Expenditures on sugar-sweetened beverages in Jamaica and its association with household budget allocation.

Expenditures on sugar-sweetened beverages in Jamaica and its association with household budget allocation.
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DOI:
10.1186/s12889-022-12959-7
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发表时间:
2022-03-24
期刊:
影响因子:
4.5
通讯作者:
Gomes FS
Gomes FS
中科院分区:
医学2区
文献类型:
--
作者:
Paraje G;Gomes FS

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含糖饮料(SSB)的消费与超重和肥胖有关,这是增加医疗保健和其他社会成本的重要驱动因素。如果社会福利支出减少了其他商品和服务(如教育和医疗保健)的支出,这种“挤出效应”可能会产生持久影响。本文的主要目的是:首先,估计社保支出决策与几个家庭的社会人口特征之间的统计关联;第二,估计牙买加购买SSB的决定与跨类别预算分配之间的关系。利用2004-2005年牙买加家庭支出调查,估计了一个广义有序概率模型,以检验社会经济变量与社会保障支出决定之间的关系。使用所有消费组(除了SSB组)的看似不相关回归方程(看似不相关回归方程)来估计购买SSB决策与其他商品和服务的预算分配之间的关联。家庭规模和居住地区对社会保障支出有负面影响(农村家庭在社会保障方面的支出高于城市家庭),而儿童(15岁或以下)所占比例较大和总预算较大则与社会保障支出较多有关。与没有购买社会保险的家庭相比,积极购买社会保险的家庭在“保健”和“教育”方面的预算明显减少。社会福利事业的支出可能取代必要商品和服务的支出,这意味着减少社会福利事业的预算比例可能对较贫穷家庭的人力资本积累和未来收入产生重要的当前和未来影响。在线版本包含补充材料,下载地址:10.1186/s12889-022-12959-7。
Sugar-sweetened beverages (SSB) consumption is associated with overweight and obesity, which are important drivers for the increasing healthcare and other social costs. If expenditures on SSB decrease expenditures on other goods and services, such as education and healthcare, this “crowding-out” may have a lasting effect. The main objectives of this article are, first, to estimate the statistical association between the decision of spending in SSB and several households’ sociodemographic characteristics; and second, to estimate the association between the decision of buying SSB and budget allocation across categories in Jamaica. Using the Jamaican Household Expenditure Survey 2004–2005 a generalized ordered probit model was estimated to examine the association between socioeconomic variables and the decision to spend on SSB. Seemingly Unrelated Regression Equations (SURE) of all the expenditure groups (except the SSB group) were used to estimate the association between the decision of buying SSB and budget allocation on other goods and services. Expenditures on SSB are negatively affected by the size of the household and the area of residence (rural households spend more on SSB than urban ones), while having a larger proportion of children (15 or younger) and having a larger total budget is associated to more expenditures on SSB. Households with positive expenditure on SSB allocate significantly less budget to “Healthcare” and “Education”, when compared to those who did not buy SSB. SSB expenditures may displace expenditures in necessary goods and services, which implies that decreasing the proportion of budget spent on SSB may have important present and future consequences on poorer households’ human capital accumulation and future incomes. The online version contains supplementary material available at 10.1186/s12889-022-12959-7.
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