The relationship between amount of soda consumed and intention to reduce soda consumption among adults exposed to the Choose Health LA ‘Sugar Pack’ health marketing campaign

Abstract

Objective: To examine behavioural intention to reduce soda consumption after exposure to the Choose Health LA 'Sugar Pack' campaign in Los Angeles County, California, USA. Design: A cross-sectional street-intercept survey was conducted to assess knowledge, attitudes, health behaviours and behavioural intentions after exposure to the 'Sugar Pack' campaign. A multivariable regression analysis was performed to examine the relationships between the amount of soda consumed and selfreported intention to reduce consumption of non-diet soda among adults who saw the campaign. Setting: Three pre-selected Los Angeles County Metro bus shelters and/or rail stops with the highest number of 'Sugar Pack' campaign advertisement placements. Subjects: Riders of the region's Metro buses and railways who were the intended audience of the campaign advertisements. Results: The overall survey response rate was 56 % (resulting n 1041). Almost 60 % of respondents were exposed to the advertisements (619/1041). The multivariable logistic regression analysis suggested that the odds of reporting intention to reduce soda consumption among moderate consumers (1-6 sodas/week) were 1·95 times greater than among heavy consumers (≥1 soda/d), after controlling for clustering and covariates. Respondents with less than a high-school education and who perceived sugary beverage consumption as harmful also had higher odds; in contrast, respondents aged ≥65 years had lower odds. Conclusions: Results suggest that future campaigns should be tailored differently for moderate v. heavy consumers of soda. Similar tailoring strategies are likely needed for younger groups, for those with less educational attainment and for those who do not perceive consumption of soda as harmful.

Determinants of knowledge and attitudes about sugar and the association of knowledge and attitudes with sugar intake among adults: A systematic review

“…Similar positive impacts of being exposed to a campaign focussing on the importance of reducing the consumption of SSBs were also reported in two cross-sectional studies conducted in the US (Barragan et al, 2014;Robles et al, 2015). One of them (Barragan et al, 2014) reported more than twice the likelihood of correctly reporting the quantity of sugar in a soda drink (OR 2.63, 95%CI: 1.85, 3.75) among participants exposed to the campaign compared with those not exposed to the campaign.…”

“…One of them (Barragan et al, 2014) reported more than twice the likelihood of correctly reporting the quantity of sugar in a soda drink (OR 2.63, 95%CI: 1.85, 3.75) among participants exposed to the campaign compared with those not exposed to the campaign. The second (Robles et al, 2015) found that moderate consumers (1-6 sodas/week) were nearly twice as likely to reduce SSB intake (OR 1.95, 95%CI 1.44, 2.65) after exposure to the campaign, compared with heavy consumers (≥ 1 soda/day). Though both these cross-sectional studies analysed the same data and had a large sample of adults (n=1041), both may be at risk of selection bias as the sample was recruited from selected public transit locations.…”

“…Media tools had positive impacts on knowledge and attitudes about the importance of reducing the consumption of sugar from food and beverages (Barragan et al, 2014;Boles, Adams, Gredler, & Manhas, 2014;Jordan et al, 2012;Robles et al, 2015;Vaala et al, 2016).…”

Parental awareness of young children's pattern of ionic beverage consumption

“…15 Kelly et al investigated the impact of television advertising on children's negative dietary patterns and found that the link between television viewing and poor diet was strongest for children who watched the greatest amount of commercial television, because they were heavily exposed to advertisements. 16 Although the aim of those studies was different from the present one, those studies indicate that pediatric health-care providers [17][18][19][20] It is necessary to consider a campaign that raises awareness of the appropriate use of ionic beverages in infants and young children.…”

“…Although the aim of those studies was different from the present one, those studies indicate that pediatric health‐care providers should be aware of ionic beverage consumption by infants and young children and should protect them from the unfavorable effects of advertisements by educating parents. Moreover, restricting food advertisements tends to improve dietary habits . It is necessary to consider a campaign that raises awareness of the appropriate use of ionic beverages in infants and young children.…”