Ulambayar Battamir, Móré Marianna, Nagy Attila Csaba
Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary.
Institute of Social and Sociological Sciences, Faculty of Health Sciences, University of Debrecen, 4400 Nyiregyhaza, Hungary.
Nutrients. 2025 Jul 17;17(14):2352. doi: 10.3390/nu17142352.
: The use of artificial sweeteners (AS) is increasing globally despite growing evidence suggesting potential health risks. This study investigates the sociodemographic and health-related factors associated with AS use in the Hungarian population. : We conducted a cross-sectional analysis using data from the 2019 European Health Interview Survey (EHIS), comprising 5603 participants. AS users were identified based on self-reported use of AS. Logistic regression models were used to examine associations between regular AS use and demographic, socioeconomic, and health variables. Interaction terms were included to explore potential effect modification. : AS use was reported by 20.1% of participants. Older adults, individuals with overweight or obesity, and those reporting poorer self-perceived health were more likely to use AS. AS use was also higher among individuals in lower and middle-income quintiles. Interaction analyses revealed that overweight and obese individuals with the lowest income, as well as older adults in poor health, were particularly likely to use AS. : The findings highlight disparities in AS use across age, income, BMI, and health status, raising concerns about the public's perception of AS as a healthier alternative. Public health strategies should focus on increasing awareness of the potential risks and encourage evidence-based dietary choices.
尽管越来越多的证据表明人工甜味剂（AS）存在潜在健康风险，但全球范围内其使用量仍在增加。本研究调查了匈牙利人群中与AS使用相关的社会人口学和健康相关因素。我们使用2019年欧洲健康访谈调查（EHIS）的数据进行了横断面分析，该调查包含5603名参与者。根据自我报告的AS使用情况来确定AS使用者。使用逻辑回归模型来检验经常使用AS与人口统计学、社会经济和健康变量之间的关联。纳入交互项以探索潜在的效应修正。20.1%的参与者报告使用过AS。老年人、超重或肥胖个体以及自我感觉健康状况较差的人更有可能使用AS。中低收入五分位数人群中的AS使用也更高。交互分析显示，收入最低的超重和肥胖个体以及健康状况较差的老年人尤其有可能使用AS。研究结果突出了AS在年龄、收入、体重指数和健康状况方面使用的差异，引发了对公众将AS视为更健康替代品看法的担忧。公共卫生策略应侧重于提高对潜在风险的认识，并鼓励基于证据的饮食选择。
