Abstract
<h3>Background</h3> High sugar-sweetened beverage (SSB) intake during childhood is a major risk factor for obesity and other adverse health outcomes. SSB include drinks with added sugar such as soda, fruit and sports drinks, flavored teas, and milk. SSB are high-calorie, low-nutrient, and major sources of added sugar. Nearly half (47%) of U.S. children aged 2-5 consume at least 1 SSB daily, with considerable variation by demographics. <h3>Objective</h3> To explore SSB-related beliefs and practices among a sample of low-income, urban parents of young children. <h3>Study Design, Setting, Participants</h3> Fifteen English language interviews were conducted with parents of children aged 2-5 at a family health clinic in Peekskill, New York. Interviews were recorded, transcribed, and analyzed for major themes using standard qualitative methods. <h3>Measurable Outcome/Analysis</h3> Several themes emerged: few parents expressed clear knowledge of or had discussed SSB with their child's health care provider; participants who could not explain the difference between 100% juice and fruit drinks tended to serve SSB more frequently and in higher quantities; nearly all participants believed that products labeled "natural" or "all natural" were healthful; most parents named low cost and children's preferences/nagging as reasons they serve SSB; and WIC participants believed juice was healthful because it can be purchased with vouchers. <h3>Results</h3> Parents who serve SSB may lack consistent, reliable information from physicians and health authorities. They may be misled by labels and influenced by cost and pressure from their children. <h3>Conclusions</h3> Lowering SSB consumption has the potential to reduce calorie intake, improve diet quality, and reduce obesity risk in young children. Consistently employing recommended SSB screening protocols during well-child visits is one practical preventive approach. Changes to product labeling, improving public education about and taxing SSB may also help reduce intake.
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