Characteristics Associated with Household Purchases of Sugar‐Sweetened Beverages in US Restaurants. Issue 2 (4th January 2019)

• Record Type: Journal Article
• Authors: Moran, Alyssa J.; Subramanian, S.V.; Rimm, Eric B.; Bleich, Sara N.
• Is Part Of: Obesity. Volume 27:Issue 2(2019)
• Page Start: 339
• Page End: 348
• Publication Date: 2019-01-04
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.22380
• Languages: English
• ISSNs: 1930-7381

Abstract

Abstract : Objective: This study aimed to describe beverages purchased in restaurants among a nationally representative sample of US households. Methods: Data were obtained from the US Department of Agriculture National Household Food Acquisition and Purchase Survey, 2012 to 2013. Survey‐weighted multiple regressions assessed correlates of purchasing a sugar‐sweetened beverage (SSB), purchasing a low‐calorie beverage, and per capita beverage calories and grams of sugar among purchases from US restaurants ( n = 14, 669). Results: Dining at a top fast‐food chain (odds ratio = 1.9 [95% CI = 1.6, 2.3] vs. small chain or independent restaurants) and ordering a combination meal (2.8 [1.3, 3.3]) or from the kids' menu (2.1 [1.2, 3.4]) were positively associated with purchasing an SSB. Age (young adult and adolescent vs. older adult; 0.7 [0.5, 0.9] and 0.4 [0.3, 0.7], respectively), race (Black vs. White; 0.4 [0.3, 0.6]), ethnicity (Hispanic vs. non‐Hispanic; 0.8 [0.6, 0.9]), and household food security (very low vs. high; 0.7 [0.5, 0.8]) were associated with purchasing a low‐calorie beverage. Caloric beverage purchases contained the most calories and grams of sugar per capita when purchased by Hispanic and non‐Hispanic Black adolescents. Conclusions: US households purchase a considerable amount of SSBs from the nation's largest chain restaurants, particularly when combination meals or kids' menu items are ordered, and there are disparities by age, race/ethnicity, and household food security.