包括图像警告在内的多组分干预措施减少含糖饮料消费的有效性 - - 随机对照试验
Kumar Guru Mishra1, Aliya Afreen1, Nabnita Patnaik2
1Department of Community Medicine, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India.
概括
多元干预措施显著减少了印度城市父母购买含糖饮料的数量. 这种公共卫生方法提供了一个可行的策略来降低SSB的消费量并改善儿童健康结果.
科学领域:
- 公共卫生营养
- 行为科学
- 健康干预研究
背景情况:
- 含糖饮料是印度饮食中添加糖的主要来源,与肥胖,二型糖尿病和牙有关.
- 多元干预措施 (MCIs) 已被证明对减少烟草的有效性,并适应了SSB消费的目标.
研究的目的:
- 评估多元干预措施 (MCI) 在减少家长为儿童购买含糖饮料 (SSB) 的有效性.
- 评估 MCI 对印度城市购买频率,风险感知和家长态度的影响.
主要方法:
- 在海德拉巴的三个城市贫民区进行了随机分级控制试验.
- 60名家长在10周的时间里参与了这项活动,在普通商店中实施了MCI (图片健康警告,教育小册子,咨询).
- 测量结果包括购买SSB的频率,卡路里摄入量,风险感知以及干预前后的态度.
主要成果:
- 干预后的SSB采购大幅下降 (25%与干预前的55%,p=0.002).
- 在干预后购买的SSB含有更少的卡路里 (45 kcal与92 kcal,p<0.001).
- MCI增加了对SSB危害的认识 (d=2.19,p<0.001) 和负面情绪反应 (d=2.08,p<0.001),而没有影响感知到的吸引力或味道.
结论:
- 多元干预措施有效地减少了城市贫民窟父母购买SSB的频率和卡路里摄入量.
- 在类似的社会经济背景下,MCI是减少SSB消费的可行和有前途的公共卫生战略.
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