Abstract

BackgroundIn 2016, Oklahoma launched “Shape Your Future – Rethink Your Drink” (SYF/RYD), an obesity prevention health communication program targeting parents and caregivers of children. The aims of this study are to compare sugar-sweetened beverage (SSB) consumption before and after the program and to report factors associated with SSB consumption, knowledge, and attitudes.MethodsThis repeated cross-sectional study involved 2656 Oklahoma adults with ≥ one child under 18 years in the home. Weighted prevalence estimates were calculated and the relationship between SSB consumption and covariates of interest were examined using logistic regression techniques appropriate for survey data.ResultsFollowing the SYF/RYD program, SSB consumption decreased 18.6% (p = 0.0232) and heavy SSB consumption, ≥ three SSB per day, decreased 42.9% (p = 0.0083). Factors associated with SSB consumption, 1 year after the launch of SYF/RYD included high school education or less (AOR = 1.33 with 95% CI = 1.02, 1.73), fair or poor health status (AOR = 2.02 with 95% CI = 1.47, 2.78), drinking less than eight cups of water daily (AOR = 1.77 with 95% CI = 1.39, 2.25), inability to afford healthy foods (AOR = 1.33 with 95% CI = 1.06, 1.67), and self-identifying as American Indian/Alaska Native (AOR = 1.59 with 95% CI = 1.10, 2.29).ConclusionsHealth communication campaigns, such as SYF/RYD, are an evidence-based strategy for health behavior change and likely contributed to the declines observed in SSB consumption. Important differences in SSB consumption by population subgroups persist and have implications for future message development.

Highlights

  • In 2016, Oklahoma launched “Shape Your Future – Rethink Your Drink” (SYF/RYD), an obesity prevention health communication program targeting parents and caregivers of children

  • The study reported baseline sugar-sweetened beverage (SSB) consumption in Oklahoma adults with children living in the home prior to the launch of the ‘Shape Your Future Rethink Your Drink’ (SYF/RYD) health communication program

  • In this study of factors associated with SSB-related knowledge, attitudes and behaviors, we found differences in consumption rates before and after a health communication program designed to raise awareness and encourage behavior change related to beverage choice

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Summary

Introduction

In 2016, Oklahoma launched “Shape Your Future – Rethink Your Drink” (SYF/RYD), an obesity prevention health communication program targeting parents and caregivers of children. Because parents can only initiate healthy habits after they understand what those habits entail, parental knowledge has a strong influence on the diets of youth and children residing in the home, on their exercise habits, and on their beverage choices [3, 4]. As well as beverage availability in the home, influence the quality of children’s diets [4,5,6]. Effects of these choices can continue from childhood to adulthood [7]. Children whose parents or other caregivers encourage healthy eating and who model a healthy lifestyle are more likely to adopt healthy living patterns themselves [6, 7]

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