TY - JOUR
T1 - Association between the social norm toward sugar sweetened beverages at the county level and the consumption of sugar sweetened beverages among adolescents
T2 - A multilevel analysis
AU - Lin, Chun Ji
AU - Chiou, Hung Yi
AU - Chang, Ling Yin
N1 - Publisher Copyright:
© 2022, Taiwan Public Health Association. All rights reserved.
PY - 2022/12
Y1 - 2022/12
N2 - Objectives: Multilevel analysis was used to explore the association between county-level social norm toward sugar-sweetened beverages (SSBs) and the consumption of SSBs among adolescents. Methods: This study used data from the Nutrition and Health Survey in Taiwan between 2013 and 2016. Data on 879 adolescents were included in the analysis. Personal attitudes toward SSBs for different age groups were aggregated at the county level as the social norm, respectively. Results: A multilevel logistic regression analysis revealed that the likelihood of SSBs consumption among adolescents increased as the social norm toward SSBs in the county improved (adjusted odds ratio [aOR] = 1.58, 95% confidence interval [CI] = 1.11-2.26). In addition, the social norm of young adults (18-24 years) toward SSB living in the same residential areas significantly moderated the association between the county-level social norm of adolescents toward SSBs and the consumption of SSBs among adolescents (aOR = 1.41, 95% CI = 1.10- 1.80). Conclusions: The prevention of overconsumption of SSBs among adolescents may be more effective when the social norm toward SSBs at the county level are considered.
AB - Objectives: Multilevel analysis was used to explore the association between county-level social norm toward sugar-sweetened beverages (SSBs) and the consumption of SSBs among adolescents. Methods: This study used data from the Nutrition and Health Survey in Taiwan between 2013 and 2016. Data on 879 adolescents were included in the analysis. Personal attitudes toward SSBs for different age groups were aggregated at the county level as the social norm, respectively. Results: A multilevel logistic regression analysis revealed that the likelihood of SSBs consumption among adolescents increased as the social norm toward SSBs in the county improved (adjusted odds ratio [aOR] = 1.58, 95% confidence interval [CI] = 1.11-2.26). In addition, the social norm of young adults (18-24 years) toward SSB living in the same residential areas significantly moderated the association between the county-level social norm of adolescents toward SSBs and the consumption of SSBs among adolescents (aOR = 1.41, 95% CI = 1.10- 1.80). Conclusions: The prevention of overconsumption of SSBs among adolescents may be more effective when the social norm toward SSBs at the county level are considered.
KW - Adolescent
KW - Multilevel
KW - Social norms
KW - Sugar-sweetened beverages
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U2 - 10.6288/TJPH.202212_41(6).111056
DO - 10.6288/TJPH.202212_41(6).111056
M3 - Article
AN - SCOPUS:85148631480
SN - 1023-2141
VL - 41
SP - 651
EP - 665
JO - Taiwan Journal of Public Health
JF - Taiwan Journal of Public Health
IS - 6
ER -