scholarly journals Funding quality pre-kindergarten slots with Philadelphia’s new ‘sugary drink tax’: simulating effects of using an excise tax to address a social determinant of health

2017 ◽  
Vol 20 (13) ◽  
pp. 2450-2458 ◽  
Author(s):  
Brent A Langellier ◽  
Félice Lê-Scherban ◽  
Jonathan Purtle
Keyword(s):  
Children And Adolescents ◽  
Educational Achievement ◽  
Panel Study ◽  
Social Determinant ◽  
Poverty Level ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
Poor Children ◽  
Social Determinant Of Health

AbstractObjectivePhiladelphia passed a 1·5-cent-per-ounce sweetened beverage tax (SBT). Revenue will fund 10 000 quality pre-kindergarten slots for poor children. It is imperative to understand how revenue from SBT can be used to fund programmes to address education and other social determinants of health. The objective of the present study was to simulate quality pre-kindergarten attendance, educational achievement and sugar-sweetened beverage (SSB) consumption among Philadelphia children and adolescents under six intervention scenarios: (i) no intervention; (ii) 10 000 additional quality pre-kindergarten slots; (iii) a 1·5-cent-per-ounce SBT; (iv) expanded pre-kindergarten and 1·5-cent-per-ounce SBT; (v) a 3-cent-per-ounce SBT; and (vi) expanded pre-kindergarten and 3-cent-per-ounce SBT.DesignWe used an agent-based model to estimate pre-kindergarten enrolment, educational achievement and SSB consumption under the six policy scenarios. We identified key parameters in the model from the published literature and secondary analyses of the Panel Study of Income Dynamics – Child Development Supplement.SettingPhiladelphia, Pennsylvania, USA.SubjectsPhiladelphia children and adolescents aged 4–18 years.ResultsA 1·5-cents-per-ounce tax would reduce SSB consumption by 1·3 drinks/week among Philadelphia children and adolescents relative to no intervention, with larger effects among children below the poverty level. Quality pre-kindergarten expansion magnifies the effect of the SBT by 8 %, but has the largest effect on moderate-income children just above the poverty level. The SBT and quality pre-kindergarten programme each reduce SSB consumption, but primarily benefit different children and adolescents.ConclusionsPairing an excise tax with a complementary programme to improve a social determinant of health represents a progressive strategy to combat obesity, a disease regressive in its social patterning.

scholarly journals Impact of the Berkeley Excise Tax on Sugar-Sweetened Beverage Consumption

2016 ◽  
Vol 106 (10) ◽  
pp. 1865-1871 ◽  
Author(s):  
Jennifer Falbe ◽  
Hannah R. Thompson ◽  
Christina M. Becker ◽  
Nadia Rojas ◽  
Charles E. McCulloch ◽  
...  
Keyword(s):  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Excise Tax ◽  
Sweetened Beverage

scholarly journals Health Impact and Cost-Effectiveness of Financing Fruit and Vegetable Subsidies with a Sugar-Sweetened Beverage Tax in the US: A Micro-Simulation Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1721-1721
Author(s):  
Matti Marklund ◽  
Yujin Lee ◽  
Junxiu Liu ◽  
Stephen Sy ◽  
Shafika Abrahams-Gessel ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Healthcare Costs ◽  
Cost Savings ◽  
Tax Revenue ◽  
Fruit And Vegetable ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
Life Years ◽  
The Us

Abstract Objectives Financial incentives and disincentives are effective tools for improving food purchases and health. Healthy food subsidies have only been considered for vulnerable populations and can be costly, while sugar-sweetened beverage (SSB) taxes can be considered financially regressive and punitive. The potential joint health and economic impacts of combining these approaches at a national scale have not been evaluated. Methods A validated microsimulation model, CVD PREDICT, was used to estimate reductions in CVD events, diabetes cases, gains in quality-adjusted life-years (QALYs), costs, and cost-effectiveness of a national U.S. fruit and vegetable subsidy fully or partly financed by SSB excise tax revenue ($0.01/tsp of added sugar). For the fully financed subsidy, cost could not exceed net tax revenue; while for the partly financed subsidy, costs were greater and ensured that taxes paid did not exceed subsidies received in either low or high income subgroups. Model inputs included national demographic and dietary data from NHANES 2009–2014; policy effects on consumer intakes, industry responses, and diet-disease effects from meta-analyses; and policy costs (tax and subsidy implementation, subsidy costs, industry reformulation), and health-related costs (formal/informal healthcare costs, productivity costs) from published sources. Findings were evaluated over 10 years and lifetime, with costs (in constant 2019 USD) and QALYs discounted at 3% annually. Results Both the fully and partly financed joint intervention was estimated to be cost-saving, compared to a base-case scenario accounting for gradual voluntary SSB industry reformulation. At 10 years, the fully financed intervention would prevent approximately 1.11M CVD events, 0.14M CVD deaths, and 0.34M diabetes cases, gain 0.87M QALYs, generate 1.49B net revenue, and save $56B in formal healthcare costs. Corresponding values for the partially financed intervention were 1.42M, 0.17M, 0.34M, 1.18M, −13.9B, and $65B. Estimated benefits and cost-savings were approximately 4–15 fold higher over a lifetime. Conclusions A joint national strategy combining revenue from an SSB excise tax to fully or partially finance fruit and vegetable subsidies could generate substantial health gains and cost-savings for the US, while minimizing government spending. Funding Sources NIH, NHLBI.

scholarly journals Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250841
Author(s):  
Payao Phonsuk ◽  
Vuthiphan Vongmongkol ◽  
Suladda Ponguttha ◽  
Rapeepong Suphanchaimat ◽  
Nipa Rojroongwasinkul ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Energy Intake ◽  
Body Mass ◽  
Price Elasticity ◽  
Tax Rates ◽  
Obesity Prevalence ◽  
Sugar Sweetened Beverage ◽  
Tax Rate ◽  
Excise Tax ◽  
Sweetened Beverage

BackgroundThe World Health Organization (WHO) recommends sugar-sweetened beverage (SSB) taxes to address obesity. Thailand has just launched the new tax rates for SSB in 2017; however, the existing tax rate is not as high as the 20% recommended by the WHO. The objective for this study was to estimate the impacts of an SSB tax on body mass index (BMI) and obesity prevalence in Thailand under three different scenarios based on existing SSB and recommended tax rates.MethodsA base model was built to estimate the impacts of an SSB tax on SSB consumption, energy intake, BMI, and obesity prevalence. Literature review was conducted to estimate pass on rate, price elasticity, energy compensation, and energy balance to weight change. Different tax rates (11%, 20% and 25%) were used in the model. The model assumed no substitution effects, model values were based on international data since there was no empirical Thai data available. Differential effects by income groups were not estimated.FindingsWhen applying 11%, 20%, and 25% tax rates together with 100% pass on rate and an -1.30 own-price elasticity, the SSB consumption decreased by 14%, 26%, and 32%, respectively. The 20% and 25% price increase in SSB price tended to reduce higher energy intake, weight status and BMI, when compared with an 11% increase in existing price increase of SSB. The percentage changes of obesity prevalence of 11%, 20% and 25% SSB tax rates were estimated to be 1.73%, 3.83%, and 4.91%, respectively.ConclusionsA higher SSB tax (20% and 25%) was estimated to reduce consumption and consequently decrease obesity prevalence. Since Thailand has already endorsed the excise tax structure, the new excise tax structure for SSB should be scaled up to a 20% or 25% tax rate if the SSB consumption change does not meet a favourable goal.

Title: Pain and poverty: Disparities by poverty level in the experience of pain-related interference

Pain Medicine ◽  
2021 ◽  
Author(s):  
Jessica M Keralis
Keyword(s):  
Logistic Regression ◽  
Medical Expenditure Panel Survey ◽  
Social Determinant ◽  
Medical Expenditure ◽  
Health Policies ◽  
Panel Survey ◽  
Poverty Level ◽  
Policy Makers ◽  
The Relationship ◽  
Social Determinant Of Health

Abstract Objective To assess the relationship between poverty and pain-related interference. Subjects Data on a sample of 108,259 adults aged 18 and older from the Household Component of the Medical Expenditure Panel Survey (MEPS) from 2013-2017 were analyzed. Methods I assess the odds of reporting any pain-related interference, as well as increasing levels of pain-related interference, using binary and ordinal logistic regression, respectively. Results After controlling for covariates, the analysis showed a significant association between poverty and pain-related interference, with more severe levels of poverty associated with increased odds of reporting any pain-related interference as well as increased levels of pain-related interference. However, Hispanics were less likely to report any pain-related interference overall, and more severe levels of poverty were associated with decreased odds of reporting pain among Hispanics. Conclusion Policy makers should regard poverty as a social determinant of health, taking poverty and socioeconomic status into consideration when designing health policies.

Cost Effectiveness of a Sugar-Sweetened Beverage Excise Tax in the U.S.

2015 ◽  
Vol 49 (1) ◽  
pp. 112-123 ◽  
Author(s):  
Michael W. Long ◽  
Steven L. Gortmaker ◽  
Zachary J. Ward ◽  
Stephen C. Resch ◽  
Marj L. Moodie ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
The U.S

scholarly journals Public perception and characteristics related to acceptance of the sugar-sweetened beverage taxation launched in France in 2012

2015 ◽  
Vol 18 (14) ◽  
pp. 2679-2688 ◽  
Author(s):  
Chantal Julia ◽  
Caroline Méjean ◽  
Florence Vicari ◽  
Sandrine Péneau ◽  
Serge Hercberg
Keyword(s):  
Public Perception ◽  
Formal Education ◽  
Multinomial Logistic Regression ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
Nationally Representative

AbstractObjectiveIn France, an excise tax on sugar-sweetened beverages was introduced on 1 January 2012. Our objective was to assess perception of this tax as well as the sociodemographic characteristics of its supporters and opponents.DesignCross-sectional study within the Nutrinet-Santé cohort. A sub-sample of 1996 individuals was selected among participants in the Nutrinet-Santé cohort study. Perceptions of the sugar-sweetened beverage tax were assessed via self-administered questionnaires. The sociodemographic and dietary profiles of supporters and opponents of this tax were explored by multinomial logistic regression.SettingNationally representative French sample, 2012.SubjectsAdults aged >18 years (largest sample n 1996).ResultsHalf of the study sample was generally supportive of the tax and 57·7 % perceived it as helpful in improving population health. Participants were more likely to support the tax model if the revenue it generated would be used for health-care system improvement (72·7 %) and if such taxing was associated with a corresponding decrease in the prices of other foodstuffs (71·5 %). Older participants were more likely to support the tax than were their younger counterparts (OR=2·37; 95 % CI 1·60, 3·49 for >65 years v. 26–45 years; P<0·001). Participants with lower educational levels were less likely to support the tax than were those with more formal education (OR=0·31; 95 % CI 0·19, 0·52 for low educational level v. high education level; P<0·001). In our models, sugar-sweetened beverage consumption was not associated with tax perception.ConclusionsThe French sugar-sweetened beverage tax appeared to be favourably perceived by the public. Sociodemographic factors modulated such perceptions and should thus be taken into consideration when drafting future public health measures.

scholarly journals Implementation of the First US Sugar-Sweetened Beverage Tax in Berkeley, CA, 2015–2019

2020 ◽  
Vol 110 (9) ◽  
pp. 1429-1437 ◽  
Author(s):  
Jennifer Falbe ◽  
Anna H. Grummon ◽  
Nadia Rojas ◽  
Suzanne Ryan-Ibarra ◽  
Lynn D. Silver ◽  
...  
Keyword(s):  
Public Health ◽  
Public Support ◽  
Implementation Process ◽  
Food Prices ◽  
Lessons Learned ◽  
Sugar Sweetened Beverage ◽  
Excise Tax ◽  
Sweetened Beverage ◽  
Advisory Commissions ◽  
Facilitators And Barriers

Objectives. To identify lessons learned from implementation of the nation’s first sugar-sweetened beverage (SSB) excise tax in 2015 in Berkeley, California. Methods. We interviewed city stakeholders and SSB distributors and retailers (n = 48) from June 2015 to April 2017 and analyzed records through January 2019. Results. Lessons included the importance of thorough and timely communications with distributors and retailers, adequate lead time for implementation, advisory commissions for revenue allocations, and funding of staff, communications, and evaluation before tax collection begins. Early and robust outreach about the tax and programs funded can promote and sustain public support, reduce friction, and facilitate beverage price increases on SSBs only. No retailer reported raising food prices, indicating that Berkeley’s SSB tax did not function as a “grocery tax,” as industry claimed. Revenue allocations totaled more than $9 million for public health, nutrition, and health equity through 2021. Conclusions. The policy package, context, and implementation process facilitated translating policy into public health outcomes. Further research is needed to understand long-term facilitators and barriers to sustaining public health benefits of Berkeley’s tax and how those differ from facilitators and barriers in jurisdictions facing significant industry-funded repeal efforts.

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