Choi YY, Andreyeva T, Fleming-Milici F, et al. - The changes in children's drink purchases by US households with young children from 2006 to 2017 were examined and their correlations with marketing practices were determined.

• From 2006 to 2017, there appeared a decline in households’ volume purchases of children's fruit drinks and unsweetened juices, whereas an increase occurred in flavored water purchases.

• Relative to non-Hispanic White and Hispanic households, significantly more fruit drinks were purchased by the non-Hispanic Black households.

• Fruit drinks were purchased more and unsweetened juices were purchased less in low-income households vs higher-income households.

• There appeared a positive correlation between TV brand advertising and purchases across all categories; this relationship was stronger for low-income households.

• Overall findings suggest that households with young children purchase more sweetened fruit drinks than unsweetened juices despite recommendations against consumption of sugar-sweetened beverages in young children.

• The racial and income disparities in sugar-sweetened beverage purchases may exacerbate because of extensive TV advertising for children's drink brands.