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Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?

Many quick-service restaurants (QSRs) instituted voluntary kids’ meal default beverage standards (standards) between 2013 to 2017. Little is known about impacts of standards on QSR drive-through practices and on customer choices. This study assessed differences in restaurant practices including kids...

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Autores principales: Harpainter, Phoebe, Hewawitharana, Sridharshi C., Lee, Danielle L., Martin, Anna C., Gosliner, Wendi, Ritchie, Lorrene D., Woodward-Lopez, Gail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432425/
https://www.ncbi.nlm.nih.gov/pubmed/32707838
http://dx.doi.org/10.3390/ijerph17155275
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author Harpainter, Phoebe
Hewawitharana, Sridharshi C.
Lee, Danielle L.
Martin, Anna C.
Gosliner, Wendi
Ritchie, Lorrene D.
Woodward-Lopez, Gail
author_facet Harpainter, Phoebe
Hewawitharana, Sridharshi C.
Lee, Danielle L.
Martin, Anna C.
Gosliner, Wendi
Ritchie, Lorrene D.
Woodward-Lopez, Gail
author_sort Harpainter, Phoebe
collection PubMed
description Many quick-service restaurants (QSRs) instituted voluntary kids’ meal default beverage standards (standards) between 2013 to 2017. Little is known about impacts of standards on QSR drive-through practices and on customer choices. This study assessed differences in restaurant practices including kids’ meal beverages shown on menu boards, offered by cashiers, and selected by customers in QSRs with and without voluntary standards. Observations (n = 111) and customer surveys (n = 84) were conducted in 2018 at QSRs with standards (n = 70) and without (n = 41) in low-income California, U.S. neighborhoods. Kids’ meal beverages on menu boards (n = 149) and offered by cashiers (n = 185) at QSRs with and without standards were analyzed using multilevel logistic regression. Significantly more menu boards at QSRs with standards (n = 103) vs. without (n = 46) featured only milk, water or unsweetened juice (65.1% vs. 4.4%; p < 0.001). Most cashiers at QSRs with standards and QSRs without (53.1%, 62.5%) asked what drink the data collector wanted rather than first offering default beverages. A small sample of customer interviews found that customers at QSRs with standards most commonly ordered juice (37.0%); at QSRs without standards, soda (45.5%). Although menu boards showed healthier kids’ meal beverages at QSRs with standards than without, cashier behavior was inconsistent. Results suggest additional measures (legislation, implementation support, enforcement) may be needed to ensure optimal implementation.
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spelling pubmed-74324252020-08-24 Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices? Harpainter, Phoebe Hewawitharana, Sridharshi C. Lee, Danielle L. Martin, Anna C. Gosliner, Wendi Ritchie, Lorrene D. Woodward-Lopez, Gail Int J Environ Res Public Health Article Many quick-service restaurants (QSRs) instituted voluntary kids’ meal default beverage standards (standards) between 2013 to 2017. Little is known about impacts of standards on QSR drive-through practices and on customer choices. This study assessed differences in restaurant practices including kids’ meal beverages shown on menu boards, offered by cashiers, and selected by customers in QSRs with and without voluntary standards. Observations (n = 111) and customer surveys (n = 84) were conducted in 2018 at QSRs with standards (n = 70) and without (n = 41) in low-income California, U.S. neighborhoods. Kids’ meal beverages on menu boards (n = 149) and offered by cashiers (n = 185) at QSRs with and without standards were analyzed using multilevel logistic regression. Significantly more menu boards at QSRs with standards (n = 103) vs. without (n = 46) featured only milk, water or unsweetened juice (65.1% vs. 4.4%; p < 0.001). Most cashiers at QSRs with standards and QSRs without (53.1%, 62.5%) asked what drink the data collector wanted rather than first offering default beverages. A small sample of customer interviews found that customers at QSRs with standards most commonly ordered juice (37.0%); at QSRs without standards, soda (45.5%). Although menu boards showed healthier kids’ meal beverages at QSRs with standards than without, cashier behavior was inconsistent. Results suggest additional measures (legislation, implementation support, enforcement) may be needed to ensure optimal implementation. MDPI 2020-07-22 2020-08 /pmc/articles/PMC7432425/ /pubmed/32707838 http://dx.doi.org/10.3390/ijerph17155275 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Harpainter, Phoebe
Hewawitharana, Sridharshi C.
Lee, Danielle L.
Martin, Anna C.
Gosliner, Wendi
Ritchie, Lorrene D.
Woodward-Lopez, Gail
Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title_full Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title_fullStr Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title_full_unstemmed Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title_short Voluntary Kids’ Meal Beverage Standards: Are They Sufficient to Ensure Healthier Restaurant Practices and Consumer Choices?
title_sort voluntary kids’ meal beverage standards: are they sufficient to ensure healthier restaurant practices and consumer choices?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432425/
https://www.ncbi.nlm.nih.gov/pubmed/32707838
http://dx.doi.org/10.3390/ijerph17155275
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