ArticleFrontiers in public health2026
Factors and pathways influencing sugar-sweetened beverage consumption among children in middle childhood: a cross-sectional survey of 1,127 third-grade students in Beijing.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sugar-sweetened beverage (SSB) consumption among children represents a significant risk factor for health problems, including obesity and dental caries. Children aged 8 ~ 9 years are in a critical developmental period for behavioral habit formation; however, the mechanisms underlying these behaviors require deeper investigation. Grounded in social-ecological theory, this study systematically explores the associations between multilevel factors-encompassing individual, interpersonal, environmental, and awareness of health labeling-and children's SSB consumption. Methods: We conducted a cross-sectional survey from October to November 2024 among 1,127 students from six elementary schools in Beijing. Using multistage cluster random sampling, we administered standardized questionnaires to collect data on SSB consumption and its multilevel influencing factors. Structural equation modeling was employed to analyze the pathways linking individual, interpersonal, environmental, and health labeling factors to SSB consumption. Results: The prevalence of SSB consumption in the past week among the study population was 81.90% (923/1,127). The structural equation model demonstrated acceptable fit. Students' SSB consumption was significantly predicted by caregivers' SSB consumption ( Conclusion: SSB consumption is highly prevalent among elementary school students in Beijing, with interpersonal factors (caregivers and peers) exerting the most prominent influence. Future interventions should establish an integrated, comprehensive system coordinating family, school, and community efforts to reduce children's SSB consumption and promote healthy behavioral patterns.
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