In June 2016, the Philadelphia City Council passed a 1.5 cents per ounce tax on sugar-sweetened beverages (SSBs). Given the tax, the climate for promoting water and discouraging SSB consumption in Philadelphia is ideal for testing interventions that may increase water consumption. Specific aims of this study are to: l) determine the effectiveness of a comprehensive multi-level intervention to increase water access and appeal in community recreation centers on center-level water intake and the purchase of outside SSBs; and 2) determine secondary effects on discarded disposable bottles, use of reusable bottles, and recreation center staff consumption of SSBs. The proposed multi-component intervention will include water safety testing, provision of one to three hydration stations per recreation center, distribution of reusable water bottles for youth, a campaign to promote the acceptability of tap water, and the reduction of access to competing unhealthy beverages through vending machine standards and discouraging outside SSBs. Water flow meters will be installed at 28 recreation centers in low-income, minority neighborhoods to collect objective data on water consumption at each center. Observations of center youth will be used to assess prevalence of outside SSBs and usage of reusable water bottles. Staff SSB consumption will be self reported and discarded disposable bottles will be weighed. Multilevel models will be used for analysis of results.
Studying the Effectiveness of an Intervention to Increase Water Access and Appeal for Underserved Populations Outside School Settings
U.S. states have introduced bills requiring sugar-sweetened beverages (SSBs) to display health warning labels. This study examined how warning labels influence parents and which labels are most effective. Over 2,000 demographically and educationally diverse parents of children ages 6 to 11 participated in an online survey. Parents were randomized to … More
Assessing Beverage Intake in Children and Adolescents: State of the Science, Recommendations, and Resources for Evaluation
This report serves as a guide to assist researchers in the selection of beverage intake assessment methods. The report begins with a description of several key issues to consider when assessing beverage intake in children and adolescents, and then moves into a review of five methods for assessing beverage consumption. The … More
Issue Brief. The Associations Between Sugar-Sweetened Beverage Consumption and Children’s Health: An Updated Review of the Literature
Consumption of sugar-sweetened beverages (SSBs)—which include all drinks with added sugar, such as soda, fruit drinks, and sports drinks—is strongly linked to obesity and a number of other negative health consequences. This issue brief is based on a review of the literature on this topic and examines the evidence on: … More