HEALTH CARE REFORM Impact of Targeted Beverage Taxes on Higher- and Lower-Income Households
HEALTH CARE REFORM Impact of Targeted Beverage Taxes on Higher- and Lower-Income Households
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DOI：
10.1001/archinternmed.2010.449
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发表时间：
2010-12-13
影响因子：
--
通讯作者：
Todd, Jessica E.
中科院分区：
文献类型：
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作者：
Finkelstein, Eric A.;Zhen, Chen;Todd, Jessica E.
背景：含糖饮料税（SSB）越来越多地被认为是解决肥胖流行病的一项战略。我们试图调查有针对性的饮料税对高收入和低收入households.Methods的差异影响：这项分析依赖于2006年尼尔森家庭扫描面板，其中包括一个全国性的家庭样本，扫描和传输他们的商店购买的食品和饮料购买每周12个月的时间内的数据。我们评估了饮料价格，能量摄入量和体重之间的关联，使用多元回归models.Results：一个20%和40%的碳酸SSB税只会减少饮料购买的平均值（SE）分别为4.2（1.6）和7.8（2.8）千卡/天每人。将税收扩大到所有SSB会产生7.0（1..的平均（SE）减少。9)和12.4（3.4）千卡/日。对所有SSB征收20%和40%的税所导致的估计平均（SE）体重减轻分别为每人0.32（0.09）和0.59（0.16）kg/y。对SSB征收40%的税，平均每户每年的成本为28.48美元（0.87美元），将产生25亿美元（7750万美元）的税收收入，其中最大的份额来自高收入家庭。结论：对SSB征收高额税收有可能对体重结果产生积极影响，特别是对中等收入家庭。这些税收还将产生可观的收入，可用于资助肥胖预防计划或其他原因。
Background: Sugar-sweetened beverage (SSB) taxes are increasingly being considered as a strategy for addressing the obesity epidemic. We sought to investigate the differential impact of targeted beverage taxes on higher- and lower-income households.Methods: This analysis relied on data from the 2006 Nielsen Homescan panel, which included a national sample of households that scan and transmit their store-bought food and beverage purchases weekly for a 12-month period. We assessed associations among beverage prices, energy intake, and weight using multivariate regression models.Results: A 20% and 40% tax on carbonated SSBs only would reduce beverage purchases by a mean (SE) of 4.2 (1.6) and 7.8 (2.8) kcal/d per person, respectively. Ex-tending the tax to all SSBs generates mean (SE) reductions of 7.0 (1..9) and 12.4 (3.4) kcal/d per person, respectively. Estimated mean (SE) weight losses resulting from a 20% and 40% tax on all SSBs are 0.32 (0.09) and 0.59 (0.16) kg/y per person, respectively. The 40% tax on SSBs, which costs a mean (SE) of $28.48 ($0.87) per household per year, would generate $2.5 billion ($77.5 million) in tax revenue, with the largest share coming from high-income households.Conclusions: Large taxes on SSBs have the potential to positively influence weight outcomes, especially for middle-income households. These taxes would also generate substantial revenue that could be used to fund obesity prevention programs or for other causes.