Understanding individual and socio-cultural factors associated with hispanic parents’ provision of sugar-sweetened beverages to young children

Beckman, Madeline; Harris, Jennifer L.

doi:10.1016/j.appet.2021.105139

Cited by 9 publications

(6 citation statements)

References 31 publications

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“…These results also suggest that misperceptions about the healthfulness of sweetened fruit drinks likely contribute to frequent provision. As found in previous studies (11,13) , there was a positive relationship between caregivers' perceptions of product healthfulness and frequency of provision, demonstrating the need to better inform caregivers that experts do not recommend serving fruit drinks and flavoured water to young children. In addition, the current study supports the importance of addressing common misperceptions about benefits of nutrition-related product features.…”

Section: Discussionsupporting

confidence: 65%

“…A few studies have examined caregivers' perceptions of different types of SSB and found that many believe that sweetened fruit-flavoured drinks are healthy choices for their child(ren) (11,12) . Caregivers' misperceptions about the healthfulness of SSB were associated with serving them to their 2-to 17-year-old children (11) , and misperceptions of SSB healthfulness among Hispanic caregivers were associated with a greater number of SSB types served (13) . Furthermore, many caregivers rely upon on-package ingredient claims (e.g.…”

mentioning

confidence: 99%

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Caregivers’ provision of sweetened fruit-flavoured drinks to young children: importance of perceived product attributes and differences by socio-demographic and behavioural characteristics

Choi

Jensen

Fleming‐Milici

et al. 2022

Public Health Nutr.

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Objective: Drinks containing added sugar and/or non-nutritive sweeteners are not recommended for children under 6 years. Yet, most young children consume these products. The current study examined factors associated with caregivers’ provision of sweetened drinks to their young child. Design: Caregivers reported frequency of providing sweetened fruit-flavoured drinks (fruit drinks and flavoured water) and unsweetened juices (100 % juice and juice/water blends) to their 1- to 5-year-old child in the past month and perceived importance of product attributes (healthfulness, product claims and other characteristics), other drinks provided, reading the nutrition facts panel and socio-demographic characteristics. A partial proportional odds model measured the relationship between these factors and frequency of providing sweetened fruit-flavoured drinks. Setting: Online cross-sectional survey. Participants: U.S. caregivers (n 1763) with a young child (ages 1–5). Results: The majority (74 %) of caregivers provided sweetened fruit-flavoured drinks to their child in the past month; 26 % provided them daily. Provision frequency was positively associated with some drink attributes, including perceived healthfulness, vitamin C claims and box/pouch packaging; child requests and serving other sweetened drinks and juice/water blends. Provision frequency was negatively associated with perceived importance of ‘no/less sugar’ and ‘all natural’ claims. Reading nutrition facts panels, serving water to their child and child’s age were not significant. Conclusion: Misunderstanding of product healthfulness and other marketing attributes contribute to frequent provision of sweetened drinks to young children. Public health efforts to address common misperceptions, including counter marketing, may raise awareness among caregivers about the harms of providing sweetened drinks to young children.

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Section: Discussionsupporting

confidence: 65%

mentioning

confidence: 99%

Caregivers’ provision of sweetened fruit-flavoured drinks to young children: importance of perceived product attributes and differences by socio-demographic and behavioural characteristics

Choi

Jensen

Fleming‐Milici

et al. 2022

Public Health Nutr.

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“…Because perceived healthfulness of drinks has been associated with providing the drink to children ( 20 , 22 ), it is important to understand what might influence caregivers’ perceptions of a drink's healthfulness. In our study we found that caregivers’ beliefs that a drink contained added sugar was associated with lower perceived healthfulness, but this was not the case for NNSs.…”

Section: Discussionmentioning

confidence: 99%

Caregivers’ Understanding of Ingredients in Drinks Served to Young Children: Opportunities for Nutrition Education and Improved Labeling

Jensen

Choi

Fleming‐Milici

et al. 2022

Current Developments in Nutrition

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Background Against expert recommendations, sugar-sweetened beverages, especially fruit drinks, are consumed by young children. Misperceptions about drink ingredients and healthfulness may contribute to caregivers’ provision. Objective Assess caregivers’ reasons for serving sweetened fruit-flavored drinks and unsweetened juices to their young children (1-5 y) and perceptions of product healthfulness and drink ingredients. Methods Cross-sectional online survey assessed participants’ (n = 1,614) perceptions of sweetened fruit-flavored drinks (fruit drinks and flavored water) and unsweetened juices (100% juice and water/juice blends) provided to their child in the past month, including product healthfulness, reasons for providing, and knowledge of product ingredients (added sugar, non-nutritive sweeteners (NNS), percent juice). One-way analysis of variance compared perceived healthfulness of drink categories and types of sugar and NNS and differences between participants who could versus could not accurately identify drink ingredients. Results Participants’ top reasons for providing sweetened drinks included child liking it, being inexpensive, child asking for it, and being a special treat. Participants perceived 100% juice as healthiest, followed by juice/water blends, flavored waters and lastly, fruit drinks (p<0.05). Many participants inaccurately believed the fruit drink or flavored water they served their child most often did not contain NNSs (59.0 and 64.9%) and/or added sugars (20.1 and 42.2%), when in fact they did, and 81.3-91.1% overestimated the percent juice in the drink. Perceived healthfulness of fruit drinks was associated with caregivers’ belief that the drink contained added sugar (p<0.05), but not with their belief that it contained NNS; increased accuracy was associated with decreased perceived healthfulness (p<0.05). Conclusions Inaccurate understanding of added sugar, NNS and percent juice in drinks served to young children was common and may contribute to sugary drink provision. Public health efforts should seek to improve labeling practices and revise nutrition education messages.

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“…WIC nutrition education may improve nutritional knowledge among parents of participants, increasing perceived benefits of healthy beverages for children (e.g., water) and perceived harms of unhealthy beverages (e.g., SSBs) [ 26 ]. A study found that Hispanic parents who gave their child SSBs perceived those beverages to be healthier than parents who did not give those beverages to their child, suggesting that perceived healthfulness of beverages is important to child beverage choice among Hispanic families [ 27 ]. A recent evaluation of a countermarketing intervention for fruit-drink intake among Hispanic children found that messages about the health consequences of fruit drinks reduced intake, and joint messages about health consequences of fruit drinks and benefits of water reduced intake of fruit drinks further [ 28 ], demonstrating that joint messages about water and SSBs can enhance healthy beverage choice.…”

Section: Discussionmentioning

confidence: 99%

Longer Participation in the Special Supplemental Nutrition Program for Women, Infants, and Children Is Not Associated with Reduced Sugar-Sweetened Beverage Intake among Black Participants

et al. 2022

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This study assessed relationships of duration of family Special Supplemental Nutrition Program for Women, Infants and Children (WIC) participation with racial/ethnic disparities in child sugar-sweetened beverage (SSB) and water intake. Child beverage intake and family duration on WIC were collected during three cross-sectional surveys of WIC-participating families in Los Angeles County, California (2014, 2017 and 2020; n = 11,482). The associations of family duration of WIC participation, a proxy for the amount of WIC services received, with daily intake of total SSBs, fruit-flavored SSBs and water were assessed in race/ethnicity strata with multivariable negative binomial and Poisson regression models. Among English-speaking Hispanic children, those of families reporting 10 years of WIC participation consumed 33 and 27% fewer servings of total and fruit-flavored SSBs compared to those of families reporting 1 year on WIC. Among Black children, those from families reporting 5 and 10 years of participation in WIC consumed 33 and 45% more daily servings of fruit-flavored SSBs than those from families reporting 1 year on WIC. Disparities in daily total and fruit-flavored SSB intake between Black and White children increased with longer family duration on WIC. Duration of family WIC participation is associated with healthier beverage choices for infants and children, but does not appear to be equally beneficial across racial/ethnic groups in Los Angeles County.

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Understanding individual and socio-cultural factors associated with hispanic parents’ provision of sugar-sweetened beverages to young children

Cited by 9 publications

References 31 publications

Caregivers’ provision of sweetened fruit-flavoured drinks to young children: importance of perceived product attributes and differences by socio-demographic and behavioural characteristics

Caregivers’ provision of sweetened fruit-flavoured drinks to young children: importance of perceived product attributes and differences by socio-demographic and behavioural characteristics

Caregivers’ Understanding of Ingredients in Drinks Served to Young Children: Opportunities for Nutrition Education and Improved Labeling

Longer Participation in the Special Supplemental Nutrition Program for Women, Infants, and Children Is Not Associated with Reduced Sugar-Sweetened Beverage Intake among Black Participants

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