这些策略可以专门针对当今青少年的观点进行调整。
