title: Factors associated with daily consumption of sugar-sweetened beverages among adult patients at four federally qualified health centers, Bronx, New York, 2013.
abstract: BACKGROUND
  Consumption of sugar-sweetened beverages (SSBs) is associated with cardiovascular disease risk factors. This study examined the relationships between SSB consumption and demographic, health behavior, health service, and health condition characteristics of adult patients of a network of federally qualified health centers (FQHCs) in a low-income, urban setting.
  
  
  METHODS
  Validated, standardized self-reported health behavior questions were incorporated into the electronic health record (EHR) and asked of patients yearly, at 4 FQHCs. We conducted cross-sectional analysis of EHR data collected in 2013 from 12,214 adult patients by using logistic regression.
  
  
  RESULTS
  Forty percent of adult patients consumed 1 or more SSBs daily. The adjusted odds ratios indicated that patients who consumed more than 1 SSB daily were more likely to be aged 18 to 29 years versus age 70 or older, current smokers versus never smoking, eating no servings of fruits and/or vegetables daily or 1 to 4 servings daily versus 5 or more servings daily, and not walking or biking more than 10 blocks in the past 30 days. Patients consuming 1 or more servings of SSBs daily were less likely to speak Spanish than English, be women than men, be diagnosed with type 2 diabetes versus no diabetes, and be diagnosed with hypertension versus no hypertension.
  
  
  CONCLUSIONS
  SSB consumption differed by certain demographic characteristics, health behaviors, and health conditions. Recording SSB intake and other health behaviors data in the EHR could help clinicians in identifying and counseling patients to promote health behavior changes. Future studies should investigate how EHR data on patient health behavior can be used to improve the health of patients and communities.
authors.affiliation: Albert Einstein College of Medicine, 3544 Jerome Ave, Bronx, New York 10467. E-mail: ross.kristal@med.einstein.yu.edu.
authors.forename: Ross B
authors.initials: RB
authors.lastname: Kristal
authors.affiliation: Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Arthur E
authors.initials: AE
authors.lastname: Blank
authors.affiliation: Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Judith
authors.initials: J
authors.lastname: Wylie-Rosett
authors.affiliation: Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Selwyn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001628:Beverages / Q000706:statistics & numerical data*; D003151:Community Health Centers / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000453:epidemiology; D035082:Federal Government; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology / Q000209:etiology*; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D013549:Sweetening Agents; D014505:Urban Population; D055815:Young Adult
chemical_list: D013549:Sweetening Agents