This study aimed to demonstrate the feasibility of using health system data to examine the geographic distribution of sugar‐sweetened beverage intake and evaluate neighborhood characteristics associated with intake. Researchers extracted electronic health record data from a sugar‐sweetened beverage and 100% fruit juice screener used for children ages 1 to 17 years in eight pediatric practices in North Carolina (March 2017‐2018) and dichotomized intake to high (≥3 sugar‐sweetened beverages/day) vs not, then combined electronic health record data with US census data and evaluated associations of census tract income and race/ethnicity with intake. Of 19,451 patients, 4579 (23.5%) reported consuming ≥3 sugar‐sweetened beverages/day. In multivariable models, children living in tracts with high concentrations of low‐income (OR: 1.45, 95% CI: 1.26, 1.68) and non‐white residents (OR: 1.44, 95% CI: 1.21, 1.71) were more likely to consume ≥3 sugar‐sweetened beverages/day than children in tracts with a high concentration of high‐income and white residents.
Identifying geographic differences in children’s sugar‐sweetened beverage and 100% fruit juice intake using health system data
Implementing a novel electronic health record approach to track child sugar-sweetened beverage consumption
Sugar-sweetened beverage (SSB) consumption is a risk factor for childhood obesity. Including this measure in electronic health records (EHR) could enhance clinical care and facilitate research on this topic. We implemented a single-item, EHR screening question for SSB and 100% fruit juice at 8 pediatric practices affiliated with a North … More
Studying the Novel Approach of Using Electronic Health Records From Pediatric Primary Care to Measure Children’s Consumption of Sugary Beverages
Electronic health record (EHR) screening for sugar-sweetened beverage (SSB) intake may be a novel intervention for reducing SSB intake in children, and would result in longitudinal databases of individual-level consumption that could enhance the ability the evaluate local or regional SSB policies. This study aims to: 1) implement and evaluate … More
Drinking water access in California schools: Room for improvement following implementation of school water policies
This study aimed to investigate how access to free drinking water in California public schools changed after implementation of 2010 federal and state school water policies. Repeated cross-sectional surveys were conducted with administrators in a random sample of California public schools, stratified by school type and urban-centric geography, from 2010 … More