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Characteristics Associated with Household Purchases of Sugar‐Sweetened Beverages in US Restaurants
Author(s) -
Moran Alyssa J.,
Subramanian S.V.,
Rimm Eric B.,
Bleich Sara N.
Publication year - 2019
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.22380
Subject(s) - calorie , per capita , meal , purchasing , ethnic group , environmental health , food security , supplemental nutrition assistance program , demography , food science , business , medicine , food insecurity , geography , agriculture , marketing , population , chemistry , archaeology , sociology , anthropology , endocrinology
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.