Implementation of a sugar-sweetened beverage tax in low- and middle-income countries: recommendations for policymakers
Implementation of a sugar-sweetened beverage tax in low- and middle-income countries: recommendations for policymakers
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DOI：
10.1057/s41271-019-00196-z
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发表时间：
2020-03-01
影响因子：
3.8
通讯作者：
Bedi, Raman
中科院分区：
文献类型：
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作者：
Bridge, Gemma;Lomazzi, Marta;Bedi, Raman
纵向和观察性研究发现，含糖饮料（SSB）的消费与包括肥胖和糖尿病在内的非传染性疾病（NCD）之间存在联系。根据世界卫生组织（WHO）的建议，40多个国家和城市已经实施了SSB税，以减少糖的消费。尽管低收入和中等收入国家继续与传染性疾病作斗争，但流行病向非传染性疾病的转变需要实施SSB税。然而，中低收入国家在实施SSB税时面临挑战，包括缺乏资源和来自行业的反对意见。各国之间交流经验有助于提高成功实施单边带征税的可能性。我们回顾了烟草，酒精和SSB税在中低收入国家实施的经验。我们讨论了政策制定者的潜在陷阱以及如何克服它们。我们根据中低收入国家的实施经验提供建议，以帮助各国政府提高实施能力，促进公共卫生。
Longitudinal and observational studies have found a link between the consumption of sugar-sweetened beverages (SSBs) and non-communicable diseases (NCDs) including obesity and diabetes. Following World Health Organization (WHO) recommendations, SSB taxes have been implemented in over 40 countries and cities to reduce sugar consumption. Despite continuing battles with communicable diseases in low- and middle-income countries (LMICs), an epidemiological transition towards NCDs warrants SSB tax implementation. However, LMICs face challenges when implementing SSB taxes including a lack of resources and opposing arguments from industry. Sharing experiences among countries can help to improve the likelihood of successful SSB tax implementation. We review experiences of tobacco, alcohol, and SSB tax implementation in LMICs. We discuss potential pitfalls for policymakers and how they might be overcome. We provide recommendations based on implementation experiences in LMICs to help governments improve implementation capacity and advance public health.