All people in North Carolina live in communities that support healthy food and beverage choices.

Why Is This Important?

Sugar-sweetened beverage consumption is the leading source of calories and added sugar in the American diet and is directly linked to greater instances of chronic nutrition-related conditions, heart disease, and dental problems. HNC 2030, p. 72

Story Behind the Curve

In 2017, 33.6% of high school students and 34.2% of adults in North Carolina reported consumption of one or more sugar sweetened beverages (SSBs) per day. Men, individuals in low-income households, individuals with low levels of educational attainment, and individuals that have parents with low levels of educational attainment report higher SSB consumption. Perception of tap water and targeted marketing to youth of color and low-income populations contribute to differences in SSB consumption across racial groups. The goal for the next 10 years is to decrease youth consumption of SSBs to from 33.6% to 17% and decrease adult consumption from 34.2 % to 20.0%. HNC 2030 pp. 72-73

Color Me Healthy (CMH)
Diabetes Management NC- DiabetesSmart NC
Duke Sanford World Food Policy Center
Durham’s Innovative Nutrition Education (DINE)- Supplemental Nutrition Assistance Program Education (SNAP-Ed)
Eat Smart, Move More North Carolina
Eat Smart, Move More, Prevent Diabetes
Eat Smart, Move More, Weigh Less
Healthy Eating Research- Healthy Drinks Healthy Kids
I Heart Water
NC Cooperative Extension- Eat Smart, Move More, Take Control
North Carolina Area Health Education Centers (NC AHEC)
North Carolina Expanded Food and Nutrition Education
Program (EFNEP)
UNC Center for Health Promotion and Disease Prevention
North Carolina Council of Churches- Partners in Health and Wholeness (PHW) initiative
What Works
  • Address targeted industry marketing to communities of color
  • Consider multidisciplinary approach to reducing SSB consumption that includes oral health
  • Create community coalitions to identify additional community strategies to reduce consumption
  • Launch public awareness campaigns
  • Limit sugary drinks through government and private sector procurement policies
  • Limit the default beverages served with kids meals to milk, 100% fruit juice, or water
  • Partner with schools and youth-oriented settings to remove or limit SSBs and their marketing
  • Promote healthy restaurant meals
  • Use SSB taxes and generated revenues to address equity issues
  • Work with clinicians, medical practices, and insurance providers to add SSB screening questions to the electronic health record
  • Work with retailers to improve offerings and create healthier store environments
Description of Indicator Data

Youth: NC Department of Public Instruction, Youth Risk Behavior Survey (YRBS) Adult: NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS)

Additional Data Needed at Local Level
  • School and Child Care Policies on SSB sales and consumption
  • Early Childhood Programs participating in NAPSACC
  • Water quality in community
Current Actual Value
Current Target Value
% Change
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy