Online Program

Understanding sugar-sweetened beverage purchases at fast food restaurants

Tuesday, November 3, 2015 : 8:30 a.m. - 8:50 a.m.

Glen Taksler, PhD, Medicine Institute, Cleveland Clinic, Cleveland, OH
Kamila Kiszko, MPH, Department of Population Health, NYU School of Medicine, New York, NY
Courtney Abrams, MA, Department of Population Health, New York University School of Medicine, New York, NY
Brian Elbel, PhD, MPH, NYU School of Medicine and NYU Wagner School of Public Service, New York University, New York, NY
introduction: Approximately 50% of adults consume SSBs daily, many at fast food restaurants. We examine fast food purchases to understand which consumers order sugar-sweetened beverages (SSBs), particularly large size SSBs.

 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

Learning Objectives:
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

Keyword(s): Obesity

Presenting author's disclosure statement:

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.