Water Is K’é: Learning from the Navajo Community to Promote Early Child Health

Drinking water instead of sugary drinks is key to reducing health disparities. Since beverage habits are shaped by complex personal, community, and environmental factors, community input is critical to design any intervention promoting water. The research team worked with community partners to design a program to promote healthy beverage habits among young Navajo children. The More

Online retail nudges to help parents with lower-income choose healthy beverages for their children: A randomized clinical trial

Nudges offer a promising tool to reduce sugary drink intake among children who are most at risk for diet-related disease. The objective of this study was to examine the impact of online store nudges on purchases of sugary drinks for children in lower-income households. Caregivers with lower-income were recruited to an online shopping experiment and More

Shared Perceptions on Upstream Factors that Influence Water and Sugar-Sweetened Beverage Consumption Among Hispanic Families in the Greater Washington, DC, Metro Area: Qualitative Results From Focus Group Discussions

The study aimed to describe how Hispanic parents currently living in the greater Washington, DC, metro area and born outside of the United States, perceived upstream factors that influenced their current beverage choice. Six qualitative focus groups were conducted in Spanish in 2021. The five key findings were: Growing up (in their countries of origin More

Centering equity in FDA regulation: Front-of-package food label effects in Latino and limited English proficiency populations

This project aims to determine the front-of-package label design that is most effective at helping Latino consumers identify and choose healthier products. The project also aims to explore whether the benefits of front-of-package design differ by English proficiency. Participants will include 4,000 US adults of parental age (18-55 years old) who identify as Latino. Participants More

Effects of front-of-package non-sugar sweetener disclosures on parents’ perceptions and selection of sweetened food and beverage products for their children

The project aims to use an online randomized experiment to 1) evaluate the impact of front-of-package (FOP) non-sugar sweetener (NSS) disclosures on a) parents’ selection of unsweetened products and b) parents’ selection of products with NSS and use focus group discussions to 2) examine parents’ understanding and perceptions of NSS and FOP NSS disclosures, 3) More

Effects of a front-of-package disclosure on accuracy in assessing children’s drink ingredients: two randomised controlled experiments with US caregivers of young children

This study aimed to test the effects of a standardized front-of-package (FOP) disclosure statement (indicating added sugar, non-nutritive sweetener (NNS) and juice content) on accuracy in assessing ingredients and perceived healthfulness of children’s drinks. In two randomized controlled experiments, the same participants (six hundred and forty-eight U.S. caregivers of young children ages 1-5 years) viewed More

Advertising and Stocking at Small Retailers: A Sweetened Beverage Excise Tax in Philadelphia

In 2017, Philadelphia enacted a $0.015 per ounce excise tax on SBs that covered both sugar-sweetened beverages and artificially-sweetened beverages, which reduced purchasing and consumption. This study assessed whether the tax also changed beverage advertising or stocking practices that could influence consumer behavior among stores in Philadelphia, Baltimore, and Philadelphia-adjacent counties not subject to the More

Association Between Child Sugary Drink Consumption and Serum Lipid Levels in Electronic Health Records

Sugar-sweetened beverage (SSB) and fruit juice (FJ) consumption may promote lipid abnormalities in childhood. We examined the association between SSB/FJ intake and lipid levels using electronic health record data for 2816 adolescents. Multivariable logistic regression models treated clinical cutpoints for abnormal lipid levels (triglycerides [TG], high-density lipoprotein (HDL), low-density lipoprotein [LDL], and total cholesterol) as More

Screening for Beverage Consumption in Early Childhood using Electronic Health Records

Establishing healthy beverage patterns during early childhood (ages 0 to 5 years) is important for promoting healthy growth and development in childhood and reducing risk of chronic diseases as an adult. Health care providers play an essential role in identifying and addressing unhealthy beverage consumption patterns in young children and helping families develop healthy beverage More

Teacher and Caregiver Perspectives on Water Is K’é: An Early Child Education Program to Promote Healthy Beverages among Navajo Children

The Water is K’é program was developed to increase water consumption and decrease consumption of sugar-sweetened beverages for young children and caregivers. The pilot program was successfully delivered by three Family and Child Education (FACE) programs on the Navajo Nation using a culturally centered curriculum between 2020 to 2022. The purpose of this research was More