Abstract
Marketing of toddler milk (i.e., typically sugar-sweetened nutrient-fortified milk-based drinks marketed for children 12–36 months) is an emerging public health problem in the US. The American Academy of Pediatrics recommends against the consumption of toddler milk because it often contains added sugar and can displace nutrient-dense foods. Studies have not examined toddler milk perceptions among Latinos, an important gap given Latino children in the US are at high risk of having poor diet quality, and toddler milk is extensively advertised on Spanish-language TV. This study used an online survey of a convenience sample of 58 Latino parents to examine parents’ experiences with toddler milk, understand their perceptions of the healthfulness and the nutrition-related claims on toddler milk, and describe their exposure to toddler milk advertising. Nearly half (44%) of parents in the sample reported purchasing toddler milk. When asked to provide open-ended interpretations of claims on toddler milk, almost all parents gave positive answers, suggesting potential “health halo” effects of the claims. More than half (56%) of parents reported seeing toddler milk advertisements, most commonly on Spanish-language TV. The misperceptions about toddler milk identified should be explored in further research using larger, more representative samples.
Highlights
Diet quality in early childhood is a key determinant of longer-term risk of dietrelated chronic diseases [1,2,3]
A key component of diet quality in early childhood is beverage consumption, as beverages contribute a significant proportion of daily energy and key nutrients such as calcium and vitamin D [4]
Poor diet quality in early childhood is associated with obesity risk later in childhood, and Latino children in the US
Summary
Diet quality in early childhood is a key determinant of longer-term risk of dietrelated chronic diseases [1,2,3]. As a result of a variety of socioecological determinants such as targeted marketing and acculturative stress [6,7], Latino children often have worse diet quality, including higher consumption of sugary drinks and 100% juice, than non-Latino white children [6,7,8,9,10]. Poor diet quality in early childhood is associated with obesity risk later in childhood, and Latino children in the US are at disproportionate risk of having obesity [11,12].
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