Understanding Attitudes and Practices of Low-Income Caregivers Toward Sugar-Sweetened Beverage Consumption in Preschool-Aged Children
Main Article Content
Abstract
Sugar-sweetened beverage (SSB) consumption during early childhood has been linked to adverse health outcomes across the lifespan. Caregivers of young children are often unaware of the potential health harms of SSB and may lack knowledge, skills and environmental supports to limit SSB. The objectives of this study were to explore caregivers’ attitudes and practices with regard to SSB and to identify themes that may inform future policies and interventions to limit these beverages. Guided by the Social Ecological Model (SEM), the research team interviewed low-income caregivers of children ages two to five at a health clinic in urban New York State. Interviews were recorded, transcribed, and coded for themes and further analyzed for determinants of behavior with regard to providing SSB. Five major themes emerged: Greater SSB knowledge led to healthier choices; confusion about the healthfulness of some SSB; SSB affordability, accessibility and cultural acceptability; children’s “pester power” to obtain SSB; and, lack of SSB information from healthcare providers. Determinants such as perceived barriers to action, self-efficacy, cues to action, and perceived threat emerged from the themes. SSB are widely available, affordable and palatable. Healthcare providers seldom discuss children’s SSB intake specifically at well visits. SSB are frequently marketed and labeled as “healthy.” SSB are a significant source of empty calories and added sugars. Helping parents limit SSB may reduce child overweight and obesity and minimize lifelong chronic disease risks. Heathcare providers, health campaigns and nutrition assistance programs may collaborate to help parents limit SSB intake in young children.
Keywords:
child obesity, sugar-sweetened beverages, nutrition in young children, parenting and nutrition
Article Details
How to Cite
COOPER, Christen C; NORTHRUP, Angela; IANNACCHINO, Michelle.
Understanding Attitudes and Practices of Low-Income Caregivers Toward Sugar-Sweetened Beverage Consumption in Preschool-Aged Children.
Medical Research Archives, [S.l.], v. 11, n. 3, mar. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3459>. Date accessed: 04 dec. 2024.
doi: https://doi.org/10.18103/mra.v11i3.3459.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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32. Hughes, S.O., Power, T.G., Orlet Fisher, J., Mueller, S. & Nicklas, T.A. (2005). Revisiting a neglected construct: Parenting styles in a child feeding context. Appetite, 44, 83-92.
33. Hughes, S.O., Shewchuk, R.M., Baskin. & Qu Haiyan. (2008). Indulgent feeding style and children’s weight status in preschool. Journal of Developmental and Behavioral Pediatrics. 29(5): 403- 410.
34. Kay, M. C., Welker, E. B., Jacquier, E. F., & Story, M. T. (2018). Beverage consumption patterns among infants and young children (0-47.9 months): Data from the Feeding Infants and Toddlers Study, 2016. Nutrients, 10(7), 825.
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38. Lopez, N.V., Ayala, G.X., Corder, K., Eisenberg, C.M., Zive, M.M., Wood, C., Elder J.P. (2012). Parent support and parent-mediated behaviors are associated with children’s sugary beverage consumption. Journal of the Academy of Nutrition and Dietetics, 112(4), 542-547.
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40. McAlister, A.R. & Cromwell, T.B. (2010). Children's brand symbolism understanding links to theory of mind and executive functioning, Psychology & Marketing, 27(3).
41. Munsell, C. R., Harris, J. L., Sarda, V., & Schwartz, M. B. (2016). Parents’ beliefs about the healthfulness of sugary drink options: opportunities to address misperceptions. Public Health Nutrition, 19(1), 46-54.
42. Muth, N. D., Dietz, W. H., Magge, S. N., Johnson, R. K. (2019). Public policies to reduce sugary drink consumption in children and adolescents. Pediatrics, 143(4), e20190282.
43. Nezami, B.T., Lytle, L. A. & Tate, D.F. (2016). A randomized trial to reduce sugar-sweetened beverage and juice intake in preschool-aged children: description of the Smart Moms intervention trial. BMC Public Health, 16, 837.
44. Northrup, A. A., & Smaldone, A. (2017). Maternal Attitudes, Normative Beliefs, and Subjective Norms of Mothers of 2-and 3-Year-Old Children. Journal of Pediatric Health Care, 31(3), 262-274.
45. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the united states, 2011-2012. JAMA, 311(8), 806-814. https://doi.org/10.1001/jama.2014.732
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