The former finance minister stated in his budget speech in 2016 that sugar tax would come into force in South Africa from 1 April 2017. The treasury's reason for implementing sugar taxation is to reduce the health problems caused by sugar. It is nothing new to use fiscal measures to recover both taxes and to prevent health problems but it was not yet possible to reach a definite conclusion about the impact of sugar tax on the consumption of sugary drinks and the prevalence of obesity. The reason for this is that there is evidence that the implementation of food tax in different countries has shown different results in terms of public health issues and tax benefits. In South Africa, the implementation of sugar tax can either reduce the prevalence of obesity and thereby have a positive effect on the economy or its implementation may adversely affect the economy. If treasury does not implement sugar tax the economy can also be adversely affected by the prevalence of obesity. This dissertation deals with the effects of non-communicable diseases and sugar tax on the South African economy. The focus is on how sugar tax is being implemented internationally and how South Africa intends to implement sugar tax. / Die voormalige minister van finansies het in sy begrotingstoespraak in 2016 vermeld dat suikerbelasting vanaf 1 April 2017 in Suid-Afrika in werking gaan tree. Die tesourie se rede vir die implementering van suikerbelasting is om, in samewerking met die Departement van Gesondheid, die gesondheidsprobleme wat deur suiker veroorsaak word te verminder. Dit is niks nuuts om fiskale maatstawwe te gebruik om beide belasting in te vorder en gesondheidsprobleme te voorkom nie, maar dit was nog nie moontlik om tot ’n definitiewe gevolgtrekking te kom oor die impak van suikerbelasting op die verbruik van suikerversoete drankies en die voorkoms van vetsug nie. Die rede hiervoor is dat daar bewyse is dat die implementering van voedselbelasting in verskillende lande verskillende resultate getoon het in terme van openbare gesondheidskwessies en belastingvoordele. In Suid-Afrika kan die implementering van suikerbelasting óf die voorkoms van vetsug verminder en sodoende die ekonomie bevoordeel óf die implementering daarvan kan die ekonomie negatief beïnvloed. Indien die tesourie nie suikerbelasting implementeer nie kan die ekonomie as gevolg van die voorkoms van vetsug negatief beïnvloed word. Die kern van hierdie skripsie handel oor die gevolge van nieoordraagbare siektes en suikerbelasting op die Suid-Afrikaanse ekonomie. Daar word spesifiek gefokus op hoe suikerbelasting internasionaal geïmplementeer word en hoe Suid-Afrika beoog om suikerbelasting te implementeer. / Mini Dissertation (LLM)--University of Pretoria, 2017. / Mercantile Law / LLM / Unrestricted

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Immigrants employed in hospitality organizations experience various psychological challenges as they adapt to the cultures of their organizations and the society at large. This dissertation aims to investigate how acculturation and workplace inclusion of immigrant restaurant workers affect their levels of job satisfactions, subjective well-being, work engagement, organizational attachment, and turnover intention. This study followed a cross-sectional research design to explore immigrant restaurant employees' attitudes towards their acculturation process and perceptions of their work experiences in the United States. This study was developed by using scales from the existing literature and a back-to-back translation method by native speakers of Spanish and Haitian Creole languages. The participants of this study were 279 immigrants, who are restaurants employees in the United States. Data were simultaneously collected in three different ways. The questionnaire adopted for this study was distributed at multiple restaurants, including stand-alone and hotel foodservice outlets, in the Southeastern region of the USA. Also, a link to the survey questionnaire was forwarded to other participants via email and social media to individuals who qualify as immigrant restaurant workers. In addition, the data collection the process involved using Amazon Turk, until the required sample size for this study was met. Both SPSS version 24 and Partial Least Square Structural Equation Modeling (PLS-SEM) were utilized to analyze the collected data for this study. This study's results indicate that acculturation and workplace inclusion positively influence subjective well-being and job satisfaction amongst immigrant restaurant workers. Meanwhile, work engagement, organizational, and turnover intention are directly influenced by job satisfaction. The findings of this study advance the knowledge of acculturation and workplace inclusion in both the hospitality discipline and the mainstream human resources literature. While there are very few studies on acculturation and workplace inclusion in the hospitality and tourism literature, no prior research was conducted on immigrants working in the food and beverage sector. Also, no previous studies investigated both the effect of acculturation and workplace inclusion on immigrant employees in a simultaneous manner. Hence this study adds to both the hospitality and organizational behavior body of knowledge. It also provides new insights on how to improve these employees' subjective well-being, job satisfaction, work engagement, organizational attachment, and reduce the chances of quitting their hospitality jobs.

Hypothesis: "By an environmental change in high school vending machines, making water available, students will choose water over the sugar sweetened sodas." This document highlights a case study analysis of vendor-provided refill data for forty-five beverage vending machines at two campus sites in one high school district in 2003 and 2004. The innovative study and publicized negotiated soda contract of a 50:50 (healthy to unhealthy) beverage ratio stipulation became the “Win-Win-WEAN” compromise, in which exposure to healthier beverage options for students might prove to provide the same income opportunity for the school district. An overview of the political climate in California leading to this local advocacy for reduced availability of sodas on school campuses, which began in 1999 before the passage of Senate Bill 19- Pupil Nutrition, Health Achievement Act of October 2001 (SB-19) is also addressed. The quagmire to generate and implement this unique pilot of a 5-year contract stipulating a 50:50 ratio, with strategic placement of qualified healthy beverages in the top slots of the 45 machines, is discussed to give context of the beverage industry practices. The ratio stipulation was intended to target one significant area of empty calories in students’ daily environments in attempt to help reverse the unprecedented obesity epidemic among adolescents. The agreement voted upon by the Santa Maria Joint Union School District’s Board of Trustees in a public meeting, as noted in the minutes of August 14, 2002, was not implemented as originally approved and thus a series of negotiation meetings began, prompting this data analysis. The 50:50 ratio, per SB-19, was not achieved during the performance life of the contract between the school district and the beverage vendor. School district administration fiscal year-end data in March 2005 confirmed that the hypothesis of a net profit sales quota of $60,000 was rejected, as there was a $7,300 shortfall. The data analyzed did determine that the highest selling, single beverage productwas un-flavored (plain) water with a 65% share. This information was contrary to the beverage vendor and school district business superintendents’ pre-conceived ideas that water in the machines would cause them to lose money. In reality water was the highest revenue generator beverage. The $60,000 minimum guaranteed annual commission, which was in actuality a sales quota projection, was still acknowledged as a contractual commitment by the vendor so no actual deficiency in fund payments was experienced by the school district. The profit margin for both water and other products was 40 cents per can. The data analysis showed that water was indeed the highest selling beverage regardless of equipment malfunction, restocking failures, and misrepresentation of drinks as healthy by vending machine placement and clever advertising with label changes for the same beverage. When water was included in the vending machines, students responded with immediate purchasing of water, demonstrating the 4th of five distinct stages of readiness for behavior change as “Action” following the principles of Drs’ Prochaska and Di Clemete’s Trans-Theoretical model. This model outlines different levels toward sustained behavior change and typical timelines of each relative stage of change. Keywords: beverage consumption, sodas, obesity, empty calories.

The overconsumption of added sugars leads to negative effects on health such as an increased risk for obesity, cardiovascular disease, and diabetes. With approximately 50% of added sugars in the American diet being attributed to sugar-sweetened beverage (SSB) intake, non-nutritive sweeteners (NNS) are recommended as potential replacements. The purpose of this secondary analysis of Talking Health, a 6-month SSB reduction intervention, was to explore 1) changes in NNS consumption patterns between SIPsmartER (n=101) and MoveMore (n=97) interventions, and 2) differences in demographics between three groups of various SSB-NNS consumption change patterns (Group 1: decreased SSB, increased NNS; Group 2: decreased SSB, no change in NNS; Group 3: increased SSB, regardless of NNS). Results showed that the SIPsmartER intervention significantly created more new NNS users than MoveMore after the 6 month intervention. There were significant between group over time differences for intake of aspartame, sucralose, and total NNS, with intake increasing for SIPsmartER participants as compared to MoveMore. However, when exploring demographics between the three SSB-NNS consumption change groups, no differences were found between those who successfully decreased SSB while increasing NNS and the other groups. While diet beverages were the most commonly consumed dietary source of NNS across groups over time, other sources such as tabletop sweeteners, yogurt, and meal replacement products contributed to total NNS intake. Future research is needed to identify those who would benefit most from using NNS as a tool to decrease SSB intake. This will help inform future interventions and provide appropriate strategies to decrease added sugars intake. / Master of Science / The overconsumption of added sugars leads to negative effects on health such as an increased risk for obesity, cardiovascular disease, and diabetes. With approximately 50% of added sugars in the American diet being attributed to sugar-sweetened beverage (SSB) intake, non-nutritive sweeteners (NNS) are recommended as potential replacements. The purpose of this secondary analysis of Talking Health, a 6-month SSB reduction intervention, was to explore 1) changes in NNS consumption patterns between SIPsmartER (n=101) and MoveMore (n=97) interventions, and 2) differences in demographics between three groups of various SSB-NNS consumption change patterns (Group 1: decreased SSB, increased NNS; Group 2: decreased SSB, no change in NNS; Group 3: increased SSB, regardless of NNS). Results showed that the SIPsmartER intervention significantly created more new NNS users than MoveMore after the 6 month intervention. There were significant between group over time differences for intake of aspartame, sucralose, and total NNS, with intake increasing for SIPsmartER participants as compared to MoveMore. However, when exploring demographics between the three SSB-NNS consumption change groups, no differences were found between those who successfully decreased SSB while increasing NNS and the other groups. While diet beverages were the most commonly consumed dietary source of NNS across groups over time, other sources such as tabletop sweeteners, yogurt, and meal replacement products contributed to total NNS intake. Future research is needed to identify those who would benefit most from using NNS as a tool to decrease SSB intake. This will help inform future interventions and provide appropriate strategies to decrease added sugars intake.

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The widespread marketing of food and beverage products high in fat, sugar and salt (HFSS) es is a significant driver of obesity and diet-related non-communicable diseases (NCDs). This PhD dissertation examined the factors related to Member States' capacity and actions to fully implement the 2010 World Health Assembly's Resolution WHA63.14 to restrict the marketing of HFSS food and non-alcoholic beverage products to children up to 18 years by 2025. The first study describes the capacity-building needs of Ministries of Health (MoH) to implement the Resolution WHA63.14. The research used a 28-item web-based survey administered to representatives of MoH from the Pan American Health Organization (PAHO) region (n= 35). A government capacity-building and integrated marketing communications (IMC) frameworks guided this research. The second study examined the government policies to restrict the marketing of HFSS food and beverage products in a purposive sample of countries in the PAHO region (n=14). The WHO policy and IMC frameworks were used to develop a responsible policy index (RESPI). A web-based platform was developed that uses data visualization tools to depict the results. The third study explored the dimensions of power in the Mexican social networks of stakeholders that influenced the policy-making process that enabled the government to enact front-of-pack (FOP) warning labels on HFSS food and beverage products marketed to children and adults in 2020. The study followed a case study approach, using semi-structured interviews with stakeholders, and guided by the Gaventa's power cube framework. Social Network Analyses were conducted using the UCINET software (version 6) that measured centrality, factions and quadratic assignment procedures (QAP). These PhD studies applied several theoretically grounded conceptual frameworks related to nutrition governance that allowed me to draw conclusions from empirical and published evidence to develop and implement comprehensive policies to restrict the marketing of HFSS food and beverage products to children. Results may inform government agencies, civil society organizations, academic researchers, private foundations and industry actors about the areas needed for policy improvement and promising or best practices that should be adopted to implement Resolution WHA63.14 to reduce children's future risks of obesity and diet-related NCDs by 2025. / Ph.D. / The widespread marketing of food and beverage products high in fat, sugar and salt (HFSS) by transnational food and beverage manufacturers, chain restaurants and retailers, entertainment companies and digital technology companies is a significant driver of poor diet quality, obesity and diet-related non-communicable diseases (NCDs) among populations globally. In May 2010, 193 Member States endorsed the World Health Assembly’s Resolution WHA63.14 to restrict the marketing of HFSS food and non-alcoholic beverage products to children up to 18 years to promote healthy diets and reduce their future risk of obesity and NCDs. This PhD dissertation examined the factors related to Member States’ capacity and actions to fully implement the 2010 Resolution WHA63.14 by 2025. The first study describes the capacity-building needs of Ministries of Health (MoH) to restrict the marketing of HFSS food and beverage products to children. Priority actions recommended include governments adopting mechanisms to identify, declare and manage conflicts of interest related to food marketing; better utilization of existing Constitutional requirements of governments to protect children’s health and human rights; and developing comprehensive policies to restrict unhealthy HFSS marketing through digital media. The second study examined the government policies to restrict the marketing of HFSS food and beverage products across 14 countries from the PAHO region. Brazil, Canada, Chile, and Uruguay had the strongest statutory policies that restricted HFSS food and beverage product marketing at point of sale, use of cartoon licensed media characters and celebrities, and marketing in schools and through broadcast media. The third study explored the dimensions of power in the Mexican social networks of stakeholders that influenced the policy-making process that enabled the government to enact front-of-pack (FOP) warning labels on HFSS food and beverage products marketed to children and adults between 2019 and 2020. FOP labeling is a marketing used that have shown impact on children’s choice of food and beverage products. Results revealed that advocacy, collective engagement and building strategic coalitions were forms of power that shifted from a profit-interest-based to an evidence-based policy-making process in Mexico. These PhD studies applied several theoretically grounded conceptual frameworks related to nutrition governance that allowed me to draw conclusions from empirical and published evidence to develop and implement comprehensive policies to restrict the marketing of HFSS food and beverage products to children. The collective results may inform government agencies, civil society organizations, academic researchers, private foundations and industry actors about the areas needed for policy improvement and promising or best practices that should be adopted to implement Resolution WHA63.14 an create healthy food environments to reduce children’s future risks of obesity and diet-related NCDs by 2025.

The number of overweight adults has risen to two-thirds of the population, thus increases in energy intake, particularly from beverages are of great concern. Sugar-sweetened beverage (SSB) intake has increased by 222 calories in recent decades, which contributes a significant source of added sugars to the American diet. It has been reported that water consumers have a lower overall energy intake (~194 kcals) as compared to non-consumers of water therefore substituting water for SSBs may facilitate weight loss and weight management. Evidence also indicates that diet quality follows a socioeconomic gradient, and that the environment has a powerful influence on beverage consumption. Thus, modifying the food environment could be a promising strategy for promoting healthier beverage consumption behavior. A large portion of the US population spends their day at a worksite making the worksite a viable setting for implementing environmental approaches to promote effective behavior change. At this time, it is unclear if a reduction of SSB intake would be a viable dietary weight management intervention strategy. Therefore, our purpose was to determine if water, SSB intake, SSB energy, total beverage intake, and total beverage energy varies with individual and environmental factors among overweight and obese employees from 28 worksites involved in a randomized controlled weight management trial. These findings may contribute to the development of tailored weight management programs aimed to improve beverage consumption patterns. / Master of Science

Researchers have examined the influence of entertainment companies' licensed media characters on children's diet and health. Conversely, limited empirical research exists on how food, beverage and restaurant companies use brand mascots to influence the dietary preferences and choices of children and their parents. This M.S. thesis is comprised of two studies that address this knowledge gap. The first study conducted a nutrient-profile analysis of 20 food, beverage, and restaurant products that use brand mascot marketing to children, whose companies are members of the Children's Food and Beverage Advertising Initiative (CFBAI), an industry self-regulatory program. Products were evaluated using seven nutrient-profile models or nutrition guidelines. Results showed that all twenty products that used brand mascots failed to meet one or more of the guidelines, especially for candy/sweets, children's meals, and snack foods. The second pilot study used Q methodology to explore the views of five child-parent dyads concerning the influence of brand mascots on their diet-related cognitive outcomes. Each child and one parent independently completed a demographic survey, a brand mascot and product association survey, and a card-sort with 48 brand mascot images to determine 'most-liked' versus 'most-disliked' mascots. Factor analysis identified three unique viewpoints that were shared by participants including: 1) Breakfast Cereal Animal Lovers; lover of mascots with eyes/hands of approval; and 3) human, hat-wearing mascot lovers. Participants associated 66 percent of products with the correct brand mascots. These results may inform policy-relevant recommendations to strengthen industry self-regulatory programs to create a more healthful childhood marketing atmosphere. / Master of Science / Researchers have examined the influence of entertainment companies’ cartoon media characters on children’s diet and health. Conversely, limited experimental research exists on how food, beverage and restaurant companies use brand mascots to influence the diets of children and their parents. This M.S. thesis comprises two studies that address this knowledge gap. The first study consists of an analysis of 20 food, beverage, and restaurant products that use unique brand mascots marketed to children, whose companies are members of the Children’s Food and Beverage Advertising Initiative (CFBAI), an industry self-regulatory program. Products were measured up to seven voluntary and/or mandatory nutrition guidelines. All twenty products that used brand mascots failed to meet one or more of the nutrition guidelines, and especially for candy/sweets, children’s meals, and snack foods. The second study used Q methodology to explore the views of five children and their parents (n=10) concerning how brand mascots influence their diet-related cognitive and behavioral outcomes. Children and one of their parents were asked to independently complete three activities: 1) demographic survey; 2) brand mascot and product association survey; and 3) a card-sort with 48 brand mascot images to determine “most-liked” versus “most-disliked” mascots. Factor analysis identified three unique viewpoints shared by participants regarding how brand mascots influence their dietary preferences, dislikes, and intergenerational marketing. Additionally, participants correctly associated 66 percent of products and their respected brand mascots. Results from both studies may be used to inform policy-relevant recommendations to strengthen industry self-regulatory programs such as the CFBAI.

Introduction: Weight problems not only affect adults, but youth as well. Excessive sugar-sweetened beverage (SSB) consumption is suggested to be a contributor to youth overweight and obesity and other cardiometabolic risk factors. Parents, although probably not readily admitted by adolescents, are known to influence youth's dietary beliefs and practices. Using theoretical models, like the Theory of Planned Behavior (TPB) that accounts for intention, attitudes, norms, and perceptions of control, to develop interventions can be more effective in changing health-risk behaviors versus those not grounded in theory. Methods: A systematic literature review and meta-analysis on how the TPB has been applied to youth's diet-related behaviors was conducted. Subsequently, a mixed methods investigation of adolescents' (n=100) and parents' (n=66) SSB consumption and exploratory analysis of parents' responses to adolescents' beverage choices was carried out. Results: From 34 articles, attitude was identified as having the strongest relationship with behavioral intention (mean r=0.52), and intention as the most common predictor of youth's diet-related behavior (mean r=0.38, both p<0.001). However, in the mixed methods analysis adolescents' subjective norm was the strongest predictor of intention to limit sugary beverage consumption to less than one cup per day (b=0.57, p=0.001). Intention was the strongest predictor of SSB intake in parents and adolescents (b=-47, p=0.01; b=-37, p≤0.05). The TPB explained more variance in parents' SSB consumption than adolescents' (R²=0.22 versus R²=0.38, both p≤0.001, respectively). At lower levels of intention to limit SSB consumption and higher levels of parental encouragement to consume SSBs, adolescents' predicted SSB intake was highest (p=0.059) suggesting that some adolescents may be influenced by their parent's reactions to their sugary beverage choices while others may not. Conclusions: Intention appears to be a strong construct influencing adolescents' diet-related behaviors, specifically SSB consumption, and this intention may be influenced by parents and other social factors. Future work can tap into adolescents' peer network and role models or authority figures to identify how these groups and individuals influence and moderate the intention to limit sugary beverage consumption. / Ph. D.