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
Previous interventions to increase water access and consumption have focused on school settings, have shown mixed results on sugar-sweetened beverage (SSB) consumption, and have rarely addressed tap water safety. Our randomized controlled trial examined how improving access and appeal of water in recreation centers in low-income neighborhoods affected counts of … More
Identifying geographic differences in children’s sugar‐sweetened beverage and 100% fruit juice intake using health system data
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 … 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