{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:51:38Z","timestamp":1793317898932,"version":"4.5.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":261,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2025]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n To describe Brazilian parents\u2019 perceptions of non-sugar sweeteners (NSS) in beverages consumed by children and their views for NSS front-of-package labels (FOPL).<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n A qualitative-driven mixed-methods embedded design was used. Seven focus groups with parents of children explored perceptions of NSS. Qualitative data were coded and analyzed using thematic analysis. Participants also completed a closed-ended survey assessing familiarity with NSS-containing beverages, ability to identify NSS on ingredient labels and perceptions of NSS FOPL. Survey responses were summarised using descriptive statistics.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Public and private schools and early childhood education centres in urban areas of two municipalities in the State of S\u00e3o Paulo, Brazil.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Forty parents of children aged 2\u20135 and 6\u201311.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n About 35 % of participants reported their children consumed at least one NSS-containing beverage weekly in the past month; 17 % reported daily consumption. Parents expressed a preference for natural products and confusion over the term \u2018\n edulcorantes<\/jats:italic>\n \u2019 (Portuguese for NSS). They shared concerns about the health effects of both sugar and NSS, particularly for children. NSS were seen as acceptable in specific cases, such as if a child has diabetes. Most parents supported a FOPL like Mexico\u2019s, stating \u2018not recommended for children\u2019. In the survey, 85 % of the parents correctly identified beverages with NSS, but 82 % misclassified non-NSS ingredients (e.g. sugar syrup, caramel) as NSS. The Mexico-style FOPL was preferred by 95 % of the parents, who found it helpful and easy to understand.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n A FOPL clearly indicating NSS presence, especially one recommending against consumption by children, may help parents make informed choices and reduce children\u2019s intake of NSS-containing beverages.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1368980025101146","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T07:27:40Z","timestamp":1758266860000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Perceptions of non-sugar sweeteners and front-of-package labels among parents of preschool and school-aged children in Brazil"],"prefix":"10.1017","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0864-2169","authenticated-orcid":false,"given":"Mariana Fagundes","family":"Grilo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00y4zzh67","id-type":"ROR","asserted-by":"publisher"}],"name":"Milken Institute School of Public Health, The George Washington University"},{"name":"University of Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6431-8670","authenticated-orcid":false,"given":"Beatriz Silva","family":"Nunes","sequence":"additional","affiliation":[{"name":"University of Campinas"},{"name":"Graduate Program in Collective Health University of Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Fernanda","family":"Eberle","sequence":"additional","affiliation":[{"name":"University of Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Vallone","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00y4zzh67","id-type":"ROR","asserted-by":"publisher"}],"name":"Milken Institute School of Public Health, The George Washington University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Nieto","sequence":"additional","affiliation":[{"name":"Universidad Nacional Aut\u00f3noma de M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0870-9722","authenticated-orcid":false,"given":"Uriyo\u00e1n","family":"C\u00f3lon-Ramos","sequence":"additional","affiliation":[{"name":"Milken Institute School of Public Health, The George Washington University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey Smith","family":"Taillie","sequence":"additional","affiliation":[{"name":"UNC-Chapel Hill"},{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7317-5790","authenticated-orcid":false,"given":"Ana Clara","family":"Duran","sequence":"additional","affiliation":[{"name":"University of Campinas"},{"name":"Graduate Program in Collective Health University of Campinas"},{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison C.","family":"Sylvetsky","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00y4zzh67","id-type":"ROR","asserted-by":"publisher"}],"name":"Milken Institute School of Public Health, The George Washington University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,19]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980025101146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T05:48:26Z","timestamp":1760507306000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980025101146\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S1368980025101146"],"URL":"https:\/\/doi.org\/10.1017\/s1368980025101146","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e170"}}