Characteristics Associated with Household Purchases of Sugar-Sweetened Beverages in US Restaurants

Alyssa J. Moran, S. V. Subramanian, Eric B. Rimm, Sara N. Bleich

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objective: This study aimed to describe beverages purchased in restaurants among a nationally representative sample of US households. Methods: Data were obtained from the US Department of Agriculture National Household Food Acquisition and Purchase Survey, 2012 to 2013. Survey-weighted multiple regressions assessed correlates of purchasing a sugar-sweetened beverage (SSB), purchasing a low-calorie beverage, and per capita beverage calories and grams of sugar among purchases from US restaurants (n = 14,669). Results: Dining at a top fast-food chain (odds ratio = 1.9 [95% CI = 1.6, 2.3] vs. small chain or independent restaurants) and ordering a combination meal (2.8 [1.3, 3.3]) or from the kids’ menu (2.1 [1.2, 3.4]) were positively associated with purchasing an SSB. Age (young adult and adolescent vs. older adult; 0.7 [0.5, 0.9] and 0.4 [0.3, 0.7], respectively), race (Black vs. White; 0.4 [0.3, 0.6]), ethnicity (Hispanic vs. non-Hispanic; 0.8 [0.6, 0.9]), and household food security (very low vs. high; 0.7 [0.5, 0.8]) were associated with purchasing a low-calorie beverage. Caloric beverage purchases contained the most calories and grams of sugar per capita when purchased by Hispanic and non-Hispanic Black adolescents. Conclusions: US households purchase a considerable amount of SSBs from the nation’s largest chain restaurants, particularly when combination meals or kids’ menu items are ordered, and there are disparities by age, race/ethnicity, and household food security.

Original languageEnglish (US)
Pages (from-to)339-348
Number of pages10
Issue number2
StatePublished - Feb 2019

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics


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