The role of the home environment in sugar-sweetened beverage intake among northern Mexican adolescents: a qualitative study

Ortega-Avila, Ana G.; Papadaki, Angeliki; Jago, Russell

doi:10.1007/s10389-018-0993-6

Cited by 13 publications

(27 citation statements)

References 39 publications

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“…Our results suggest that social aspects, such as sharing with friends and family and self-image, were important aspects of SSB consumption. Social aspects were also identified in previous studies, among Mexican adolescents and among children [24,25]. These results, together with the description of the socioecological model [12], endorse the idea that such social factors need to be considered when designing strategies for changing drinking behavior.…”

Section: Discussionsupporting

confidence: 77%

Understanding Attitudes to Change to Healthier Hydration Habits: The Case of High Sugar: Low Water Drinkers in Mexico

Mayer¹,

Verhoeven

Dornic

et al. 2020

Ann Nutr Metab

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Adults consuming sugar-sweetened beverages (SSBs) are at increased risk of becoming overweight/obese and developing lifestyle-related diseases. Furthermore, a low water intake is associated with increased health risks, such as CKD. These issues are especially pressing in Mexico where SSB intake is high. The present research aimed to describe the attitudes of Mexican adults who are considered high sugar-low water drinkers (HS-LWDs). HS-LWDs were defined as adults aged 18–45 years, drinking at least 2 servings (500 mL) of SSB/day and maximum 3 servings (750 mL) of water/day. The study included 2.858 HS-LWD (58% males) living in the urban area of Mexico City. Data were collected using an online, self-administered questionnaire. Bayesian approach was applied to analyze attitudes in life and towards drinking. Results showed that social aspects, such as sharing with friends and family and self-image, were the dominant attitudes in life. The main reason to choose a beverage was to get sensations, resulting in 2 axes, one was pleasure oriented and one was health oriented. Getting sensations was also a main driver to drink linked to a moment, together with self-image. The Bayesian network analysis demonstrated 5 attitude profiles, based on the most important attitudes defining each profile: mood and pleasure, self-image and body image, sharing and restoring, pleasure and energy, and health and success. This study allowed describing HS-LWD attitudes, in life and towards drinking. It constitutes a first step in understanding this target group’s attitudes and behavior, offering potential recommendations for tailored interventions to promote the adoption of healthier drinking habits.

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Section: Discussionsupporting

confidence: 77%

Understanding Attitudes to Change to Healthier Hydration Habits: The Case of High Sugar: Low Water Drinkers in Mexico

Mayer¹,

Verhoeven

Dornic

et al. 2020

Ann Nutr Metab

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“…Within other literature, home availability of SSB has shown to be one of the strongest factors influencing adolescent SSB intake (31,36,(38)(39)(40)57,58) . Similar to our findings, studies have shown significant associations with increased adolescent SSB intake when SSB are more readily available in the home; however, few have evaluated home availability of SSB in conjunction with other variables (e.g., interpersonal, intrapersonal and macro-level factors) (28,35,38,40) .…”

Section: Discussionmentioning

confidence: 95%

Applying the socio-ecological model to understand factors associated with sugar-sweetened beverage behaviours among rural Appalachian adolescents

McCormick

Porter

You

et al. 2021

Public Health Nutr.

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Objective: The objective of this study was to identify factors across the socioecological model (SEM) associated with adolescents’ sugar-sweetened beverage (SSB) intake. Design: This cross-sectional study surveyed adolescents using previously validated instruments. Analyses included descriptive statistics, ANOVA tests, and stepwise nonlinear regression models (i.e., two-part models) adjusted to be cluster robust. Guided by SEM, a 4-step model was used to identify factors associated with adolescent SSB intake - Step 1: demographics (i.e., age, gender), Step 2: intrapersonal [i.e., Theory of Planned Behavior (attitudes, subjective norms, perceived behavioral control, behavioral intentions), health literacy, media literacy, public health literacy], Step 3: interpersonal (i.e., caregiver’s SSB behaviors, caregiver’s SSB rules), and Step 4: environmental (i.e., home SSB availability) level variables. Setting: Eight middle schools across four rural southwest Virginia counties in Appalachia Participants: 790 7th grade students [55.4% female, 44.6% males, mean age 12 (SD=0.5) years]. Results: Mean SSB intake was 36.3 (SD=42.5) fluid ounces or 433.4 (SD=493.6) calories per day. In the final step of the regression model, seven variables significantly explained adolescent’s SSB consumption: behavioral intention (p < 0.05), affective attitude (p<0.05), perceived behavioral control (p<0.05), health literacy (p<0.001), caregiver behaviors (p<0.05), caregiver rules (p<0.05), and home availability (p<0.001). Conclusions: SSB intake among adolescents in rural Appalachia was nearly three times above national mean. Home environment was the strongest predictor of adolescent SSB intake, followed by caregiver rules, caregiver behaviors, and health literacy. Future interventions targeting these factors may provide the greatest opportunity to improve adolescent SSB intake.

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“…Perceived benefits are common reasons for consuming foods [ 42 , 43 ], and with the inherently rewarding nature of sugar and sweet taste [ 21 ], benefits such as taste and pleasure are commonly reported as reasons for consuming sweet-tasting foods [ 12 , 13 , 14 , 15 , 16 , 20 ], alongside reasons associated with emotions [ 44 , 45 , 46 ] and memories [ 46 , 47 ]. Perceptions of health benefits are also frequently reported in association with the consumption of both sugar and LNCS [ 12 , 16 , 17 , 18 , 19 , 29 , 30 , 31 ], as are negative attitudes and health concerns [ 13 , 14 , 16 , 22 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Consumer food purchasing and consumption are determined by a range of factors from individual characteristics to environmental circumstances [ 11 ]. Sugar or sugar-sweetened food and beverage consumption is also determined by similar factors, including experiences of pleasure, taste and emotions [ 12 , 13 , 14 , 15 , 16 ], perceptions of health benefits [ 12 , 17 , 18 ], knowledge/lack of knowledge of health implications [ 12 , 13 , 15 , 17 , 19 ], habits [ 13 , 14 , 15 , 16 , 17 ], health concerns [ 13 , 14 , 16 ], familial, social and cultural norms [ 12 , 14 , 15 , 17 ] and food availability and accessibility [ 13 , 14 , 16 , 17 ], particularly a reliance on convenience or processed foods [ 13 ]. There is some evidence that suggests associations between sugar intakes, knowledge of the health implications of sugar consumption and attitudes toward sugar [ 20 ], although little work is available and associations have been described as ‘weak or inconsistent’ (p. 192, [ 20 ]).…”

Section: Introductionmentioning

confidence: 99%

Sweet Talk: A Qualitative Study Exploring Attitudes towards Sugar, Sweeteners and Sweet-Tasting Foods in the United Kingdom

Tang

Mars

James

et al. 2021

Foods

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Worldwide initiatives currently aim to reduce free sugar intakes, but success will depend on consumer attitudes towards sugar and the alternatives. This work aimed to explore attitudes towards sugar, sweeteners and sweet-tasting foods, towards consumption and related policies, in a sample of the general public of the UK. Focus groups and interviews were conducted with 34 adults (7 males, ages: 18–65 years). Thematic analysis identified six themes: ‘Value’ (e.g., pleasure, emotions), ‘Angle’ (e.g., disinterest), ‘Personal Relevance’ (to be concerned and/or change one’s own behavior), ‘Personal Responsibility’ (one has an active relationship with these food items), ‘Understanding’ (the acquisition, comprehension and application of information) and ‘It’s Not Up to Me’ (a passive approach, because intake is subjected to other factors). Both positive and negative attitudes towards sugar, sweeteners and sweet-tasting foods were expressed in all themes. Participants also reported varied engagement with and motivations towards all food items, with implications for intakes. Suggested challenges and potential strategies for reducing free sugar intakes highlighted the need for differing approaches. Future work should assess associations between attitudes and intakes. For greatest population benefit, evidence of the dominant attitudes in those in greatest need of reduced free sugar intakes would be of value.

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The role of the home environment in sugar-sweetened beverage intake among northern Mexican adolescents: a qualitative study

Cited by 13 publications

References 39 publications

Understanding Attitudes to Change to Healthier Hydration Habits: The Case of High Sugar: Low Water Drinkers in Mexico

Understanding Attitudes to Change to Healthier Hydration Habits: The Case of High Sugar: Low Water Drinkers in Mexico

Applying the socio-ecological model to understand factors associated with sugar-sweetened beverage behaviours among rural Appalachian adolescents

Sweet Talk: A Qualitative Study Exploring Attitudes towards Sugar, Sweeteners and Sweet-Tasting Foods in the United Kingdom

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