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Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study

Boelsen-Robinson, Tara, Orellana, Liliana, Backholer, Kathryn, Kurzeme, Ariana, Jerebine, Alethea, Gilham, Beth, Chung, Alexandra and Peeters, Anna 2020, Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study, BMJ Open, vol. 10, no. 3, doi: 10.1136/bmjopen-2019-029492.

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Title Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study
Author(s) Boelsen-Robinson, TaraORCID iD for Boelsen-Robinson, Tara orcid.org/0000-0003-1671-3091
Orellana, LilianaORCID iD for Orellana, Liliana orcid.org/0000-0003-3736-4337
Backholer, KathrynORCID iD for Backholer, Kathryn orcid.org/0000-0002-3323-575X
Kurzeme, Ariana
Jerebine, AletheaORCID iD for Jerebine, Alethea orcid.org/0000-0002-1396-244X
Gilham, Beth
Chung, AlexandraORCID iD for Chung, Alexandra orcid.org/0000-0001-7121-9534
Peeters, AnnaORCID iD for Peeters, Anna orcid.org/0000-0003-4340-9132
Journal name BMJ Open
Volume number 10
Issue number 3
Article ID e029492
Total pages 9
Publisher B M J Group
Place of publication London, Eng.
Publication date 2020-03-04
ISSN 2044-6055
2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
INTERRUPTED TIME-SERIES
HEALTHY
STORE
FOOD
AVAILABILITY
ENVIRONMENTS
REGRESSION
CHILDREN
SCHOOLS
QUALITY
interrupted time series analysis
nutrition and dietetics
policy analysis
recreation centres
sugar sweetened beverage
Summary Objective : To assess the impact of a sugar-sweetened beverage (SSB) reduction initiative on customer purchasing patterns, including volume sales of healthy and unhealthy packaged drinks and sales value of all packaged drinks, in a major Australian aquatic and recreation provider, YMCA Victoria.Design : ProspectiveSetting : 16 aquatic and recreation centres in Victoria, Australia.Interventions : The SSB-reduction initiative aimed to remove all SSBs (excluding sports drinks) and increase healthier drink availability over a 1-year period.Primary and secondary outcome measures : Itemised monthly drink sales data were collected for 16 centres, over 4 years (2 years preimplementation, 1 year implementation and 1 year postimplementation). Drinks were classified as ‘green’ (best choice), ‘amber’ (choose carefully) or ‘red’ (limit). Interrupted time series analysis was conducted for each centre to determine the impact on volume sales of ‘red’ and ‘green’ drinks, and overall sales value. A novel meta-analysis approach was conducted to estimate the mean changes across centres.Results : Following implementation, volume sales of ‘red’ drinks reduced by 46.2% across centres (95% CI: −53.2% to −39.2%), ‘green’ drink volume did not change (0.0%, 95% CI: −13.3% to 13.2%) and total drink sales value decreased by 24.3% (95% CI: −32.0% to −16.6%).Conclusions : The reduction of SSBs in health-promoting settings such as recreation centres is a feasible, effective public health policy that is likely to be transferable to other high-income countries with similarly unhealthy beverage offerings. However, complementary strategies should be considered to encourage customers to switch to healthier alternatives, particularly when translating policies to organisations with less flexible income streams.
Language eng
DOI 10.1136/bmjopen-2019-029492
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30135791

Document type: Journal Article
Collections: Faculty of Health
Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.