Studying the consumption and health outcomes of fiscal interventions (taxes and subsidies) on food and beverages in countries of different income classifications; a systematic review.
Studying the consumption and health outcomes of fiscal interventions (taxes and subsidies) on food and beverages in countries of different income classifications; a systematic review.
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DOI：
10.1186/s12889-015-2201-8
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发表时间：
2015-09-14
影响因子：
4.5
通讯作者：
Rayner M
中科院分区：
文献类型：
--
作者：
Alagiyawanna A;Townsend N;Mytton O;Scarborough P;Roberts N;Rayner M
政府对食品和饮料采取财政干预措施，鼓励健康的食品行为和积极的健康结果。本次审查的目的是研究在不同收入分类的国家以税收和补贴形式实施的食品和饮料金融机构的行为和健康结果。本系统评价按照科克伦方案进行。对英文学术和灰色文献进行了检索，以查找在不同国家就食品和非酒精饮料及健康结果实施的金融机构进行的研究，特别关注这些国家的收入。18项研究符合纳入标准，14项来自同行评审期刊。13项研究来自高收入国家，4项来自中高收入国家，只有1项来自中低收入国家。没有来自低收入国家的研究。在这18项研究中，有9项侧重于税收，所有这些研究都来自HI国家。有证据表明，食品方面的金融机构可以影响征税和补贴食品的消费，从而有可能改善健康。虽然这一审查支持先前的调查结果，即金融机构可以对健康食品消费产生影响，但它也突出表明缺乏来自沿海发达国家、内陆发展中国家和内陆发展中国家的关于此类干预措施的证据。因此，来自贫穷国家的证据可能不直接适用于中等收入和贫穷国家。在中低收入国家进行的类似研究将有助于向决策者宣传金融机构在应对这些国家日益严重的非传染性疾病问题方面的有效性。本文的在线版本（doi：10.1186/s12889-015-2201-8）包含补充材料，可供授权用户使用。
Governments use fiscal interventions (FIs) on food and beverages to encourage healthy food behaviour and positive health outcomes. The objective of this review was to study the behavioural and health outcomes of implemented food and beverage FIs in the form of taxes and subsidies in countries of different income classifications. The present systematic review was conducted in accordance with Cochrane protocols. The search was carried out on academic and grey literature in English, for studies conducted in different countries on implemented FIs on food and non-alcoholic beverages and health outcomes, with a special focus on the income of those countries. Eighteen studies met the inclusion criteria and 14 were from peer- reviewed journals. Thirteen studies came from high-income (HI) countries, four from upper middle-income (UMI) countries and only one came from a lower middle-income (LMI) country. There were no studies from lower-income (LI) countries. Of these 18 studies; nine focused on taxes, all of which were from HI countries. Evidence suggests that FIs on foods can influence consumption of taxed and subsidized foods and consequently have the potential to improve health. Although this review supports previous findings that FIs can have an impact on healthy food consumption, it also highlights the lack of evidence available from UMI, LMI and LI countries on such interventions. Therefore, evidence from HI countries may not be directly applicable to middle-income and LI countries. Similar research conducted in middle and low income countries will be beneficial in advocating policy makers on the effectiveness of FIs in countering the growing issues of non-communicable diseases in these countries. The online version of this article (doi:10.1186/s12889-015-2201-8) contains supplementary material, which is available to authorized users.