Ethan C Wolf, Marissa G Hall, Dean Schillinger, Jim Krieger, Jennifer A Woo Baidal, Sarah Solar, Christina Lin, Jennifer Falbe
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引用次数: 0
Abstract
Introduction: A policy requiring front-of-package added-sugar warning labels has the potential to improve dietary patterns in the U.S. However, because such a policy would require English labels, the labels may not be equally effective among individuals with varying English proficiency. One potential way to increase the broad efficacy of warning labels is to use a multilingual campaign to explain the labels. This study's objective was to determine whether combining an added-sugar warning label with a Spanish and English educational message reduces intention to select sugar-sweetened beverages (SSBs) to a greater extent than either the label or educational message alone among Hispanic adults.
Study design: Online RCT.
Setting/participants: 2,000 U.S. Hispanic adults with varying acculturation participated between October-December 2022.
Intervention: Participants were randomized to 1 of 4 conditions: (1) control, (2) language-matched message about added-sugar warning labels (in English or Spanish), (3) warning label (English, yellow, icon) on SSBs, and (4) message-plus-warning.
Main outcome measures: Intention to select an SSB, measured by hypothetical SSB selection in an online shopping task, analyzed May 2023-April 2024.
Results: In the control condition, 58% selected an SSB for themselves. In comparison, a significantly lower percentage of participants selected an SSB in the message (43%), warning label (38%), and message-plus-warning (27%) conditions (p-values<0.001). The message-plus-warning condition had a lower risk of SSB selection than both the message and warning conditions (p-values<0.001). Efficacy was larger for the message among those with lower acculturation and for the warning among those navigating the study in Spanish and certain income categories. Results were similar for the secondary outcome of selecting an SSB for one's child.
Conclusions: Using educational messages in more than one language to accompany rollout of a new warning label may further improve outcomes in populations with varying levels of acculturation.
Trial registration: Trial registered on Clinicaltrials.gov (NCT: NCT05563181).
期刊介绍：
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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