AI Article Synopsis

  • A study investigated how different warning labels on sugar-sweetened beverages (SSBs) affect beverage choices and perceptions among parents of 6-11-year-olds.
  • Participants viewed one of four labels: no-warning, health-related text, sugar pictorial (sugar content), or health pictorial (health consequences).
  • The study found that the sugar pictorial warning significantly reduced SSB choices and improved understanding of added sugar content compared to other labels.

Article Abstract

Introduction: 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.

Study Design: The study was an RCT.

Setting/participants: 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.

Intervention: 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).

Main Outcome Measures: Outcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies.

Results: 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.

Conclusions: SSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text.

Trial Registration: This study is registered at www.

Clinicaltrials: gov NCT03648138.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121881PMC
http://dx.doi.org/10.1016/j.amepre.2023.01.018DOI Listing

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