An umbrella review of the acceptability of fiscal and pricing policies to reduce diet-related noncommunicable disease

Barry, Luke; Kee, Frank; Woodside, Jayne V.; Cawley, John; Doherty, Edel; Clarke, Mike; Crealey, Grainne; Duggan, Jim; O’Neill, Ciarán

doi:10.1093/nutrit/nuad011

Cited by 4 publications

(7 citation statements)

References 103 publications

(285 reference statements)

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“…Frames are collective ways of narrating and understanding the world 7. PEA case studies from Mexico, Chile and Colombia and other countries show how different health and economic frames shape health tax policy 8–13. What is less clear, however, is the interplay of frames for and against health taxes and which arguments resonate in which settings or with which types of stakeholders 13 14.…”

Section: Introductionmentioning

confidence: 99%

“…PEA case studies from Mexico, Chile and Colombia and other countries show how different health and economic frames shape health tax policy 8–13. What is less clear, however, is the interplay of frames for and against health taxes and which arguments resonate in which settings or with which types of stakeholders 13 14. Broader socioeconomic forces can shape political climates and make some arguments more attractive.…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, health taxes sometimes feature in elections as part of political party manifestos and campaign platforms 14. Moreover, NCD control measures, such as taxation, surface at overlapping political jurisdiction - from national elections to city council races 12–15…”

Section: Introductionmentioning

confidence: 99%

“…Government, private sector and civil society actors shape NCD prevention and control 12–18. Political funding and messaging from industry-related stakeholders, such as potential price increases and job losses, may obstruct NCD prevention and control efforts such as health taxes 19–21.…”

Section: Introductionmentioning

confidence: 99%

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Framing health taxes: learning from low- and middle-income countries

Lwin,

Koon,

Rasanathan

et al. 2023

BMJ Glob Health

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Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qualitative research in 2022, including focus group discussions, in-depth interviews, document reviews and media analysis on the political economy of health taxes across eight low-income and middle-income countries. Studies captured multiple actors constructing context-specific frames, often tied to broader economic, health and administrative considerations. Findings suggest that no single frame dominates; in fact, a plurality of different frames exist and shape discourse and policymaking. There was no clear trade-off between health and economic framing of health tax policy proposals, nor a straightforward way to handle concerns around earmarking. Understanding how to best position health taxes can empower health policymakers with more persuasive framings for health taxes and can support them to develop broader coalitions to advance health taxes. These insights can improve efforts to advance health taxes by better appreciating political economy factors and constraining corporate power, ultimately leading to improved population-level health.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Framing health taxes: learning from low- and middle-income countries

Lwin,

Koon,

Rasanathan

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

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“…Similarly, research in LMICs has identified three core frames of ‘pro-health’, ‘pro-economic’ and ‘fiscal scepticism’ 12. Some argue that effective health tax policy is heavily tied to the success of resilient framing strategies deployed by advocates that, among other things, link revenue streams to policy proposals 14 15. Throughout this scholarship; however, researchers call for more research into the mechanics of this framing process.…”

Section: Introductionmentioning

confidence: 99%

Framing health taxes: a scoping review

Koon,

Marten

2023

BMJ Glob Health

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Health taxes are increasingly positioned as effective policy instruments for curbing non-communicable disease, improving health and raising government revenues. Their allure has caused many health advocates to look beyond tobacco and alcohol to other harmful products such as sugar-sweetened beverages (SSBs), salty foods, fatty foods and fossil fuels. These efforts, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy in favourable ways. Yet, little is known about which types of frames resonate in which settings, or how they deploy morals and values in their attempts to persuade. To fill this gap, we conducted a scoping review on framing health taxes using six databases in 2022. A total of 40 peer-reviewed empirical research articles, from 2006 to 2022, were identified from 20 different countries. Most research was conducted in high-income countries, published in the last 4 years and increasingly focused on excise taxes for SSBs. Studies captured multiple actors constructing context-specific frames, often tied to broader economic, health and administrative considerations. Actors also engaged in a range of political activities in addition to framing. We found some evidence that anti-tax framing strategies potentially incorporated a broader array of morals and social values. More in-country comparative research, particularly from low/middle-income countries, is needed to understand the politics of framing health taxes. We argue that these insights can improve efforts to advance health taxes by constraining corporate power, improving population level health and promoting greater social harmony.

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