Public acceptability of the UK Soft Drinks Industry Levy: repeat cross-sectional analysis of the International Food Policy Study (2017-2019).

Public acceptability of the UK Soft Drinks Industry Levy: repeat cross-sectional analysis of the International Food Policy Study (2017-2019).
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DOI:
10.1136/bmjopen-2021-051677
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发表时间:
2021-09-24
期刊:
影响因子:
2.9
通讯作者:
White M
White M
中科院分区:
医学3区
文献类型:
--
作者:
Adams J;Pell D;Penney TL;Hammond D;Vanderlee L;White M

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为了确定英国软饮料行业税 (SDIL) 实施前 4 个月和实施后 8 个月至 20 个月之间公众的接受度(在支持度和感知有效性方面是否发生变化)。重复横截面在线调查。英国。国际粮食政策研究的英国受访者年龄为 18-64 岁,他们提供了 2017 年 11 月至 12 月(SDIL 实施前 4 个月)、2018 年(实施后 8 个月)或 2019 年(实施后 20 个月;n=10 284)所有感兴趣变量的信息。自我报告对 SDIL 的支持和感知的有效性。调整后的逻辑回归模型预测,2017 年有 70%(95% CI:68% 至 72%)的参与者支持 SDIL,2018 年有 68%(95%CI:67% 至 70%),2019 年有 68%(95% CI:66% 至 70%)。没有证据表明 2018 年与 2018 年的支持率存在差异。 2017 年(OR:0.93;95% CI:0.81 至 1.05);或 2019 年与 2017 年的比较(OR:0.90;95%CI:0.78 至 1.03)。调整后的逻辑回归模型预测,2017 年有 72%(95% CI:70% 至 74%)的参与者认为 SDIL 有效,2018 年有 67%(95% CI:65% 至 69%),2019 年有 67%(95% CI:64% 至 69%)。有证据表明,与 2018 年相比,感知有效性略有下降。 2017 年(OR:0.78;95%CI:0.69 至 0.88)。 2019 年与 2017 年的差异类似。我们发现英国成年人对 SDIL 的支持度很高,而且这种情况在实施前 4 个月和实施后 8 或 20 个月之间没有变化。虽然感知有效性仍然很高,但有证据表明,这种有效性在 2018 年实施后略有下降,但 2019 年不会进一步下降。需要更好地了解有效的结构性公共卫生干预措施对公众可接受性的影响。
To determine whether public acceptability, in terms of both support for and perceived effectiveness of, the UK Soft Drinks Industry Levy (SDIL) changed between 4 months prior to, and 8 and 20 months after, implementation. Repeat cross-sectional online survey. The UK. UK respondents to the International Food Policy Study aged 18–64 years who provided information on all variables of interest in November–December 2017 (4 months prior to SDIL implementation), 2018 (8 months after) or 2019 (20 months after; n=10 284). Self-reported support for, and perceived effectiveness of, the SDIL. The adjusted logistic regression model predicted that 70% (95% CI: 68% to 72%) of participants supported the SDIL in 2017, 68% (95% CI: 67% to 70%) in 2018 and 68% (95% CI: 66% to 70%) in 2019. There was no evidence of a difference in support in 2018 vs 2017 (OR: 0.93; 95% CI: 0.81 to 1.05); or in 2019 vs 2017 (OR: 0.90; 95% CI: 0.78 to 1.03). The adjusted logistic regression model predicted that 72% (95% CI: 70% to 74%) of participants perceived the SDIL to be effective in 2017, 67% (95% CI: 65% to 69%) in 2018 and 67% (95% CI: 64% to 69%) in 2019. There was evidence that perceived effectiveness decreased a small amount in 2018 vs 2017 (OR: 0.78; 95% CI: 0.69 to 0.88). The difference in 2019 vs 2017 was similar. We found high support for the SDIL among UK adults and this did not change between 4 months before implementation and 8 or 20 months after. While perceived effectiveness remained high, there was evidence that this decreased slightly after implementation in 2018, but no further in 2019. Greater understanding of influences on public acceptability of effective structural public health interventions is required.
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