In the USA, lower income minority ethnic children and teenagers report high consumption of sugar sweetened beverages, which cause dental erosion and dental carries, and play a significant role in overweight, obesity and diabetes.
Objective:
This study aimed to examine urban adolescents’ beliefs about sports and energy drinks to identify factors for health messaging to discourage youth consumption.
Design:
Focus group study involves 34 adolescents in urban areas (12 women, 12 men and 10 unreported sex; 19 Hispanic, 11 non-Hispanic Black, 2 Asian and 2 unknown race or ethnicity).
Setting:
Four focus groups were conducted with adolescents in urban areas.
Method:
Each on-time moderated group discussion was structured to generate an inventory of attitudinal, normative and efficacy beliefs associated with sports and energy drink consumption and reduction. Thematic analysis was used to analyse the data.
Results:
Attitudinal and normative beliefs were more positive towards sports drink consumption and energy drink reduction. Misperceptions about the need for sports drinks to avoid dehydration during physical activity were evident. Product accessibility and advertising pervasiveness were facilitators influencing consumption and barriers to reduction for both products.
Conclusion:
Results highlight important differences in perceptions about sports and energy drinks that indicate the need for different approaches and messages for interventions designed to curb consumption of these products. Recommendations for message design are provided.
AmmermanASLindquistCHLohrKN, et al. (2002) The efficacy of behavioral interventions to modify dietary fat and fruit and vegetable intake: A review of the evidence. Preventive Medicine35(1): 25–41.
2.
BehlingOStarkeFA (1973) The postulates of expectancy theory. Academy of Management Journal16(3): 373–388.
3.
BleakleyAEllithorpeMEJordanAB, et al. (2022) A content analysis of sports and energy drink advertising. Appetite174: 106010.
4.
BleichSA-OVercammenKAKomaJW, et al. (2018) Trends in beverage consumption among children and adults, 2003-2014. Obesity26(2): 432–441.
5.
BorradaileKEShermanSVander VeurSS, et al. (2009) Snacking in children: The role of urban corner stores. Pediatrics124(5): 1293–1298.
6.
BraunVClarkeV (2006) Using thematic analysis in psychology. Qualitative Research in Psychology3(2): 77–101.
7.
CannuscioCCWeissEEAschDA (2010) The contribution of urban foodways to health disparities. Journal of Urban Health87(3): 381–393.
8.
CappellaJNMaloneyEOphirY, et al. (2015) Interventions to correct misinformation about tobacco products. Tobacco Regulatory Science1(2): 186–197.
9.
CoombesJS (2005) Sports drinks and dental erosion. The American Journal of Dentistry18(2): 101–104.
10.
CordreyKKeimSAMilanaikR, et al. (2018) Adolescent consumption of sports drinks. Pediatrics141(6): e20172784.
11.
EmondJAMadanatHNAyalaGX (2012) Do Latino and non-Latino grocery stores differ in the availability and affordability of healthy food items in a low-income, metropolitan region?Public Health Nutrition15(2): 360–369.
12.
FarhangiMANikniazLKhodarahmiM (2020) Sugar-sweetened beverages increases the risk of hypertension among children and adolescence: A systematic review and dose-response meta-analysis. Journal of Translational Medicine18(1): 344.
13.
FishbeinMAjzenI (2010) Predicting and Changing Behavior: A Reasoned Action Approach. New York: Taylor & Francis.
14.
HalesCMCarrollMDFryarCD, et al. (2017) Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief288: 1–8.
HennessyMBleakleyAPiotrowskiJT, et al. (2015) Sugar-sweetened beverage consumption by adult caregivers and their children: The role of drink features and advertising exposure. Health Education & Behavior42(5): 677–686.
17.
ImamuraFO’ConnorLYeZ, et al. (2015) Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: Systematic review, meta-analysis, and estimation of population attributable fraction. British Medical Journal351: h3576.
18.
JordanATaylor PiotrowskiJBleakleyA, et al. (2012) Developing media interventions to reduce household sugar-sweetened beverage consumption. The ANNALS of the American Academy of Political and Social Science640(1): 118–135.
19.
KassemNOLeeJW (2004) Understanding soft drink consumption among male adolescents using the theory of planned behavior. Journal of Behavioral Medicine27(3): 273–296.
20.
LaniadoNSandersAEGodfreyEM, et al. (2020) Sugar-sweetened beverage consumption and caries experience: An examination of children and adults in the United States, National Health and Nutrition Examination Survey 2011-2014. Journal of the American Dental Association151(10): 782–789.
21.
LewandowskySEckerUKSeifertCM, et al. (2012) Misinformation and its correction: Continued influence and successful debiasing. Psychological Science in the Public Interest13(3): 106–131.
22.
MalikVSHuFB (2019) Sugar-sweetened beverages and cardiometabolic health: An update of the evidence. Nutrients11(8): 1840.
23.
MalikVSPanAWillettWC, et al. (2013) Sugar-sweetened beverages and weight gain in children and adults: A systematic review and meta-analysis. The American Journal of Clinical Nutrition98(4): 1084–1102.
24.
MalikVSPopkinBMBrayGA, et al. (2010) Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: A meta-analysis. Diabetes Care33(11): 2477–2483.
25.
MarriottBPHuntKJMalekAM, et al. (2019) Trends in intake of energy and total sugar from sugar-sweetened beverages in the United States among children and adults, NHANES 2003–2016. Nutrients11: 2004.
26.
MarshallTA (2013) Preventing dental caries associated with sugar-sweetened beverages. Journal of the American Dental Association144(10): 1148–1152.
27.
McLeroyKRBibeauDStecklerA, et al. (1988) An ecological perspective on health promotion programs. Health Education Quarterly15(4): 351–377.
28.
MillerCBraunack -MayerAWakefieldM, et al. (2020) ‘When we were young, it really was a treat; now sugar is just the norm every day’ – A qualitative study of parents’ and young adults’ perceptions and consumption of sugary drinks. Health Promotion Journal of Australia31(1): 47–57.
29.
MunsellCRHarrisJLSardaV, et al. (2016) Parents’ beliefs about the healthfulness of sugary drink options: Opportunities to address misperceptions. Public Health Nutrition19(1): 46–54.
30.
NarainAKwokCSMamasMA (2016) Soft drinks and sweetened beverages and the risk of cardiovascular disease and mortality: A systematic review and meta-analysis. International Journal of Clinical Practice70(10): 791–805.
31.
OgdenCLCarrollMDCurtinLR, et al. (2010) Prevalence of high body mass index in US children and adolescents, 2007-2008. Journal of the American Medical Association303(3): 242–249.
32.
PalmerJRBoggsDAKrishnanS, et al. (2008) Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women. Archives of Internal Medicine168(14): 1487–1492.
33.
PfenderEBleakleyAEllithorpeM, et al. (2023) Perceptions of sports and energy drinks: Factors associated with adolescent beliefs. American Journal of Health Promotion37(1): 84–88.
34.
ProchaskaJODiClementeCC (1983) Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology51(3): 390–395.
35.
RogersEM (1962) Diffusion of Innovations. New York: Free Press of Glencoe.
36.
Sanders-JacksonAParikhNMSchleicherNC, et al. (2015) Convenience store visits by US adolescents: Rationale for healthier retail environments. Health & Place34: 63–66.
37.
US Department of Health and Human Services (2013) The DAWN Report: Update on Emergency Department Visits Involving Energy Drinks: A Continuing Public Health Concern. Rockville, MD: US Department of Health and Human Services.
38.
ValenzuelaMJWaterhouseBAggarwalVR, et al. (2021) Effect of sugar-sweetened beverages on oral health: A systematic review and meta-analysis. European Journal of Public Health31(1): 122–129.
39.
Vargas-GarciaEJEvansCELPrestwichA, et al. (2017) Interventions to reduce consumption of sugar-sweetened beverages or increase water intake: Evidence from a systematic review and meta-analysis. Obesity Reviews18(11): 1350–1363.
40.
VercammenKAKomaJWBleichSN (2019) Trends in energy drink consumption among U.S. adolescents and adults, 2003-2016. American Journal of Preventive Medicine56(6): 827–833.
41.
YzerM (2012) Perceived behavioral control in reasoned action theory: A dual-aspect interpretation. The ANNALS of the American Academy of Political and Social Science640(1): 101–117.
42.
ZoellnerJEstabrooksPADavyBM, et al. (2012) Exploring the theory of planned behavior to explain sugar-sweetened beverage consumption. Journal of Nutrition Education and Behavior44(2): 172–177.
