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Disparate Advertising of Sugary Drinks: An Analysis of Beverages Promoted in Circulars from Grocery Stores in High- and Low-Income New York City Zip Codes

Danna Ethan, Lalitha Samuel, Corey H Basch and Rodney Hammond

Background: The consumption of sugar-sweetened beverages (SSBs) has been associated with an increased risk of chronic disease including obesity, type 2 diabetes, and coronary heart disease. A correlation between low socioeconomics (SES) status and higher SSB intake has also been established.
Objective: The objective of this study was to analyze the calorie content and added sugar in beverages advertised in circulars of grocery stores in high- and low-income New York City zip codes.
Methods: Across a two-month period, we analyzed various nutritional characteristics of beverage products advertised on the front page of online circulars from grocery stores in 5 low- and 5 high-income New York City zip codes.
Results: Three-fourths of beverage products for sale in circulars from low-income zip codes were sugar-sweetened (74.4%) as compared with just over one-third advertised in those from high-income zip codes (35.7%).
Conclusion: High-calorie, sugary beverages are being marketed and priced to sell by grocery stores serving low SES populations with high SSB consumption patterns. Health education and promotion efforts that grocery stores can implement to contribute to chronic disease prevention are discussed.