The Short-Term Impacts of the Philadelphia Beverage Tax on Beverage Consumption

Zhong, Yichen; Auchincloss, Amy H.; Lee, Brian K.; Kanter, Genevieve P.

doi:10.1016/j.amepre.2018.02.017

Cited by 115 publications

(119 citation statements)

References 31 publications

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“…There is limited empirical evidence of beverage tax impacts on consumption in US contexts. Previously, our team examined the impact of the Philadelphia SSDB tax on consumption using a repeat cross-sectional design, and found a decrease in frequent sugary soda consumption and an increase in bottled water consumption shortly after tax implementation [24]. Similar short-term results were reported in another study conducted in Berkeley [25].…”

Section: Introductionsupporting

confidence: 63%

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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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Section: Introductionsupporting

confidence: 63%

“…A random-digit-dialing phone survey was conducted December 2016-February 2017 in residents aged 18-64 who lived in Philadelphia, Pennsylvania ("Philly group") and nearby comparison cities (Trenton, New Jersey; Camden, New Jersey; and Wilmington, Delaware, "non-Philly group") [24]. A landline and cell phone dual-frame design was used [29].…”

Section: Study Samplementioning

confidence: 99%

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

Zhong

Auchincloss

Lee

et al. 2020

IJERPH

Self Cite

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“…The strengthening evidence that SSB consumption is causally associated with increased risk of developing health problems, such as weight gain and obesity [7][8][9], Type 2 Diabetes Mellitus (T2DM) [10,11], tooth decay [12,13], and cardiovascular disease [14,15], coupled with rapid increases and widespread high consumption of SSBs, has prompted calls to action by governments from global public health organizations [1]. Numerous countries now tax SSBs with emerging evidence of reductions in population consumption [16][17][18][19][20]. Chile has gone further, leading globally with beverage warning labels [21], as part of a comprehensive suite of food and beverage regulation [22].…”

Section: Introductionmentioning

confidence: 99%

Consumption of Sugar-Sweetened Beverages, Juice, Artificially-Sweetened Soda and Bottled Water: An Australian Population Study

et al. 2020

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Reducing consumption of free sugars, such as those found in high concentrations in manufactured products such as sugar-sweetened beverages (SSBs) and 100% fruit juices, is a global public health priority. This study aimed to measure prevalence of widely available pre-packaged non-alcoholic water-based beverages (carbonated sodas, sports drinks, energy drinks, artificially-sweetened sodas, fruit juices (any type), and bottled water) and to comprehensively examine behavioral, environmental, current health, and demographic correlates of consumption. A cross-sectional, nationally-representative population survey of 3430 Australian adults (18+ years) was conducted using computer-assisted telephone (mobile and landline) interviewing. Past week prevalence of pre-packaged drinks containing free sugar was 47.3%; daily prevalence was 13.6%. Of all the pre-packaged drinks assessed, consumption of fruit juices (any type) was the most prevalent (38.8%), followed by bottled water (37.4%), soda (28.9%), artificially-sweetened soda (18.1%), sports drinks (8.1%), and energy drinks (4.2%). Higher soda consumption was associated with males, younger age, socio-economic disadvantage, frequent takeaway food consumption, availability of soda in the home, obesity, and a diagnosis of heart disease or depression. A diagnosis of Type 2 Diabetes was associated with increased likelihood of consuming artificially-sweetened sodas and decreased likelihood of consuming sugar-sweetened soda. SSB consumption is prevalent in Australia, especially among young adults and males, foreshadowing continued population weight gain and high burdens of chronic disease. To reduce consumption, Australia must take a comprehensive approach, incorporating policy reform, effective community education, and active promotion of water.

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“…Reframing the narrative in such ways is far more effective than the delivery of rinse-and-repeat academic instruction on the importance of healthy dietary guidelines [232][233][234]. Moreover, discussions of issues, such as taxes on sweetened beverages, can underscore how these policies-in addition to their direct benefits [235]-are an effort to challenge the narratives of the unhealthy product industry [236].…”

Section: Redefining the Narrativementioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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The Short-Term Impacts of the Philadelphia Beverage Tax on Beverage Consumption

Cited by 115 publications

References 31 publications

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

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

Consumption of Sugar-Sweetened Beverages, Juice, Artificially-Sweetened Soda and Bottled Water: An Australian Population Study

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

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