Restaurant kids' meal beverage offerings before and after implementation of healthy default beverage policy statewide in California compared with citywide in Wilmington, Delaware
| Autor: | Isabel J.B. Thompson, Allison Karpyn, Marisa M Tsai, Laura Lessard, Phoebe Harpainter, Wendi Gosliner, Lorrene D. Ritchie, Tara Tracy, Gail Woodward-Lopez, Kathleen McCallops |
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| Rok vydání: | 2021 |
| Předmět: |
Restaurant
Restaurants Medicine (miscellaneous) 030209 endocrinology & metabolism Medical and Health Sciences Beverages 03 medical and health sciences Agricultural science 0302 clinical medicine Fast food Clinical Research Policy implementation Humans 030212 general & internal medicine Meal Beverage Children Meals Nutrition and Dietetics Nutrition & Dietetics Health Policy Public Health Environmental and Occupational Health Delaware Multilevel logistic regression Policy Business |
| Zdroj: | Public health nutrition, vol 25, iss 3 |
| ISSN: | 1475-2727 1368-9800 |
| Popis: | Objective:In 2019, California and Wilmington, Delaware‘ implemented policies requiring healthier default beverages with restaurant kids’ meals. The current study assessed restaurant beverage offerings and manager perceptions.Design:Pre-post menu observations were conducted in California and Wilmington. Observations of cashiers/servers during orders were conducted pre-post implementation in California and post-implementation in Wilmington. Changes in California were compared using multilevel logistic regression and paired t tests. Post-implementation, managers were interviewed.Setting:Inside and drive-through ordering venues in a sample of quick-service restaurants in low-income California communities and all restaurants in Wilmington subject to the policy, the month before and 7–12 months after policy implementation.Participants:Restaurant observations (California n 110; Wilmington n 14); managers (California n 75; Wilmington n 15).Results:Pre-implementation, the most common kids’ meal beverages on California menus were unflavoured milk and water (78·8 %, 52·0 %); in Wilmington, juice, milk and sugar-sweetened beverages were most common (81·8 %, 66·7 % and 46·2 %). Post-implementation, menus including only policy-consistent beverages significantly increased in California (9·7 % to 66·1 %, P < 0·0001), but remained constant in Wilmington (30·8 %). During orders, cashiers/servers offering only policy-consistent beverages significantly decreased post-implementation in California (5·0 % to 1·0 %, P = 0·002). Few managers (California 29·3 %; Wilmington 0 %) reported policy knowledge, although most expressed support. Most managers wanted additional information for customers and staff.Conclusions:While the proportion of menus offering only policy-consistent kids’ meal default beverages increased in California, offerings did not change in Wilmington. In both jurisdictions, managers lacked policy knowledge, and few cashiers/servers offered only policy-consistent beverages. Additional efforts are needed to strengthen implementation of kids’ meal beverage policies. |
| Databáze: | OpenAIRE |
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