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
Parental and Provider Perceptions of Sugar-Sweetened Beverage Interventions in the First 1,000 Days: A Qualitative Study
Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days – pregnancy through age 2 years – are urgently needed. This study examined perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. Themes … More
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
Taxing sugar-sweetened beverages (SSBs) has emerged as an important healthy food and weight policy over the past five years. Seven US cities and more than 30 countries across the globe have adopted taxes on sugary drinks. Initial evaluations have found that these taxes raise the prices of sugary drinks and … More