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Factors Influencing the Early Introduction of Sugar Sweetened Beverages among Infants: Findings from the HSHK Birth
Vanessa Irvine1, James Rufus John2,3, Jane A Scott4
1School of Health Sciences, Western Sydney University, Penrith, NSW 2751, Australia.
Insights
Early introduction of sugar-sweetened beverages (SSBs) before 52 weeks affects infant health. Identifying at-risk families helps tailor interventions to prevent childhood obesity and related conditions.
Area of Science:
- Public Health Nutrition
- Pediatric Health
- Maternal and Child Health
Background:
- Early introduction of sugar-sweetened beverages (SSBs) is linked to childhood obesity and related health issues.
- Understanding the determinants of early SSB consumption is crucial for developing effective public health interventions.
- This study investigates family and infant characteristics associated with early SSB introduction in Sydney, Australia.
Purpose of the Study:
- To identify family and infant factors associated with the early introduction of SSBs (before 52 weeks of age).
- To inform targeted public health strategies aimed at preventing early SSB consumption in infants.
Main Methods:
- A prospective birth cohort study involving 934 mothers in Sydney, Australia.
- Mothers were interviewed at 8, 17, 34, and 52 weeks postpartum.
- Multivariable logistic regression analysis was employed to determine factors independently associated with early SSB introduction.
Main Results:
- 42.7% of infants were introduced to SSBs before 52 weeks.
- Higher odds of early SSB introduction were observed in mothers born in Vietnam or other Asian countries, and in single mothers.
- Reduced odds were associated with higher socioeconomic background, longer breastfeeding duration (17+ weeks), and later introduction of solids (17+ weeks).
Conclusions:
- Specific maternal and socioeconomic factors significantly influence the timing of SSB introduction in infants.
- Vulnerable groups, including single mothers and those from specific ethnic backgrounds, require tailored health promotion programs.
- Interventions focusing on delayed introduction of solids and extended breastfeeding may help reduce early SSB consumption.
Abstract:
Understanding the determinants of early introduction of sugar sweetened beverages (SSBs) may assist in designing effective public health interventions to prevent childhood weight related conditions (obesity). This study explores the relationship between family/infant characteristics and the early introduction of SSBs among infants in Sydney, Australia. Mothers (n = 934) from an ongoing birth cohort study were interviewed at 8, 17, 34, and 52 weeks postpartum. Multivariable logistic regression analysis was used to identify family/infant factors independently associated with the likelihood of early introduction of SSBs (<52 weeks of age). Of the 934 mothers interviewed, 42.7% (n = 399) of infants were introduced to SSBs before 52 weeks. Mothers who were born in Vietnam (adjusted Odds Ratio (AOR) = 2.14; 95% confidence interval (CI) 1.33, 3.47), other Asian countries (AOR = 1.62; 95% CI 1.02, 2.58) as well as single mothers (AOR = 3.72; 95% CI 2.46, 5.62) had higher odds of introducing SSBs early to their infants. Mothers from highly advantaged socioeconomic background (AOR = 0.43; 95% CI 0.28, 0.68), those who breastfed their baby for 17-25 weeks (AOR = 0.60; 95% CI 0.37, 0.99), 26-51 weeks (AOR = 0.65; 95% CI 0.45, 0.94), and 52 weeks or more (AOR = 0.62; 95% CI 0.43, 0.90); and those who introduced solids between 17-25 weeks (AOR = 0.58; 95% CI 0.36, 0.91) and 26 weeks or more (AOR = 0.55; 95% CI 0.34, 0.91) had reduced odds of introducing SSBs early. Tailoring health promotion programs for these vulnerable groups may delay the introduction of SSBs.
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