Global Trends in the Affordability of Sugar-Sweetened Beverages, 1990–2016

Blecher, Evan; Liber, Alex; Drope, Jeffrey; Nguyen, Binh; Stokłosa, Michał

doi:10.5888/pcd14.160406

Cited by 58 publications

(48 citation statements)

References 36 publications

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“…Another example of how consumer prices can influence oral health is given by the proportion of income needed to purchase sugar-sweetened beverages which has decreased worldwide since 1990 but particularly in LMIC. 139 Knai and colleagues have proposed a systems approach for analysing the commercial determinants of health. 140 Such an approach has the potential to promote a better understanding of the broader political, institutional, and cultural contexts in which health outcomes, risk factors and behaviours are embedded.…”

Section: Figure 3herementioning

confidence: 99%

Oral diseases: a global public health challenge

et al. 2019

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Oral diseases are among the most prevalent diseases globally and have serious health and economic burdens, depriving people of health, wellbeing, and the ability to achieve their full potential. By virtue of their high prevalence, the most consequential oral diseases affecting global health are: dental caries, periodontal disease, tooth loss, and cancers of the lips and oral cavity. In this first of two papers, we describe the scope of the global oral disease epidemic, describe its origins in social and commercial determinants, and its costs in terms of human suffering and societal impact. Even though oral diseases are largely preventable, they persist with high prevalence as a reflection of pervasive social and economic inequalities, along with inadequate funding for prevention and treatment, particularly in low and middleincome countries (LMIC). As with most non-communicable diseases (NCDs), oral conditions are chronic and strongly socially patterned. Poor children, socially marginalised groups, and older people suffer the most from oral diseases and have more limited access to dental care. In many LMIC oral diseases remain largely untreated as the treatment costs exceed available resources. The personal consequences of chronic untreated oral diseases are often severe and include unremitting pain, sepsis, reduced quality of life, lost school days, family disruption, and decreased work productivity. The societal costs of treating oral diseases are a very high economic burden to families and the health care system. Oral diseases are truly a global public health problem with particular concern over rising prevalence in many LMIC linked to wider social, economic and commercial changes. By describing the extent and consequences of oral diseases, their roots in social and commercial determinants, and their ongoing neglect in global health policy, we aim to highlight the urgency of addressing oral diseases as a global health and NCD priority. 4 Key messages  Oral health is an integral element of overall health and wellbeing enabling individuals to perform essential daily functions.  Oral diseases include a range of chronic clinical conditions that affect the teeth and mouth including dental caries (tooth decay), periodontal (gum) disease and oral cancers.  Despite being largely preventable, oral diseases are highly prevalent conditions affecting over 3.5 billion people around the world, with dental caries being the most common disease globally with increasing prevalence in many low and middle-income countries (LMIC)  Oral diseases disproportionally affect poorer and marginalised groups in society being very closely linked to socioeconomic status and the broader social determinants of health.  Oral diseases have a significant impact causing pain, sepsis, reduced quality of life, lost school days, family disruption, decreased work productivity, and the costs of dental treatment can be considerable for both individuals, and the wider health care system.  Oral conditions share common risks with other non-communicabl...

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Section: Figure 3herementioning

confidence: 99%

Oral diseases: a global public health challenge

et al. 2019

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“…Limitations notwithstanding, this study is among the first to suggest that the impact of the tax on consumption may have been more modest than anticipated. Reasons for a modest impact may be the continued low price of SSB relative to healthier beverages (such as milk and 100% vegetable juice), high availability, aggressive marketing [9][10][11]42], as well as tax avoidance (purchasing SSB from retailers within Philadelphia who chose to not raise the price of SSB or purchasing from retailers outside of Philadelphia). Taken in context with other studies, it is important to conduct further research to understand the full effects of the tax on consumption, including research in larger population-based samples across multiple cities, as well as, among high-risk sub-populations.…”

Section: Discussionmentioning

confidence: 99%

“…High consumption of SSB is associated with increased risk of obesity, type 2 diabetes, cardiovascular disease and other health problems [3][4][5][6][7][8]. Reasons for high consumption include the low price of SSB relative to healthier beverages, high availability, and aggressive marketing [9][10][11]. A systematic literature review of food price elasticity found that the demand for SSB is responsive to price changes [12], which forms the basis for implementing a beverage tax to reduce consumption.…”

Section: Introductionmentioning

confidence: 99%

Sugar-Sweetened and Diet Beverage Consumption in Philadelphia One Year after the Beverage Tax

Zhong

Auchincloss

Lee

et al. 2020

IJERPH

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In January 2017, Philadelphia (Pennsylvania) implemented an excise tax ($ 0.015/ounce) on sugar-sweetened and diet beverages. This study is a general population-based study to report on the longer-term impacts of the tax on within-person changes in consumption 12 months after implementation. A quasi-experimental difference-in-difference design was used to contrast Philadelphia vs. nearby comparison cities (Trenton, New Jersey; Camden, New Jersey; and Wilmington, Delaware) at baseline (December 2016–January 2017) vs. 12-month follow-up (December 2017–February 2018). A random-digit-dialing phone survey was administered to a population-based cohort. Analyses assessed changes in 30-day consumption frequency and ounces of sugar-sweetened and diet beverages (and a substitution beverage, bottled water) in the analytic sample (N = 515). After 12 months, relative to the comparison group, Philadelphians were slightly more likely to decrease their frequency of sugar-sweetened beverage consumption (39.2% vs. 33.5%), and slightly less likely to increase their frequency of sugar-sweetened beverage consumption (38.9% vs. 43.0%). The effects of the tax estimated in the adjusted difference-in-difference analysis were very small (for example, changes in monthly sugar-sweetened beverage consumption in Philadelphia relative to comparison cities was −3.03 times or −51.65 ounces) and confidence intervals were very wide. Results suggested that, one year after implementation, there was no major overall impact of the tax on general population-level consumption of sugar-sweetened or diet beverages, or bottled water. Future studies should test whether the tax’s effect differs in vulnerable sub-populations.

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“…Due to the association between the consumption of soft drinks and various diseases and non-contagious demages, this consumption has been discouraged and several countries have adopted public health measures to maximize the reduction of consumption, and the increase in taxes on sugar-sweetened beverage, the most mentioned measure in the literature. [18][19][20][21][22] Data from sugarcane tax countries show that such a policy is effective in reducing the sale and consumption of soft drinks. In Mexico, after approval of this type of tax in 2013, there was a 12% decrease in per capita purchases of sugar-sweetened beverage after one year and 9.7% in the second year.…”

Section: Discussionmentioning

confidence: 99%

Temporal trends of excessive consumption of soda and artificial juice in adults of a county of the Brazilian western Amazon (2007-2016)

Ramalho¹,

Dias²,

Fern³

et al. 2018

JNHFE

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Due to the association between the consumption of sugar-sweetened beverage and various diseases and non-contagious demages, this consumption has been discouraged. The objective of this study was to analyze the temporal trend of excessive consumption of soda and artificial juice in adults of a county of the Brazilian Western Amazon. For this, a time series ecological study was carried out using the microdata from the Surveillance System of Risk Factors and Protection for Chronic Diseases by Telephone Inquiry (Vigitel). The trend analysis was performed using estimates from the Annual Percentage Change (APC) of the prevalence of excessive consumption of soda and general artificial juice and by sex in the period from 2007 to 2016 by means of Poisson regression in the software Join point. A total of 19,030 men and women aged 18 years and over were interviewed between 2007 and 2016. It was observed the downward trend in the period from 2010 to 2016, with APC of-11.1 (95% CI =-15.9 to-5.9). When stratified by sex, the downward trend for both sexes was observed, in the male sex the CP was-6.1 (95% CI =-9.7 to-2.3), and for females the APC was-8.5 (95% CI =-12.5 to-4.4).

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Global Trends in the Affordability of Sugar-Sweetened Beverages, 1990–2016

Cited by 58 publications

References 36 publications

Oral diseases: a global public health challenge

Oral diseases: a global public health challenge

Sugar-Sweetened and Diet Beverage Consumption in Philadelphia One Year after the Beverage Tax

Temporal trends of excessive consumption of soda and artificial juice in adults of a county of the Brazilian western Amazon (2007-2016)

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