{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:30:21Z","timestamp":1786365021828,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Life stressors might influence health behaviors, including frequent sugar\u2010sweetened beverage (SSB) consumption. We described associations between life stressors and soda\/sports drink (SD) consumption among US high school students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We tested associations between life stressors and daily (\u2265\u20091 time\/day) and heavy daily (\u2265\u20093 time\/day) consumption of soda\/SD using the 2023 national Youth Risk Behavior Survey (daily\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912,308; heavy daily\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911,980). We calculated prevalence ratios (aPRs) and 95% confidence intervals (CI) adjusted for grade, sex, weight perception, and race and ethnicity. Not experiencing the stressor was the reference group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Daily consumption was significantly higher among those who experienced unstable housing (aPR\u2009=\u20091.6, 95% CI\u2009=\u20091.2, 2.2), lacking a household adult trying to meet basic needs (aPR\u2009=\u20091.3, 95% CI\u2009=\u20091.1, 1.5), bullying at school (aPR\u2009=\u20091.3, 95% CI\u2009=\u20091.2, 1.4), missing school due to safety concerns (aPR\u2009=\u20091.3, 95% CI\u2009=\u20091.1, 1.5), or feeling unfairly disciplined at school (aPR\u2009=\u20091.2, 95% CI\u2009=\u20091.1, 1.3). Results for heavy daily consumption were similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice and Equity<\/jats:title>\n                    <jats:p>Initiatives to reduce soda\/SD consumption could benefit students with relatively high consumption prevalence, including those experiencing life stressors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of consuming soda\/SD was higher among US high school students who experienced life stressors than those who did not.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70201","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:36:53Z","timestamp":1785908213000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Soda and Sports Drink Consumption and Life Stressors Among High School Students: Youth Risk Behavior Survey, 2023"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9774-0042","authenticated-orcid":false,"given":"Ann M.","family":"Goding Sauer","sequence":"first","affiliation":[{"name":"Division of Nutrition Physical Activity and Obesity (DNPAO) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC)  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1915-9268","authenticated-orcid":false,"given":"Ryan","family":"Saelee","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health NCCDPHP, CDC  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8193-1848","authenticated-orcid":false,"given":"Samantha L.","family":"Pierce","sequence":"additional","affiliation":[{"name":"Division of Nutrition Physical Activity and Obesity (DNPAO) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC)  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8143-3243","authenticated-orcid":false,"given":"Caitlin L.","family":"Merlo","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health NCCDPHP, CDC  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7527-0625","authenticated-orcid":false,"given":"Jessica R.","family":"Hunter","sequence":"additional","affiliation":[{"name":"McKing Consulting Corporation, DNPAO NCCDPHP, CDC  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9584-7041","authenticated-orcid":false,"given":"Julie L.","family":"Self","sequence":"additional","affiliation":[{"name":"Division of Nutrition Physical Activity and Obesity (DNPAO) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC)  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)01590\u20107"},{"key":"e_1_2_13_3_1","volume-title":"Dietary Guidelines for Americans, 2020\u20132025","author":"US Department of Agriculture and US Department of Health and Human Services","year":"2020"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15020274"},{"key":"e_1_2_13_5_1","article-title":"Added Sugars in American Children's Diet: What We Eat in America, NHANES 2015\u20132016","volume":"26","author":"Bowman S. 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