Secular trends and customer characteristics of sweetened beverage and water purchasing at US convenience and other small food stores, 2014-2017.
Secular trends and customer characteristics of sweetened beverage and water purchasing at US convenience and other small food stores, 2014-2017.
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DOI：
10.1186/s12966-022-01268-2
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发表时间：
2022-03-31
期刊：
影响因子：
--
通讯作者：
Laska MN
中科院分区：
文献类型：
--
作者：
Winkler MR;Lenk K;Erickson D;Laska MN
心血管健康与含糖和人工甜味饮料（SSB和ASB）有关。先前的研究记录了SSB购买量的下降。然而，尚不清楚便利店和其他小型食品店是否存在类似的趋势，这些食品店通常为低收入社区服务，难以获得客观的销售点数据。我们研究了在便利店和其他小商店观察到的SSB，ASB和水购买的趋势（2014-2017）以及按客户特征购买的差异。我们使用了每年（2014-2017年）从美国明尼阿波利斯/圣保罗147家随机抽样商店的3010名成年顾客中收集的观察性购买数据。SSB子类型包括任何即饮加糖苏打水，水果，运动，能量，茶或其他饮料，ASB包括人工加糖版本。不加糖的水包括即饮水。混合回归模型研究了随时间推移的趋势以及与客户特征的关联，考虑了商店内嵌套的客户和随时间推移重复测量的商店。近50%的采购包括SSB。其中约10%包括ASB。没有证据表明SSB或ASB的采购随时间发生变化。随着时间的推移，客户购买不加糖的水的比例显著增加（5.7%至8.4%;趋势P = 0.05）。SSB购买在男性、年轻人、教育程度/收入较低的顾客和经常购物的顾客中最高。ASB购买最高的是妇女，那些40-59岁，非西班牙裔白色，西班牙裔，和客户与高等教育/收入。尽管研究表明，以前在美国的SSB消费和购买下降，我们发现了一个持续的，高趋势的SSB购买超时在便利店和其他小食品店。SSBs和水的消费越来越成为公共政策和健康运动的目标。结果表明，需要开展更多的工作，以遏制加糖饮料的购买，并促进在便利店和其他小型食品店购买水，这通常在低收入和边缘化社区很普遍。
Cardiovascular health is linked to sugar- and artificially-sweetened beverages (SSBs and ASBs). Prior studies document declines in SSB purchases. However, it is unclear if similar trends exist at convenience and other small food outlets, which often serve lower-income communities and where objective point-of-sales data are difficult to obtain. We examined trends (2014–2017) in observed SSB, ASB, and water purchases at convenience and other small stores as well as differences in purchasing by customer characteristics. We used observational purchase data collected annually (2014–2017) from 3010 adult customers at 147 randomly-sampled stores in Minneapolis/St. Paul, USA. SSB sub-types included any ready-to-drink sweetened soda, fruit, sport, energy, tea, or other drink, and ASBs included artificially-sweetened versions. Unsweetened water included ready-to-drink water. Mixed regression models examined trends over time and associations with customer characteristics, accounting for customers nested within stores and stores repeatedly measured over time. Nearly 50% of purchases included an SSB. Approximately 10% included an ASB. There was no evidence of change over time in SSB or ASB purchasing. Customer purchasing of unsweetened water significantly increased over time (5.7 to 8.4%; P for trend = 0.05). SSB purchasing was highest among men, young adults, customers with lower education/ income, and customers that shopped frequently. ASB purchasing was highest among women, those 40–59 years, non-Hispanic White, Hispanic, and customers with higher education/ income. Despite research suggesting previous declines in SSB consumption and purchasing in the US, we identified a persistent, high trend of SSB purchasing overtime at convenience and other small food stores. Consumption of SSBs and water are growing targets for public policy and health campaigns. Results demonstrate additional work is needed curb sweetened beverage purchasing and promote water purchasing at convenience and other small food stores, which are often prevalent in low-income and marginalized communities.
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