Modelled health benefits of a sugar-sweetened beverage tax across different socioeconomic groups in Australia: A cost-effectiveness and equity analysis
Publication Date
June 27, 2017
Journal
PLOS Medicine
Authors
Anita Lal, Ana Maria Mantilla-Herrera, Lennert Veerman, Kathryn Backholer, et al
Volume
14
Issue
6
Pages
e1002326
DOI
https://dx.plos.org/10.1371/journal.pmed.1002326
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1002326
Scopus
85021837247
Mendeley
http://www.mendeley.com/research/modelled-health-benefits-sugarsweetened-beverage-tax-across-different-socioeconomic-groups-australia
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Mendeley | Further Information

{"title"=>"Modelled health benefits of a sugar-sweetened beverage tax across different socioeconomic groups in Australia: A cost-effectiveness and equity analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Anita", "last_name"=>"Lal", "scopus_author_id"=>"7201847376"}, {"first_name"=>"Ana Maria", "last_name"=>"Mantilla-Herrera", "scopus_author_id"=>"57192713838"}, {"first_name"=>"Lennert", "last_name"=>"Veerman", "scopus_author_id"=>"8222114200"}, {"first_name"=>"Kathryn", "last_name"=>"Backholer", "scopus_author_id"=>"6507444541"}, {"first_name"=>"Gary", "last_name"=>"Sacks", "scopus_author_id"=>"24391748900"}, {"first_name"=>"Marjory", "last_name"=>"Moodie", "scopus_author_id"=>"55404804700"}, {"first_name"=>"Mohammad", "last_name"=>"Siahpush", "scopus_author_id"=>"6603803167"}, {"first_name"=>"Rob", "last_name"=>"Carter", "scopus_author_id"=>"12761882300"}, {"first_name"=>"Anna", "last_name"=>"Peeters", "scopus_author_id"=>"7102329188"}], "year"=>2017, "source"=>"PLoS Medicine", "identifiers"=>{"scopus"=>"2-s2.0-85021837247", "sgr"=>"85021837247", "doi"=>"10.1371/journal.pmed.1002326", "pui"=>"617179312", "pmid"=>"28654688", "isbn"=>"1549-1676 (Electronic) 1549-1277 (Linking)", "issn"=>"15491676"}, "id"=>"b1593ad2-5714-362b-8c2a-8162d284e2f5", "abstract"=>"BACKGROUND A sugar-sweetened beverage (SSB) tax in Mexico has been effective in reducing consumption of SSBs, with larger decreases for low-income households. The health and financial effects across socioeconomic groups are important considerations for policy-makers. From a societal perspective, we assessed the potential cost-effectiveness, health gains, and financial impacts by socioeconomic position (SEP) of a 20% SSB tax for Australia. METHODS AND FINDINGS Australia-specific price elasticities were used to predict decreases in SSB consumption for each Socio-Economic Indexes for Areas (SEIFA) quintile. Changes in body mass index (BMI) were based on SSB consumption, BMI from the Australian Health Survey 2011-12, and energy balance equations. Markov cohort models were used to estimate the health impact for the Australian population, taking into account obesity-related diseases. Health-adjusted life years (HALYs) gained, healthcare costs saved, and out-of-pocket costs were estimated for each SEIFA quintile. Loss of economic welfare was calculated as the amount of deadweight loss in excess of taxation revenue. A 20% SSB tax would lead to HALY gains of 175,300 (95% CI: 68,700; 277,800) and healthcare cost savings of AU$1,733 million (m) (95% CI: $650m; $2,744m) over the lifetime of the population, with 49.5% of the total health gains accruing to the 2 lowest quintiles. We estimated the increase in annual expenditure on SSBs to be AU$35.40/capita (0.54% of expenditure on food and non-alcoholic drinks) in the lowest SEIFA quintile, a difference of AU$3.80/capita (0.32%) compared to the highest quintile. Annual tax revenue was estimated at AU$642.9m (95% CI: $348.2m; $1,117.2m). The main limitations of this study, as with all simulation models, is that the results represent only the best estimate of a potential effect in the absence of stronger direct evidence. CONCLUSIONS This study demonstrates that from a 20% tax on SSBs, the most HALYs gained and healthcare costs saved would accrue to the most disadvantaged quintiles in Australia. Whilst those in more disadvantaged areas would pay more SSB tax, the difference between areas is small. The equity of the tax could be further improved if the tax revenue were used to fund initiatives benefiting those with greater disadvantage.", "link"=>"http://www.mendeley.com/research/modelled-health-benefits-sugarsweetened-beverage-tax-across-different-socioeconomic-groups-australia", "reader_count"=>35, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>4, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>4, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>7, "Arts and Humanities"=>1, "Physics and Astronomy"=>1, "Psychology"=>4, "Social Sciences"=>4, "Economics, Econometrics and Finance"=>6, "Business, Management and Accounting"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Social Sciences"=>{"Social Sciences"=>4}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>4}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>6}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Australia"=>1}, "group_count"=>2}

Scopus | Further Information

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