Understanding sugar-sweetened beverage purchases at fast food restaurants
methods: Receipts and surveys were collected from customers exiting chain fast food restaurants in New York City, NY, and Newark and Jersey City, NJ during 2013-2014. Multiple locations of the 5 biggest chains were included. Among respondents who ordered a beverage, regression analysis was conducted to predict the number of beverage calories, sugar (grams), and fluid ounces purchased for the respondent (N=4,127). Separate logistic regressions were used to predict the odds of ordering a SSB (vs another type of beverage) and a large size fountain SSB. Covariates included demographic and behavioral factors.
results: Mean beverage calories ordered was 175.53; 66% of respondents ordered an SSB, and 9% a large SSB. Respondents ordered more beverage calories if they also ordered a large combo meal (+96 kcal, P=0.002) or if the restaurant had a large cup size >30 ounces (+18 kcal, P=0.005). Adjusted odds of ordering an SSB were higher for respondents aged 18-29 years (AOR=2.44 vs. age ≥50 years, P<0.001), were African American (AOR=2.50 vs. white, P<0.001), or stated that they chose their beverage based on price (AOR=2.15 for large SSB, P<0.001).
discussion: Increased understanding of factors influencing SSB purchases is an important first step to considering potential methods to limit unhealthy SSB consumption.
Learning Areas:Chronic disease management and prevention
Public health or related research
Identify and describe the consumers most likely to purchase sugar-sweetened beverages Identify and describe the consumers most likely to purchase large sugar-sweetened beverages Discuss reasons why consumers purchase SSBs at fast food restaurants
Qualified on the content I am responsible for because: I have been PI on numerous federally funded grants examining policy change and food choice. I am interested in population-level responses to policy.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.