Changes in Population-Level Consumption of Taxed and Non-Taxed Sugar-Sweetened Beverages (SSB) after Implementation of SSB Excise Tax in Thailand: A Prospective Cohort Study

Phulkerd, Sirinya; Thongcharoenchupong, Natjera; Chamratrithirong, Aphichat; Gray, Rossarin Soottipong; Prasertsom, Piyada

doi:10.3390/nu12113294

Cited by 23 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Higher tariffs on SSB lead children and adolescents to consume more fruit, vegetables and coffee as alternatives to SSB compared with their adult counterparts. Our results overlap with those of previous studies that reported an association between SSB taxes and increased consumption of fruits and vegetables (16) and coffee (46) . However, we found no evidence of the substitution of tea drinks for SSB by children and adolescents.…”

Section: Discussionsupporting

confidence: 62%

The power of women: Does increasing women’s parliamentary representation reduce intake of sugar-sweetened beverages among children and adolescents?

Lin

Yan

2022

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Consumption of sugar-sweetened beverages (SSBs) is associated with overweight and obesity in children and adolescents. Although existing research confirms the significance of economic and social factors as determinants of SSB intake, comparative studies on political factors and cross-national analyses are lacking. Research indicates that including women in the process of political decision-making promotes healthcare and child protection. This study examined how women’s parliamentary representation influences children’s and adolescents’ SSB intake compared to adults. Design: The study used cross-national food and beverage intake data from the Global Dietary Database. The outcome measurement was SSB consumption (g/day) for different population groups. We modeled SSB intake as a function of age groups, women’s parliamentary representation at the national level (the independent variable), regime types (the contextual factor), and import tariffs on SSBs (the mediator) using country and time fixed effects regression models. Setting: 185 countries across three waves from 2005 to 2015 Participants: Different population groups Results: The impact of female representation on reducing SSB consumption is more prevalent in children and adolescents than in adults. Furthermore, the effect of women’s parliamentary representation on SSB consumption among children and adolescents is conditional on a country’s democratic status. Finally, the marginal effect decreases when import tariffs on SSBs are considered a link in a causal chain. No changes in adult SSB intake are statistically significant. Conclusions: The findings suggest that the presence of women in the legislature can have a substantial impact on child and adolescent health.

show abstract

Section: Discussionsupporting

confidence: 62%

The power of women: Does increasing women’s parliamentary representation reduce intake of sugar-sweetened beverages among children and adolescents?

Lin

Yan

2022

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…Finally, this research focused only on BMI and obesity prevalence. Recently, many studies have assessed the impact of SSB tax on consumption [ 51 ] and dental health [ 52 ]. However, it would be more beneficial if the analysis could cover other health indicators related to sugar consumption, such as obesity, type-2 diabetes, and cardiovascular disease (CVD) [ 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

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

Phonsuk¹,

Vongmongkol²,

Ponguttha³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Background The 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. Methods A 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. Findings When 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. Conclusions A 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.

show abstract

“…In Thailand, beverages with a sugar content of 6 g or more per 100 ml are subject to varying tax rates (dependent on sugar content). Evaluation of this tax has revealed a 2.5% reduction in average purchases of sugar‐sweetened beverages, with greater reductions seen among children aged 6–14 years 108 . China has implemented fruit and vegetable production subsidies, paid to farmers and agricultural producers.…”

Section: Resultsmentioning

confidence: 99%

“…Evaluation of this tax has revealed a 2.5% reduction in average purchases of sugar-sweetened beverages, with greater reductions seen among children aged 6-14 years. 108 China has implemented fruit and vegetable production subsidies, paid to farmers and agricultural producers. While there are likely to be nutritional benefits to such a policy, it was implemented as a competitive measure and no evaluation of the nutrition flow-on effects have been conducted.…”

Section: Semi-structured Policy Auditmentioning

confidence: 99%

The nutrition transition, food retail transformations, and policy responses to overnutrition in the East Asia region: A descriptive review

et al. 2022

View full text Add to dashboard Cite

Summary Background The East Asia region is facing an increasing burden of overweight, obesity and related noncommunicable diseases, resulting from an ongoing nutrition transition. This study aimed to document the growing burden of overweight and obesity, and the accompanying dietary shifts, in the East Asia region and describe the policy responses to this. Methods We present noncommunicable disease risk factor collaboration data on trends in the burden of malnutrition, and Euromonitor International data on trends in dietary purchases, in the East Asia region. We searched the NOURISHING and GINA databases to identify food and nutrition policies implemented in these countries. Results There is an ongoing nutrition transition in the East Asia region, notably in upper‐middle and lower‐middle income countries. The prevalence of overweight, obesity, and accompanying health conditions, purchases of ultra‐processed foods and beverages, and purchasing from supermarkets, fast‐food and takeaway outlets, and other convenience retailers, are increasing. The policy response to this nutrition transition is limited, with the majority of policies implemented in higher‐income countries. Conclusions East Asian countries are facing a growing burden of malnutrition, due in part to the dietary shifts occurring here. An ecological approach to policy intervention is needed to drive transformative food systems change.

show abstract

Changes in Population-Level Consumption of Taxed and Non-Taxed Sugar-Sweetened Beverages (SSB) after Implementation of SSB Excise Tax in Thailand: A Prospective Cohort Study

Cited by 23 publications

References 14 publications

The power of women: Does increasing women’s parliamentary representation reduce intake of sugar-sweetened beverages among children and adolescents?

The power of women: Does increasing women’s parliamentary representation reduce intake of sugar-sweetened beverages among children and adolescents?

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

The nutrition transition, food retail transformations, and policy responses to overnutrition in the East Asia region: A descriptive review

Contact Info

Product

Resources

About