Abstract

Although consumption of sugar-sweetened beverages (SSBs) is a key contributor to epidemic obesity and has dramatically increased over the past decade in the United States, little is known about its prevalence and associated factors. Data from the 2012 Behavior Risk Factor Surveillance System (BRFSS) were used to estimate the prevalence of SSB consumption and to explore the associations between socio-demographic characteristics, behavioral factors and SSB intake in Mississippi (n = 7220). Descriptive statistics, Chi-square tests and logistic regressions were conducted using SAS Proc Survey procedures, to account for the BRFSS′s multistage complex survey design and sample weights. Overall prevalence of self-reported daily SSB intake was 41.1%. Our findings showed that males (aOR = 1.4, 95% CI: 1.2–1.7, ref = female), blacks (aOR = 1.7, 95% CI: 1.4–2.1, ref = whites), adults aged 18–24 years (aOR = 5.0, 95% CI: 3.4–7.5, ref = 65 years or older), those with less than high school education (aOR = 1.9, 95% CI: 1.4–2.6, ref = college graduate), annual income <$25,000 (aOR = 1.3, 95% CI: 1.1–1.7, ref ≥ $50,000) and $25,000–49,999 (aOR = 1.3, 95% CI: 1.1–1.6, ref ≥ $50,000), those with no physical activity (OR = 1.3, 95% CI: 1.1–1.6, ref = physically active), daily smokers (aOR = 2.2, 95% CI: 1.7–2.7, ref = non-smokers), and those who reported eating at fast food or chain restaurants (aOR = 1.8, 95% CI: 1.2–2.5, ref = do not eat at fast food or chain restaurants) were more likely to consume SSBs, raising concerns about overweight and obesity in Mississippi.

Highlights

  • Obesity is a major health condition problem which has increased dramatically during the past years

  • Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based survey conducted by state health departments in collaboration with the Center for Disease Control and Prevention (CDC)

  • Our findings (Table 1) indicated that the prevalence of daily sugar-sweetened beverages (SSBs) intake was significantly higher among males (45.3%), blacks (51.5%), unmarried adults (47.8%), those aged

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Summary

Introduction

Obesity is a major health condition problem which has increased dramatically during the past years. In 1990, no state had a prevalence rate of obesity greater than 15%, whereas in 2006 only four states had rates of less than 40% [1]. By 2010, 36 states had obesity rates of 25% or higher, and 12 of those had a prevalence rate of obesity equal to or greater than 30%. Nationwide today, more than one-third (34.9%) of adults are obese [2]. Mississippi currently has the highest adult obesity rate in the nation (35%). According to the 2015 State of Obesity, the adult obesity rate in Mississippi has increased dramatically over the past years, from 15% in 1990 to 35.6% in 2015 and could reach up to 66.7% by

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