# Parental Dietary Knowledge, Income and Students’ Consumption of Sugar-Sweetened Beverages in China: Evidence from Longitudinal Study

## TL;DR

This study shows that better parental dietary knowledge reduces students' consumption of sugary drinks in China, especially in rural areas.

## Contribution

The study provides longitudinal evidence on how parental dietary knowledge affects children's sugar-sweetened beverage consumption in China.

## Key findings

- SSB consumption among students increased from 2019 to 2020 in both frequency and quantity.
- Higher parental dietary knowledge was linked to reduced SSB and juice consumption among students.
- The effect of parental knowledge was stronger among rural hukou students.

## Abstract

Background/Objectives: Sugar-sweetened beverage (SSB) consumption has increased globally among children and adolescents, posing significant health risks. Parental dietary knowledge and income play important roles in shaping children’s food-choice and consumption behaviors. This study aimed to examine the effects of parental dietary knowledge and income on students’ SSB consumption at both extensive and intensive margins. Methods: A two-way fixed-effects model was estimated using longitudinal data from 3962 primary and junior high school students in the Jining District of Ulanqab City, Inner Mongolia Autonomous Region, northern China, collected in 2019 and 2020. Results: SSB consumption among Chinese students increased from 2019 to 2020 in both extensive (82.51% to 86.90%) and intensive margins (686.09 mL/week to 891.21 mL/week). Each one-point increase in parental dietary knowledge score was linked to a 13.39 mL (p < 0.05) reduction in weekly SSB consumption, and 9.90 mL (p < 0.05) reduction in juice beverages, correspondingly reductions in weekly added sugar intake from SSBs (1.26 g, p < 0.10) and juice beverages (0.79 g, p < 0.05), with stronger association among rural hukou students. Parental income showed minimal association with students’ SSB consumption, but had a stronger association among rural hukou and junior high school students. Conclusions: Parental dietary knowledge plays a crucial role in reducing students’ SSB consumption, with particularly strong association in rural hukou students. Targeted interventions enhancing parental dietary knowledge could reduce SSB consumption and added sugar intake among school-aged children.