Effects of Sugary Beverage Text and Pictorial Warnings: A Randomized Trial.
Journal
American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
received:
19
07
2022
revised:
12
01
2023
accepted:
12
01
2023
pmc-release:
01
05
2024
medline:
25
4
2023
pubmed:
11
2
2023
entrez:
10
2
2023
Statut:
ppublish
Résumé
Multiple U.S. localities have introduced legislation requiring sugar-sweetened beverage (SSB) warnings. This study effects of different warning designs on beverage selections and perceptions. The study was an RCT. An online virtual convenience store and survey were used with a nationally representative sample of primary caregivers of 6-11-year-olds (n=961). Data were collected in January 2020 and analyzed in May-July 2020. Participants were randomized to view SSBs with 1 of 4 front-of-package label designs: (1) no-warning control, (2) health-related text warning, (3) sugar pictorial warning (image of beverage sugar content in cubes/teaspoons/packets with health-related warning text), or (4) health pictorial warning (image of possible health consequences of overconsuming SSBs with health-related warning text). Outcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies. Proportionally fewer participants chose a SSB in the sugar pictorial warning condition (-13.4 percentage points; 95% CI= -21.6 to -0.1 percentage points; p=0.007) and in the health pictorial warning condition (-14.7 percentage points; 95% CI= -22.8 to -0.1 percentage points; p=0.004) compared to the control. Sugar pictorial warnings led to more accurate added-sugar content estimates than all conditions and greater label trust and support for sugar-sweetened beverage warning policies than health pictorial warnings. SSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text. This study is registered at www. gov NCT03648138.
Identifiants
pubmed: 36764835
pii: S0749-3797(23)00017-X
doi: 10.1016/j.amepre.2023.01.018
pmc: PMC10121881
mid: NIHMS1867965
pii:
doi:
Substances chimiques
Sugars
0
Banques de données
ClinicalTrials.gov
['NCT03648138', 'NCT03648138']
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
716-727Subventions
Organisme : NIDDK NIH HHS
ID : R01 DK111558
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA057711
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL098048
Pays : United States
Informations de copyright
Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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