Advertisement
Research Article| Volume 49, ISSUE 9, P724-733.e1, October 2017

Download started.

Ok

Informing Intervention Strategies to Reduce Energy Drink Consumption in Young People: Findings From Qualitative Research

      Abstract

      Objective

      To determine young people's knowledge of energy drinks (EDs), factors influencing ED consumption, and intervention strategies to decrease ED consumption in young people.

      Design

      Eight group interviews with young people (aged 12–25 years).

      Setting

      Community groups and secondary schools in Perth, Western Australia.

      Participants

      Forty-one young people, 41% of whom were male and 73% of whom consumed EDs.

      Phenomenon of Interest

      Factors influencing ED consumption and intervention strategies informed by young people to reduce ED consumption.

      Analysis

      Two researchers conducted a qualitative content analysis on the data using NVivo software.

      Results

      Facilitators of ED consumption included enhanced energy, pleasant taste, low cost, peer pressure, easy availability, and ED promotions. Barriers included negative health effects, unpleasant taste, high cost, and parents' disapproval. Strategies to reduce ED consumption included ED restrictions, changing ED packaging, increasing ED prices, reducing visibility in retail outlets, and research and education.

      Conclusion and Implications

      Because many countries allow the sale of EDs to people aged <18 years, identifying ways to minimize potential harm from EDs is critical. This study provided unique insights into intervention strategies suggested by young people to reduce ED consumption. In addition to more research and education, these strategies included policy changes targeting ED sales, packaging, price, and visibility. Future research might examine the feasibility of implementing such interventions.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Burrows T.
        • Pursey K.
        • Neve M.
        • Stanwell P.
        What are the health implications associated with the consumption of energy drinks? A systematic review.
        Nutr Rev. 2013; 71: 135-148
        • Heckman M.
        • Sherry K.
        • Mejia D.
        • Gonzalez E.
        Energy drinks: an assessment of their market size, consumer demographics, ingredient profile, functionality, and regulations in the United States.
        Compr Rev Food Sci Food Saf. 2010; 9: 303-317
        • Alford C.
        • Hamilton-Morris J.
        • Verster J.C.
        The effects of energy drink in combination with alcohol on performance and subjective awareness.
        Psychopharmacology. 2012; 222: 519-532
        • Iyadurai S.J.P.
        • Chung S.S.
        New-onset seizures in adults: possible association with consumption of popular energy drinks.
        Epilepsy Behav. 2007; 10: 504-508
        • Trapp G.
        • Allen K.
        • O'Sullivan T.
        • Robinson M.
        • Jacoby P.
        • Oddy W.
        Energy drink consumption is associated with anxiety in Australian young adult males.
        Depress Anxiety. 2014; 31: 420-428
        • Visram S.
        • Cheetham M.
        • Riby D.M.
        • Crossley S.J.
        • Lake A.A.
        Consumption of energy drinks by children and young people: a rapid review examining evidence of physical effects and consumer attitudes.
        BMJ Open. 2016; 6: e010380
        • Seifert S.M.
        • Schaechter J.L.
        • Hershorin E.R.
        • Lipshultz S.E.
        Health effects of energy drinks on children, adolescents, and young adults.
        Pediatrics. 2011; 127: 511-528
        • Wilson R.
        • Kado H.
        • Samson R.
        • Miller A.
        A case of caffeine-induced coronary artery vasospasm of a 17-year-old male.
        Cardiovasc Toxicol. 2012; 12: 175-179
        • Gunja N.
        • Brown J.A.
        Energy drinks: health risks and toxicity.
        Med J Aust. 2012; 196: 46-49
        • Peacock A.
        • Bruno R.
        • Martin F.H.
        • Carr A.
        The impact of alcohol and energy drink consumption on intoxication and risk-taking behavior.
        Alcohol Clin Exp Res. 2013; 37: 1234-1242
        • Pennay A.
        • Lubman D.I.
        Alcohol and energy drinks: a pilot study exploring patterns of consumption, social contexts, benefits and harms.
        BMC Res Notes. 2012; 5: 369
      1. Australian Beverages Council. Energy Drinks–An Industry Commitment. Sydney, Australia: Australian Medical Association; 2013.

      2. Food Regulation Standing Committee Caffeine Working Group. Food Regulation Policy Options Paper: The regulation of caffeine in foods. Sydney, Australia: Australian Government Department of Health; 2013.

        • Peacock A.
        • Droste N.
        • Pennay A.
        • Miller P.
        • Lubman D.
        • Bruno R.
        Awareness of energy drink intake guidelines and associated consumption practices: a cross-sectional study.
        BMC Public Health. 2016; 16: 6
        • Pollard C.M.
        • Meng X.
        • McStay C.
        Community concern about the sale of high-caffeine drinks to children under 12 years of age: Western Australia population survey results.
        Health Promot J Austr. 2013; 24: 156-157
        • Breda J.
        • Whiting S.
        • Encarnacao R.
        • et al.
        Energy drink consumption in Europe: a review of the risks, adverse health effects, and policy options to respond.
        Front Public Health. 2014; 2: 134
        • Oddy W.
        • O'Sullivan T.
        Energy drinks for children and adolescents.
        BMJ. 2010; 340: 64
      3. Australian Medical Association. Country women invigorate energy drink ban idea. Canberra, Australia: Australian Medical Association; 2014. https://ama.com.au/ausmed/country-women-invigorate-energy-drink-ban-idea. Accessed March 20, 2016.

        • Australian Bureau of Statistics
        Population by Age and Sex, Regions of Australia.
        Australian Bureau of Statistics, Canberra, Australia2016
        • Costa B.M.
        • Hayley A.
        • Miller P.
        Young adolescents' perceptions, patterns, and contexts of energy drink use: a focus group study.
        Appetite. 2014; 80: 183-189
        • Anderson P.
        • Chisholm D.
        • Fuhr D.
        Effectiveness and cost-effectiveness of polciies and programmes to reduce the harm caused by alcohol.
        Lancet. 2009; 373: 2234-2246
        • Chapman S.
        • Freeman B.
        The cancer emporer's new clothes: Australia's historic legislation for plain tobacco packaging.
        BMJ Case Reports. 2010; 340: c2436
        • White V.
        • Williams T.
        • Wakefield M.
        Has the introduction of plain packaging with larger graphic health warnings changed adolescents' perceptions of cigarette packs and brands?.
        Tobacco Control. 2015; 24: II42-II49
        • Hammond D.
        • Fong G.
        • McNeill A.
        • Borland R.
        • Cummings K.
        Effectiveness of cigarette warnign lables in informing smokers about the risks of smoking: findings from the International Tobacco Control (ITC) Four Country Survey.
        Tobacco Control. 2006; 15: iii9-iii25
        • Briggs A.D.M.
        • Mytton O.T.
        • Kehlbacher A.
        • Tiffin R.
        • Rayner M.
        • Scarborough P.
        Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study.
        BMJ. 2013; 347: f6189
        • Hopkins D.P.
        • Briss P.A.
        • Ricard C.J.
        • et al.
        Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke.
        Am J Prev Med. 2001; 20: 16-66
        • Larson N.
        • DeWolfe J.
        • Story M.
        • Neumark-Sztainer D.
        Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use.
        J Nutr Educ Behav. 2014; 46: 181-187
        • Trapp G.
        • Allen K.
        • O'Sullivan T.
        • Robinson M.
        • Jacoby P.
        • Oddy W.
        Energy drink consumption among young Australian adults: associations with alcohol and illicit drug use.
        Drug Alcohol Depend. 2014; 134: 30-37
        • Seifert S.M.
        • Seifert S.A.
        • Schaechter J.L.
        • et al.
        An analysis of energy-drink toxicity in the National Poison Data System.
        Clin Toxicol. 2013; 51: 566-574
        • Bandura A.
        Social Learning Theory.
        Prentice Hall, Englewood Cliffs, NJ1977