Self-reported advertising exposure to sugar-sweetened beverages among US youth

Objective: According to the Federal Trade Commission, in 2009, the top food category with teen-directed marketing expenditures was sugar-sweetened beverages (SSB). The present study reports on exposure to SSB advertisements using self-report data from adolescents. Design: Cross-sectional study design using descriptive statistics to assess self-reported frequency of exposure to SSB advertisements and multivariable logistic regression to examine associations between frequency of SSB advertising exposure and sociodemographic variables. Setting: Online survey conducted at home. Subjects: US adolescents aged 12-17 years (n 847). Results: Among the surveyed adolescents, 42 % to 54 % reported seeing/hearing SSB advertisements >= 1 time/d. Those aged 14-15 years were more likely to report seeing/hearing soda, sports drink and energy drink advertisements >= 1 time/d than 16- to 17-year-olds. Males were more likely to report seeing/hearing sports drink advertising >= 1 time/d than females. Non-Hispanic black adolescents were more likely to report seeing/hearing fruit drink and sports drink advertisements >= 1 time/d than non-Hispanic white adolescents. Adolescents whose parents had high-school education or less were more likely to report seeing/hearing soda, fruit drink and energy drink advertisements >= 1 time/d than adolescents whose parents were college graduates. Conclusions: Almost half of the adolescents sampled reported daily SSB advertising exposure, with higher exposure among African Americans and adolescents with less educated parents. These data can help inform potential actions that decision makers might take, such as education of adolescents and their caregivers on the potential impact of beverage advertising, especially among groups at higher risk for obesity.