Death by Diet: The Role of Food Pricing Interventions as a Public Policy Response and Health Advocacy Opportunity

Duhaney, Tara; Campbell, Norm R.C.; Niebylski, Mark L.; Kaczorowski, Janusz; Tsuyuki, Ross T.; Willis, Kevin; Mang, Eric; Arango, Manuel; Morris, Dorothy; Ashley, Lisa

doi:10.1016/j.cjca.2014.09.005

Cited by 7 publications

(5 citation statements)

References 38 publications

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“…While taxes on sugar-sweetened beverages have been adopted in several countries and have been demonstrated to be both acceptable to the public [29] and, importantly, to reduce consumption [30] ; the effect of a sugar tax on obesity and health remains to be proven [31] and even advocates argue that this would be but a small step in the right direction [32] .…”

Section: Sugar-sweetened Beverages and Metabolic Healthmentioning

confidence: 99%

Sugar and metabolic health

Moore

Fielding²

2016

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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+44 (0) 1483 68 8649 2 STRUCTURED ABSTRACT Purpose of reviewThere is considerable political and public awareness of new recommendations to reduce sugars and sugar-sweetened beverages in our diets. It is therefore timely to review the most recent changes in guidelines, with a focus on evidence for metabolic health, recent research in the area and gaps in our knowledge. Recent findingsSufficient evidence links a high intake of sugar to dental caries and obesity, and high intakes of sugar-sweetened beverages in particular to increased risk of type 2 diabetes. This has led to the updating of dietary recommendations related to added sugars in the diet. The effects of specific sugars at usual intakes as part of an isoenergetic diet are less clear. The glycaemic response to food is complex and mediated by many factors, but sugar intake is not necessarily the major component. SummaryThere are many challenges faced by healthcare professionals and government bodies in order to improve the health of individuals and nations through evidence-based diets. Sufficiently powered long-term mechanistic studies are still required to provide evidence for the effects of reducing dietary sugars on metabolic health. However, there are many challenges for research scientists in the implementation of these studies.

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Section: Sugar-sweetened Beverages and Metabolic Healthmentioning

confidence: 99%

Sugar and metabolic health

Moore

Fielding²

2016

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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“…Intervention studies suggest that price interventions modify purchases of the targeted foods (Harnack et al, 2016; Waterlander et al, 2012), yet nutritional quality does not necessarily improve due to substitution with other untaxed less healthy items (Epstein et al, 2012; Mursu et al, 2014; Ni Mhurchu et al, 2010). Combining subsidies for healthy foods with restrictions or increased prices of unhealthy foods can partially address negative substitutions (Duhaney et al, 2015; Epstein et al, 2012; Harnack et al, 2016; Niebylski et al, 2015; Thow et al, 2014). For this reason, our study focused mostly on the price ratio of healthy-to-unhealthier foods/beverages as the main exposure.…”

Section: Discussionmentioning

confidence: 99%

“…Prior work suggests that incentivizing purchase and use of healthier foods may have weaker impacts relative to disincentivizing the purchase of unhealthy foods (Epstein et al, 2010; Mayne et al, 2015). Associations between availability and price of healthier foods/beverages and health are complex and potentially mediated or moderated by available time, education, and skills in food preparation (Duhaney et al, 2015; Niebylski et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Neighborhood price of healthier food relative to unhealthy food and its association with type 2 diabetes and insulin resistance: The multi-ethnic study of atherosclerosis

Kern

Auchincloss

Stehr

et al. 2018

Preventive Medicine

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This study examined the association between the price of healthier food relative to unhealthy food and type 2 diabetes prevalence, incidence and insulin resistance (IR). Data came from the Multi-Ethnic Study of Atherosclerosis exam 5 administered 2010-2012 (exam 4, five years prior, was used only for diabetes incidence) and supermarket food/beverage prices derived from Information Resources Inc. For each individual, average price of a selection of healthier foods, unhealthy foods and their ratio was computed for supermarkets within 3miles of the person's residential address. Diabetes status was confirmed at each exam and IR was assessed via the homeostasis model assessment index. Multivariable-adjusted logistic, modified Poisson and linear regression models were used to model diabetes prevalence, incidence and IR, respectively as a function of price and covariates; 2353 to 3408 participants were included in analyses (depending on the outcome). A higher ratio of healthy-to-unhealthy neighborhood food price was associated with greater IR (4.8% higher HOMA-IR score for each standard deviation higher price ratio [95% CI -0.2% to 10.1%]) after adjusting for region, age, gender, race/ethnicity, family history of diabetes, income/wealth index, education, smoking status, physical activity, and neighborhood socioeconomic status. No association with diabetes incidence (relative risk=1.11, 95% CI 0.85 to 1.44) or prevalence (odds ratio=0.95, 95% CI 0.81 to 1.11) was observed. Higher neighborhood prices of healthier food relative to unhealthy food were positively associated with IR, but not with either diabetes outcome. This study provides new insight into the relationship between food prices with IR and diabetes.

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“…In this context, it is important to underline that such constituencies are solely oriented toward defining and forwarding particular policy solutions, while remaining conceptually separate from, yet collaborating with, those actors dealing with defining policy problems and broad policy goals (Duhaney et al. ; Larner and Laurie ). Understanding and describing these relationships in terms of content and outcome are important agenda items for future public policy research (Howlett, Mukherjee, and Rayner ).…”

Section: Discussionmentioning

confidence: 99%

“…An "instrument constituency" thus signifies an important new kind of policy actor within a subsystem of policy actors, and studying the active role of such instrument constituencies and their interaction with other such actors is essential to grasp the mechanics and workings of the policy process. In this context, it is important to underline that such constituencies are solely oriented toward defining and forwarding particular policy solutions, while remaining conceptually separate from, yet collaborating with, those actors dealing with defining policy problems and broad policy goals (Duhaney et al 2014;Larner and Laurie 2010). Understanding and describing these relationships in terms of content and outcome are important agenda items for future public policy research (Howlett, Mukherjee, and Rayner 2014).…”

Section: Discussionmentioning

confidence: 99%

How Solutions Chase Problems: Instrument Constituencies in the Policy Process

Béland¹,

Howlett

2015

Governance

123

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Public policies are composed of complex arrangements of policy goals and policy means matched through some decision-making process. Exactly how this process works and which comes first-problem or solution-is an outstanding research question in the policy sciences. This article argues the emerging concept of an "instrument constituency"-a subsystem component dedicated to the articulation and promotion of particular kinds of solutions regardless of problem context-can help policy scholars answer this critical question and better understand policymaking. At present, however, there is only limited empirical evidence of the existence, accuracy, and relevance of the instrument constituency concept. This article clarifies and refines the concept through cross-sectoral and cross-national case studies, demonstrating its utility in aiding our understanding of policy processes and their dynamics, including the issue of how problems and solutions are proposed and matched in the course of policy adoption.

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Death by Diet: The Role of Food Pricing Interventions as a Public Policy Response and Health Advocacy Opportunity

Cited by 7 publications

References 38 publications

Sugar and metabolic health

Sugar and metabolic health

Neighborhood price of healthier food relative to unhealthy food and its association with type 2 diabetes and insulin resistance: The multi-ethnic study of atherosclerosis

How Solutions Chase Problems: Instrument Constituencies in the Policy Process

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