In 2019, California and Wilmington, Delaware implemented policies requiring healthier default beverages with restaurant kids’ meals. The current study assessed restaurant beverage offerings and manager perceptions. Pre-implementation, the most common kids’ meal beverages on California menus were unflavored milk and water (78·8 %, 52·0 %); in Wilmington, juice, milk and sugar-sweetened beverages were most common (81·8 %, 66·7 % and 46·2 %). Post-implementation, menus including only policy-consistent beverages significantly increased in California (9·7 % to 66·1 %, P < 0·0001), but remained constant in Wilmington (30·8 %). During orders, cashiers/servers offering only policy-consistent beverages significantly decreased post-implementation in California (5·0 % to 1·0 %, P = 0·002). Few managers (California 29·3 %; Wilmington 0 %) reported policy knowledge, although most expressed support. Most managers wanted additional information for customers and staff. While the proportion of menus offering only policy-consistent kids’ meal default beverages increased in California, offerings did not change in Wilmington. In both jurisdictions, managers lacked policy knowledge, and few cashiers/servers offered only policy-consistent beverages. Additional efforts are needed to strengthen implementation of kids’ meal beverage policies.
Published: April 2021
ID #: CAS059
Journal: Public Health Nutrition
Authors: Ritchie LD, Lessard L, Harpainter P, et al.
Healthy default beverage policies for kids’ meals: A statewide baseline assessment of restaurant managers’ perceptions and knowledge in DelawareThis study evaluated restaurant managers’ knowledge and support of a healthy default beverage policy in Delaware that had passed, but not yet gone into effect. We conducted structured in-person interviews with managers (n = 50) from full-service and quick-service chain and non-chain restaurants (QSRs) using a stratified random sample. Managers were interviewed about the number More
Assessing the Implementation of Kids’ Meals Healthy Default Beverage Policies in the State of California and City of Wilmington, Del.Healthy default beverage (HDB) policies are one policy approach to limiting kids’ sugary drink consumption and encouraging healthier beverage consumption. These policies specifically require restaurants to offer only healthier drinks (e.g., water, milk, 100% juice) instead of sugary drinks as the default options with kids’ meals, a combination of food and drink items sold as More
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