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Factors Associated with Sugar-Sweetened Beverage Intake Among Young Children - United States, 2021
Mary Ellen Grap1,2,3, Heather C Hamner1, Carrie Dooyema1
1Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Insights
Young children’s sugar-sweetened beverage (SSB) intake is linked to various factors. Public health efforts should address these sociodemographic and household influences on SSB consumption in early childhood.
Area of Science:
- Pediatric Nutrition
- Public Health
- Child Development
Background:
- Limited data exist on factors influencing sugar-sweetened beverage (SSB) intake in young children.
- Understanding these factors is crucial for developing targeted public health interventions.
Purpose of the Study:
- To investigate sociodemographic and household factors associated with SSB intake among US children aged 1 to 5 years.
Main Methods:
- Utilized data from the 2021 National Survey of Children's Health.
- Employed multinomial logistic regression to analyze SSB intake frequency (0, 1-3, or ≥4 times/week).
- Calculated adjusted odds ratios (aORs) for moderate and high SSB intake based on various factors.
Main Results:
- 36% of children consumed SSBs 1-3 times/week, and 21% consumed them ≥4 times/week.
- SSB intake was associated with child's age, race/ethnicity, caregiver education, household income, primary language, and family meal frequency.
- Lower caregiver education, marginal food sufficiency, non-metropolitan status, and food assistance were linked to higher SSB intake.
Conclusions:
- Significant sociodemographic and household factors influence SSB intake in young children.
- Public health initiatives should consider these factors in pediatric healthcare, early education, and home settings.
- Targeted interventions can help reduce SSB consumption in early childhood.
Introduction:
Because limited data exist about factors related to sugar-sweetened beverage (SSB) intake among younger children, we investigated factors associated with SSB intake among US children aged 1 to 5 years.
Methods:
We examined SSB intake (0, 1-3, or ≥4 times/week) by using data from the 2021 National Survey of Children's Health. We performed a multinomial logistic regression to calculate adjusted odds ratios (aORs) for select sociodemographic and household factors associated with moderate (1-3 times/week) and high (≥4 times/week) SSB intake.
Results:
Overall, 36% of children consumed SSBs 1 to 3 times/week and 21% consumed 4 or more times/week. Both moderate and high SSB intake were associated with child's age, child's race and ethnicity, highest caregiver education level, household income, primary household language, and frequency of family meals. For example, children who lived in households with caregiver education level of high school graduate or less were significantly more likely to have moderate (aOR, 2.06) and high (aOR, 2.81) SSB intake than those who lived in households with caregiver education level of college degree or higher. High SSB intake was also associated with marginal household food sufficiency, nonmetropolitan statistical area status, and receipt of government food benefits.
Conclusion:
Several sociodemographic and household factors were significantly associated with SSB intake among children aged 1 to 5 years. Public health initiatives designed to address SSB intake among young children in various settings including pediatric health care, early care and education, and the child's home could consider key associated factors.
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