Reducing Sugary Drink Consumption JIM K KRIEGER ER, A ACTION ON - - PowerPoint PPT Presentation

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Reducing Sugary Drink Consumption JIM K KRIEGER ER, A ACTION ON - - PowerPoint PPT Presentation

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Reducing Sugary Drink Consumption JIM K KRIEGER ER, A ACTION ON FOR H HEA EALTHY Y FOOD OD SEPTEMBER 2015 ACTION FOR HEALTHY FOOD Goals o Why focus on sugary drinks? o What can be done to further decrease consumption of sugary drinks? o

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Reducing Sugary Drink Consumption

JIM K KRIEGER ER, A ACTION ON FOR H HEA EALTHY Y FOOD OD SEPTEMBER 2015

ACTION FOR HEALTHY FOOD

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Goals

  • Why focus on sugary drinks?
  • What can be done to further decrease

consumption of sugary drinks?

  • How can foundations engage?

ACTION FOR HEALTHY FOOD

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What are sugary drinks?

Energy Drinks Fruit Drinks Sweet Iced Tea & Coffee

Soda

Sports Drinks

ACTION FOR HEALTHY FOOD

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Why worry about sugary drinks?

  • Primary source of sugar in U.S. diet.
  • Major source of added calories fueling the obesity epidemic.
  • Consumption higher among low income and minority populations.
  • Cause obesity, diabetes, dental decay, liver, and heart disease.
  • Cause metabolic disturbances that lead to chronic diseases.
  • No nutritional benefits and lack protective nutrients.
  • Displace healthier foods from diet.
  • Poor calorie compensation.
  • Heavily marketed (and youth and minorities targeted).

ACTION FOR HEALTHY FOOD

Sugary drinks 46%

Snacks and sweets 31% Grains 8% Mixed dishes 6% Dairy 4% Other 5%

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Sources: (1954-2003): Beverages Table. United States Department of Agriculture, Economic Research Service Food Availability (Per Capita) Data System Website. Updated February 1, 2015. Accessed September 9, 2015. (2004-2014): Beverage Digest annual estimates; Caloric CSDs based on estimate that 70% of CSDs are caloric and 30% are non-caloric/diet.

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

Gallons per year

Regular soft drinks

Availability triple what it was 60 years ago

1 2 3 4 5 6

Juice drinks Sports drinks

Dramatic increase in sugary drink availability,

1954-2014

ACTION FOR HEALTHY FOOD

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278 120

50 100 150 200 250 300

Total calorie increase per day per capita 1977-2001 Increase in sugary drink calories per day per capita 1977-2001 (kcal)/d per capita

Equivalent of 43%

  • f new calories

Proportion of increase in total energy intake from sugary drinks,

1977-2001

ACTION FOR HEALTHY FOOD

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Sugary drinks cause chronic diseases

1 soda/day ↑ Risk of overweight/obesity by 55% (children) ↑ Risk of diabetes by 26% ↑ Risk of dying from heart disease by almost 1/3

ACTION FOR HEALTHY FOOD

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A calorie is not a calorie

2 sodas/day for just 2 weeks

↑ 20% increase in LDL cholesterol & triglycerides

2 sodas/day for 6 months

↑ Cholesterol, visceral fat, fatty liver disease

ACTION FOR HEALTHY FOOD

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So – what do we do about it?

Create change

  • Transformational
  • Scalable
  • Sustainable

Change environment and norms Policy change

ACTION FOR HEALTHY FOOD

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State and local public policy solutions

Pass Taxes Cap Portion Sizes Limit Marketing & Sales to Kids Restrict sugary drink purchases using SNAP benefits Require Display of Health Information Limit sugary drinks in checkout aisles Implement childcare/afterschool nutrition standards

ACTION FOR HEALTHY FOOD

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Sugary Drink Tax

  • Reduce consumption 20-24% at a penny per ounce
  • Reduce disease
  • Diabetes: 3.4% decrease in new cases over 10 years.
  • Obesity:
  • 1% decrease (adults)
  • 1.4% decrease (children)
  • Increase awareness about adverse health effects
  • Generate revenue to support obesity and chronic

disease prevention.

  • Reduce national health care costs by $23 billion
  • ver 10 years.

6% decrease in consumption

MEXICO BERKELEY

Raising $1.5 million per year

 Taxes are reducing consumption and raising revenue.

ACTION FOR HEALTHY FOOD

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How to use tax revenue

  • Promote healthy eating
  • School food
  • Improve food quality
  • Universal breakfast
  • Support public awareness campaigns
  • Sustain foundation program investments
  • Public Health funding
  • Medicaid funding
  • General Fund

ACTION FOR HEALTHY FOOD

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Berkeley & San Francisco

  • Tax implemented in Berkeley in March 2015
  • Penny per ounce is raising $1.5 million per year.
  • Supporting chronic disease prevention.
  • Success despite industry opposition
  • San Francisco - 33:1
  • Opposition spent $9.2M vs. Supporters $277K.
  • Berkeley - nearly 5:1
  • Opposition spent $2.4M vs. Supporters $521K.

76% 24%

BERKELEY SODA TAX

yes no

55% 45%

SAN FRANCISCO SODA TAX

yes no

ACTION FOR HEALTHY FOOD

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People support a tax

ACTION FOR HEALTHY FOOD

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Where will the next tax happen?

Sugary drink excise tax efforts in the US since 2009. Current activity: CA and IL In the running for 2016:

  • State: HI and CT
  • Local: 8-10 cities and counties across

US.

ACTION FOR HEALTHY FOOD

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Include health information at point of purchase

Consumers lack information on the health effects of sugary drinks.

  • Require health warnings on sugary

drinks.

  • Post health information signs on

shelves where sugary drinks are sold.

ACTION FOR HEALTHY FOOD

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Kids Meals

A third of all US children and adolescents aged 2–19 consumed fast food on a given day.

  • Ban soda as default beverage
  • ption or ban completely.
  • Nutritional standards for kids

meals.

ACTION FOR HEALTHY FOOD

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SNAP demonstration projects

Sugary drinks account for 58% of refreshment beverage purchases made by SNAP households.

  • Policy – SNAP benefits cannot be used to

purchase sugary drinks (and healthy food incentives could be added).

ACTION FOR HEALTHY FOOD

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Limit portion sizes

Larger portion sizes lead to greater consumption and increased calorie intake.

  • Limit portion sizes of drinks served

in restaurants.

  • Limit portion sizes of bottled SSBs

sold in stores.

ACTION FOR HEALTHY FOOD

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Checkout aisles

The majority (60%) of checkout beverage

  • fferings are soda and other sugary drinks.
  • Limit presence of sugary drinks (and other less

healthy foods) in checkout aisles

ACTION FOR HEALTHY FOOD

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Organization Policy Solutions

Institutional Policies

Government

Cities State

Business Public Housing Healthcare

Hospitals Health Centers

Community

Aquarium Faith CBOs

Schools & Early Learning

ACTION FOR HEALTHY FOOD

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Government

  • Vending
  • Cafeterias
  • Government programs
  • Parks and Recreation Sites.
  • Child care and before/after school

programs.

  • Government contracts
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No sugary drinks in:

  • Group daycare facilities
  • Licensed day camps
  • Publicly funded meals in:
  • schools
  • city hospitals
  • correctional facilities
  • senior centers
  • daycare centers
  • afterschool programs
  • day programs for the mentally ill

New York City

ACTION FOR HEALTHY FOOD

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Hospitals

ACTION FOR HEALTHY FOOD

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Schools

  • Ban food ads
  • Cafeteria choice architecture

ACTION FOR HEALTHY FOOD

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Child Care

  • 70 percent of 2- to 5-year-olds consume a sugary

drink on a typical day.

  • 10 percent of childcare sites in CA serve flavored or

sweetened milk.

  • Availability can be reduced through:
  • Distributing information about nutrition.
  • Licensing and regulation.
  • Offering technical assistance to implement healthy practices

and policies.

ACTION FOR HEALTHY FOOD

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Communications campaigns

Source: New York City Health Department

ACTION FOR HEALTHY FOOD

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Boston “Fatsmack!”

ACTION FOR HEALTHY FOOD

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Communications

ACTION FOR HEALTHY FOOD

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AHF communications campaign

Two goals for 2016:

  • Boost awareness and desire to act in

markets pursuing drink taxes.

  • Raise awareness on health impacts of

added sugars in general.

  • Likely linked to new nutrition labels.
  • Testing first in several markets – yours

could be one!

ACTION FOR HEALTHY FOOD

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AHF communications campaign

  • Robust research program – Nov-Mar, 2016.
  • Creative development early 2016.
  • Paid media.
  • Earned media.
  • Social media.

ACTION FOR HEALTHY FOOD

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AHF communications campaign

We need community partners (funders and advocates):

  • To help fund local ads and campaign

materials.

  • To amplify the messages through

grassroots activities.

  • To help generate earned media around

the campaign.

ACTION FOR HEALTHY FOOD

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Opportunities for funders

  • Generate interest and momentum.
  • Issue RFAs.
  • Convene local and regional advocates.
  • Support data collection, analysis, and reporting.
  • Support policy analysis and development.
  • Support policy change action.
  • Institutional policy.
  • Public policy.
  • Support public awareness and norms change campaigns.
  • Leverage local funds through partnerships with national funders like VFHK and AHF.
  • Other ideas? Let’s discuss!

ACTION FOR HEALTHY FOOD

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Thank you!

ACTION FOR HEALTHY FOOD

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Almost half of the added sugars comes from sugary drinks

 Among youth, 2-18, 60% of total added sugar calories come from beverages.  Youth (2-19) are consuming 155 calories per day from sugary drinks – this is more calories than they consume from milk.  Adults consume 151 calories per day from sugary drinks.

Sugary drinks 46%

Snacks and sweets 31% Grains 8% Mixed dishes 6% Dairy 4% Other 5%

ACTION FOR HEALTHY FOOD

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69 118 225 213 136 68

50 100 150 200 250

2-5 yrs 6-11 yrs 12-19 yrs 20-39 yrs 40-59 yrs ≥60 yrs Daily Calories

Daily calories from sugary drinks,

2009-2010 by age

ACTION FOR HEALTHY FOOD

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Percent of adults who drank a sugary drink at least one time per day

2013, 24 states

ACTION FOR HEALTHY FOOD

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Percent of 9-12 graders who drank regular soda/pop at least

  • ne time per day, 2013

ACTION FOR HEALTHY FOOD

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Industry markets heavily, especially to children and communities of color

 In 2013, beverage companies spent $866 million to advertise sugary drinks - 4x more than on 100% juice and water.  PepsiCo increased advertising to children 6 -11 by 25% from 2010 to 2013, and nearly tripled its regular soda advertising to children.  In 2013, Black youth saw over twice as many TV ads for sugary drinks and energy drinks than did white youth.

ACTION FOR HEALTHY FOOD

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Adult sugary drink consumption varies by race and income

One or more sugary drink per day,

adults

40% 36% 27% 21% Black, non- Hispanic Hispanic White, non- Hispanic Other, non- Hispanic

Racial Disparities

38% 33% 26% 18% <$25,000 $25,000–$49,999 $50,000–$74,999 ≥$75,000

Income Disparities

 29% of all adults report drinking one or more sugary beverages per day.

ACTION FOR HEALTHY FOOD

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Sugary drink consumption is declining but still too high

33.8% 29.2% 27.8% 27%

2007 2009 2011 2013

One or more sodas per day, youth

25% 20% 19% 16% Black White Overall Hispanic

Two or more sodas per day,

youth

ACTION FOR HEALTHY FOOD

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Even the youngest children consume too much

31% of toddlers age 12-23 months consume sugary drinks

  • n any given day.

ACTION FOR HEALTHY FOOD

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February 13, 13, 2014 2014

63% 75% 63% 80% 74%

Tea Party Independent Republican Democrat Total

ACTION FOR HEALTHY FOOD

Broad support for CA warning label bill