Reducing sugar-sweetened beverage consumption among young adults: A point-of-selection experiment

项目摘要/摘要 青少年和成人肥胖率比美国历史上任何时候都要高，这推动了人口 患糖尿病和心血管疾病的风险。强有力的证据表明，吃含糖的食物会让人觉得 饮料(SSB)会增加患肥胖症的风险。尽管美国疾病控制和预防中心 预防和国家医学研究院呼吁采取广泛行动减少SSB的消费， 对于如何在消耗最多的SSB的年龄段有效地做到这一点，人们知之甚少。 年龄较大的青少年和年轻人。一种有希望且具有潜在可伸缩性的方法是使用SSB Health 警告标签。虽然警告标签对SSB消耗的影响尚未被研究，但警告 标签已经成功地被用来控制吸烟，在最近的在线实验中，发现标签可以减少 假设选择SSB。本研究建议使用定性方法和形成性实验来 为青少年和青壮年制定一种在法律上可行且醒目的SSB警告标签格式。然后，一个准- 实验设计将测试分配器正面显著的SSB警告标签对大学的影响 学生的饮料消费，比较干预自助餐厅和对照餐厅的结果 自助餐馆。大学环境提供了一种可行的方法，可以接触到近一半的18至24岁的年轻人 美国I正在争取NIDDK K01导师研究科学家发展奖以填补关键培训 在(1)干预研究的设计、实施和分析以及(2)对驱动因素的理解方面存在差距 消费者决策。这一奖项将建立在我在营养流行病学和 制定评估膳食摄入量和食物环境的措施。我的长期职业目标是 成为一名独立的调查者，将降低肥胖和饮食相关慢性病的患病率 通过确定一系列可扩展的有效干预措施，将消费者推向 更健康的饮食选择。我寻求获得的技能将是实现这一目标的关键。我的详细训练 计划包括加州大学伯克利分校和加州大学旧金山分校的正式课程、指导经验、会议、研讨会和 定向读数。该项目的研究部分将提供机会将新的 将知识转化为实际的研究经验。加在一起，K01提供的培训和保护时间 奖项，与加州大学伯克利分校丰富的协作环境和强有力的机构支持相结合 公共卫生学院，将帮助我转变为一名独立的调查员，他可以成功地 争夺R01资金。它还将提供手段，帮助我成为发展和 测试可扩展的食品环境和政策干预措施，以降低与饮食相关的人口风险 慢性病。

PROJECT SUMMARY/ABSTRACT The prevalence of adolescent and adult obesity is higher than it has ever been in the U.S, driving population risk of diabetes and cardiovascular disease. Robust evidence indicates that consuming sugar-sweetened beverages (SSBs) increases the risk of developing obesity. Although the Centers for Disease Control and Prevention and the National Academy of Medicine have called for broad action to reduce SSB consumption, little is known about how to effectively do so in the age group that consumes the greatest amount of SSBs— older adolescents and young adults. One promising and potentially scalable approach is the use of SSB health warning labels. Although the effect of warning labels on SSB consumption has not yet been studied, warning labels have successfully been used to curb smoking, and in recent online experiments, were found to reduce hypothetical selection of SSBs. This study proposes to use qualitative methods and a formative experiment to develop a legally viable and salient SSB warning label format for adolescents and young adults. Then, a quasi- experimental design will test the impact of a prominent front-of-dispenser SSB warning label on university students’ beverage consumption, comparing outcomes in an intervention cafeteria to those in a control cafeteria. The college setting provides a feasible means of reaching close to half of all 18-to-24 year olds in the U.S. I am pursuing the NIDDK K01 Mentored Research Scientist Development Award to fill critical training gaps in (1) the design, conduct, and analysis of intervention studies and (2) understanding of factors driving consumer decision-making. This award will build upon my advanced training in nutritional epidemiology and development of measures to assess dietary intake and food environments. My long-term career goal is to become an independent investigator who will reduce the prevalence of obesity and diet-related chronic diseases by identifying a spectrum of scalable and effective interventions that can “nudge” consumers toward healthier dietary choices. The skills I seek to obtain will be critical in achieving this goal. My detailed training plan includes formal coursework at UC Berkeley and UCSF, mentored experience, meetings, seminars, and directed readings. The research component of this project will provide opportunities to integrate new knowledge into practical research experience. Together, the training and protected time provided by the K01 award, combined with the rich collaborative environment and strong institutional support at the UC Berkeley School of Public Health, will facilitate my transition into an independent investigator who can successfully compete for R01 funding. It will also provide the means to help me become a leader in the development and testing of scalable food environment and policy interventions that will reduce population risk of diet-related chronic diseases.