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Vézina-Im LA, Beaulieu D, Turcotte S, Turcotte AF, Lessard L, Delisle-Martel J, Boucher D, Labbé V, Gingras M. Individual and environmental correlates of tap water consumption among adolescents in Canada. Appetite 2024; 202:107645. [PMID: 39179109 DOI: 10.1016/j.appet.2024.107645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2024] [Revised: 08/19/2024] [Accepted: 08/20/2024] [Indexed: 08/26/2024]
Abstract
The study objective was to identify correlates of tap water consumption among adolescents. French-speaking adolescents from the province of Québec (Canada) were recruited in person and online from March to July 2023 using diverse recruitment strategies. Water consumption was measured using the validated French version of a questionnaire specifically designed to measure adolescents' beverage intake. Participants answered an online survey on their attitude towards tap and bottled water which also measured individual and environmental factors that can influence tap water consumption. A total of 218 adolescents (14-17 years; 55.5% female) completed the survey. On average, 79.2% of adolescents' water intake came from tap and 33.5% of them consumed exclusively tap water. Thinking that bottled water is more convenient than tap water was a significant correlate of adolescents' tap water consumption (OR = 0.70; 95% CI: 0.51, 0.95; p = 0.0219). Adolescents who believed that bottled water is more convenient than tap water were less likely to consume exclusively tap water. Public health interventions aimed at promoting adolescents' tap water should strive to make tap water intake be perceived as convenient as bottled water, such as encouraging teenagers to always carry along a reusable water bottle, installing drinking fountains in popular public areas, and increasing the visibility of such fountains.
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Affiliation(s)
- Lydi-Anne Vézina-Im
- VITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de La Capitale-Nationale, 2480, Chemin de La Canardière Québec, Québec, Canada, G1J 2G1; Département des Sciences de La Santé, Université Du Québec à Rimouski (UQAR), Campus de Lévis, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1; Collectif de Recherche sur La Santé en Région, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6.
| | - Dominique Beaulieu
- VITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de La Capitale-Nationale, 2480, Chemin de La Canardière Québec, Québec, Canada, G1J 2G1; Département des Sciences de La Santé, Université Du Québec à Rimouski (UQAR), Campus de Lévis, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1; Collectif de Recherche sur La Santé en Région, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Axe Santé des Populations et Pratiques Optimales en Santé, Centre de Recherche Du CHU de Québec, 2400 Avenue D'Estimauville, Québec, Québec, Canada, G1E 6W2.
| | - Stéphane Turcotte
- Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1.
| | - Anne-Frédérique Turcotte
- Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1.
| | - Lily Lessard
- Département des Sciences de La Santé, Université Du Québec à Rimouski (UQAR), Campus de Lévis, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1; Collectif de Recherche sur La Santé en Région, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Chaire Interdisciplinaire sur La Santé et Les Services Sociaux pour Les Populations Rurales, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6.
| | - Joannie Delisle-Martel
- Département des Sciences de La Santé, Université Du Québec à Rimouski (UQAR), Campus de Lévis, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1; Collectif de Recherche sur La Santé en Région, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6.
| | - Danielle Boucher
- Département des Sciences de La Santé, Université Du Québec à Rimouski (UQAR), Campus de Lévis, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6; Centre de Recherche Du Centre Intégré de Santé et de Services Sociaux (CISSS) de Chaudière-Appalaches, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1; Collectif de Recherche sur La Santé en Région, 1595 Boulevard Alphonse-Desjardins, Lévis, Québec, Canada, G6V 0A6.
| | - Valérie Labbé
- CHAU-Hôtel-Dieu de Lévis, 143 Rue Wolfe, Lévis, Québec, Canada, G6V 3Z1.
| | - Mariane Gingras
- Direction de Santé Publique, CISSS de Chaudière-Appalaches, 55, Rue Du Mont-Marie, Lévis, Québec, Canada, G6V 0B8.
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Kelly R, Calabro R, Beatty L, Schirmer K, Coro D. Evaluating campaign concepts aimed at replacing sugar-sweetened beverages with water. Health Promot J Austr 2024. [PMID: 39043432 DOI: 10.1002/hpja.903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 06/06/2024] [Accepted: 07/05/2024] [Indexed: 07/25/2024] Open
Abstract
ISSUE ADDRESSED The study addresses the global health concern of sugar overconsumption, particularly focusing on the prevalence of sugar-sweetened beverage consumption among young people. METHODS The study tested three different health promotion campaign concepts, designed to reduce sugar-sweetened beverage intake and promote water consumption as a healthier alternative. A total of 402 young adults (18-29) were recruited from a university campus and an online panel. Participants were randomly assigned to view one of three campaign images: one advocating for substituting sugar-sweetened beverages with water, and two exclusively promoting water consumption. These images were assessed through an online survey, which included questions on emotional response, salience, attitudes and intentions towards various beverages. RESULTS Participants exposed to the campaign emphasising the benefits of water showed a greater intention to increase water consumption and reduce both sugar- and non-sugar-sweetened beverages compared with the other groups. There were no significant differences observed for the beverage choice task across the campaigns. CONCLUSIONS The findings suggest that messaging focusing on the benefits of water holds promise in encouraging healthier beverage consumption intentions among young adults. The lack of significant differences in the beverage choice task across the campaigns indicates a need for further research to explore long-term behaviour change effects. SO WHAT?: By highlighting the benefits of water consumption, campaigns may have the potential to positively influence beverage choices and promote healthier habits. Continued research in this area can provide valuable insights for developing more impactful interventions aimed at reducing sugar-sweetened beverage consumption.
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Affiliation(s)
- Rebecca Kelly
- College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
| | - Ryan Calabro
- College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
- Behavioural Research and Evaluation Unit, Cancer Council SA, Eastwood, Australia
| | - Lisa Beatty
- College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
| | - Kristy Schirmer
- Prevention and Advocacy, Cancer Council SA, Eastwood, Australia
| | - Daniel Coro
- Behavioural Research and Evaluation Unit, Cancer Council SA, Eastwood, Australia
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Rosenthal MD, Schmidt LA, Vargas R, Blacker LS, McCulloch CE, Ezennia J, Patel AI. Drink Tap: A Multisector Program to Promote Water Access and Intake in San Francisco Parks. Prev Chronic Dis 2023; 20:E74. [PMID: 37616470 PMCID: PMC10457103 DOI: 10.5888/pcd20.230007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023] Open
Abstract
Taxes on sugar-sweetened beverages (SSBs), or drinks with added sugars, show promise in decreasing purchases and consumption of SSBs. Some have called for coupling such taxes with improvements in access to safe drinking water as a strategy for reducing inequities in SSB intake, yet no studies have examined such an approach. Drink Tap is a San Francisco-based program in which public tap water stations were installed in parks and public spaces (winter 2017) and promotional efforts (fall and winter 2018) encouraged water intake. At the same time, San Francisco and surrounding communities were also implementing SSB taxes. We conducted a quasi-experimental study to examine whether water access and promotion combined with SSB taxes affected beverage intake habits more than SSB taxes alone. We conducted 1-hour observations (N = 960) at 10 intervention parks (Drink Tap plus SSB taxes) and 20 comparison parks (SSB taxes only) in San Francisco Bay Area cities before (July-September 2016) and after (June-August 2019) implementation of Drink Tap. We found significant adjusted percentage increases in drinking water among visitors to intervention parks, compared with comparison parks: water from park water sources (+80%, P < .001) and water from reusable bottles (+40%, P = .02). We found no significant reductions in visitors observed drinking bottled water, juices, or SSBs. The Drink Tap intervention led to increases in water intake from park sources and reusable bottles across parks that surpassed increases achieved through SSB taxes alone. Jurisdictions should consider coupling tap water access and promotion with policies for reducing intake of SSBs.
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Affiliation(s)
- Margaret D Rosenthal
- School of Medicine, University of Alabama at Birmingham
- University of Alabama at Birmingham Heersink School of Medicine, Department of Medical Education, 1670 University Blvd, Birmingham, AL 35233
| | - Laura A Schmidt
- Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco
| | - Roberto Vargas
- Center for Community Engagement, Clinical and Translational Science Institute, University of California, San Francisco
| | - Lauren S Blacker
- Division of General Pediatrics, Stanford University School of Medicine, Palo Alto, California
| | - Charles E McCulloch
- Department of Epidemiology and Biostatistics, University of California, San Francisco
| | | | - Anisha I Patel
- Division of General Pediatrics, Stanford University School of Medicine, Palo Alto, California
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Cunha-Cruz J, Ko LK, Mancl L, Rothen ML, Harter C, Hilgert JB, Koday MK, Davis S. Feasibility and acceptability of home delivery of water for dental caries control in Latinx children-"Sediento por una Sonrisa," Thirsty for a Smile: Single-arm feasibility study. Front Public Health 2022; 10:916260. [PMID: 36203695 PMCID: PMC9531650 DOI: 10.3389/fpubh.2022.916260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 08/11/2022] [Indexed: 01/22/2023] Open
Abstract
Background Outcomes of surgical treatments under general anesthesia for early childhood caries of young children from low-income groups are poor requiring retreatment within 2 years. Dietary sugar is an ideal intervention target given that it is the most prominent risk factor for dental caries and there is increasing evidence of successful interventions to reduce its intake. Our aim is to investigate the feasibility and acceptability of the Thirsty for a Smile intervention, designed to promote consumption of water in lieu of sugar sweetened beverages, among children who underwent surgery for early childhood caries and their caregivers, mostly from Latino heritage. Methods A single-arm feasibility study was conducted in a dental practice from a community health center in eastern Washington State. Bottled water was delivered to the participants' homes and caregivers received patient-centered counseling for setting goals to increase children's water intake and reduce sugar sweetened beverages consumption. We assessed the feasibility and acceptability of the intervention and study procedures through participation rates, interviews and a questionnaire completed by the caregivers. Data was analyzed and themes and descriptive statistics presented. Results Twenty-two dyads of caregivers and their children between 2 and 9 years old who recently had surgical treatment for early childhood dental caries were enrolled. All study assessments were completed by more than 90% of participants, except for the final 24-h dietary recall (73%). Dietary counseling, both in person and brief telephone calls, was highly acceptable to the caregivers, and they also reported their children enjoyed and used the water bottles. On a scale from 1 to 10, the average rating for the helpfulness of the dietary counseling component for changing child's drinking habits was 9.62 and for the water delivery component, 8.86. Conclusions This study tested the feasibility of conducting a trial in a dental practice setting, and the acceptability among caregivers of young children who underwent surgery for early childhood caries. It demonstrated that the Thirsty for a Smile intervention and study processes were feasible and acceptable. The study provides useful information for implementation of a two-arm randomized controlled trial in this setting and may also benefit other researchers attempting to test similar interventions.
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Affiliation(s)
- Joana Cunha-Cruz
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Linda K. Ko
- Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, United States
| | - Lloyd Mancl
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, United States
| | - Marilynn L. Rothen
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, United States
| | - Catherine Harter
- Department of Assessment, Planning and Development, Tacoma Pierce County Health Department, Tacoma, WA, United States
| | - Juliana B. Hilgert
- Department of Preventive and Social Dentistry, Dental School, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mark K. Koday
- Yakima Valley Farm Workers Clinic, Yakima, WA, United States
| | - Stephen Davis
- Yakima Valley Farm Workers Clinic, Yakima, WA, United States
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Kalair N, Mousli LM, Jacobs LM, Schmidt L, Kearns C. Work site access to fluoridated tap water and retail beverages: An assessment of the University of California, San Francisco campuses. J Am Dent Assoc 2022; 153:201-207. [PMID: 34949441 PMCID: PMC8882123 DOI: 10.1016/j.adaj.2021.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 08/06/2021] [Accepted: 08/15/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Employees with fluoridated drinking water access at work can reap oral health benefits. The purpose of this study was to assess the availability, appeal, and promotion of fluoridated tap water in publicly accessible spaces compared with retail beverages at the University of California, San Francisco. METHODS The authors collected information on beverages available in publicly accessible spaces at University of California, San Francisco hospitals and campuses in San Francisco, California, from December 2019 through February 2020 using a web-based survey tool. Data collected included fluoridated water and retail beverage locations; type of water or retail beverage source; number of water sources per station; cleanliness, flow, and any obstruction of water sources; proximity of water stations to retail beverage locations; signage near the beverage locations about water and beverage consumption; and type of retail beverages available. RESULTS Fluoridated water stations were identified in 230 locations and had 377 water sources (for example, traditional drinking fountain and motion-sensor bottle-filling station). One water station was available for every 80 students and employees; however, 25% were obstructed, dirty, or had unsatisfactory flow. Approximately 1 in 5 watercoolers lacked disposable cups. Of 41 retail beverage locations identified, 29% had a water station within sight. Only 11% of beverage locations had signage encouraging healthier beverage choices. CONCLUSIONS A systematic assessment of work site access to fluoridated water can provide actionable evidence to improve availability, appeal, and promotion. PRACTICAL IMPLICATIONS This study provides a model to assess work site availability of fluoridated drinking water that can be used for future evaluations.
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Affiliation(s)
- Navita Kalair
- Familia Dental, Abilene, Texas, 3469 Cedar Run Rd #302 Abilene Texas 79606
| | - Leyla M Mousli
- Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois Street, Box 0936, San Francisco, CA 94158
| | - Laurie M. Jacobs
- Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois Street, Box 0936, San Francisco, CA 94158
| | - Laura Schmidt
- Philip R. Lee Institute for Health Policy Studies and Department of Humanities and Social Sciences, University of California, San Francisco, 3333 California Street, San Francisco, CA 94118, 415-476-0440
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Patel AI, Hecht CE, Cradock A, Edwards MA, Ritchie LD. Drinking Water in the United States: Implications of Water Safety, Access, and Consumption. Annu Rev Nutr 2020; 40:345-373. [PMID: 32966189 DOI: 10.1146/annurev-nutr-122319-035707] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Recent water quality crises in the United States, and recognition of the health importance of drinking water in lieu of sugar-sweetened beverages, have raised interest in water safety, access, and consumption. This review uses a socioecological lens to examine these topics across the life course. We review water intakes in the United States relative to requirements, including variation by age and race/ethnicity. We describe US regulations that seek to ensure that drinking water is safe to consume for most Americans and discuss strategies to reduce drinking water exposure to lead, a high-profile regulated drinking water contaminant. We discuss programs, policies, and environmental interventions that foster effective drinking water access, a concept that encompasses key elements needed to improve water intake. We conclude with recommendations for research, policies, regulations, and practices needed to ensure optimal water intake by all in the United States and elsewhere.
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Affiliation(s)
- Anisha I Patel
- Division of General Pediatrics, Stanford University, Palo Alto, California 94305, USA
| | - Christina E Hecht
- Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California 94704, USA;
| | - Angie Cradock
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts 02115, USA
| | - Marc A Edwards
- Department of Civil and Environmental Engineering, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - Lorrene D Ritchie
- Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California 94704, USA;
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