Impact of Sugary Beverage Taxes on Weight and Health Outcomes after 3-5 Years
含糖饮料税 3-5 年后对体重和健康结果的影响
基本信息
- 批准号:10194489
- 负责人:
- 金额:$ 72.25万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-07-01 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdolescentAdultAdvocateAffectBehaviorBeveragesBody Weight ChangesBody mass indexCaliforniaCategoriesCharacteristicsChildChronic DiseaseCitiesCommunitiesComplementComputerized Medical RecordConsumptionCoronary heart diseaseDataDeveloped CountriesDiabetes MellitusDiabetes preventionDietDiseaseEffectivenessEpidemicEthnic OriginEthnic groupFaceGlycosylated HemoglobinGlycosylated hemoglobin AHealthHeterogeneityHispanicsIncidenceIndustryInterventionLow incomeMalignant NeoplasmsNatural experimentNeighborhoodsObesityObesity EpidemicObesity associated diseaseOutcomeOverweightPatientsPhiladelphiaPoliciesPolicy MakerPopulationPrediabetes syndromePrevalencePricePublic HealthRaceRecordsResearchRisk FactorsRoleSalesSan FranciscoSocioeconomic StatusStrokeSubgroupSurveysTaxesTestingWeightYouthage effectanalytical methodcohortcomorbiditydietaryenvironmental changeexperiencefallshealth planlow socioeconomic statusmodels and simulationobesity preventionpopulation basedprogramsracial and ethnicreduce tobacco usesexsoft drinkstemsuccesssugarsweetened beveragetooltreatment effecttrend
项目摘要
PROJECT SUMMARY
Despite widespread publicity of the obesity epidemic in the US and other developed countries, its prevalence
remains unabated. With almost 20% of children and adolescents and 40% of adults in the US with obesity, we
face a public health crisis. Blacks, Hispanics, and people with low socioeconomic status are disproportionately
affected. Multi-level and multi-pronged approaches are needed to stem this epidemic. One recommended
approach is population-based strategies that make it easier for people to make more healthful choices. One
such strategy is imposing taxes to reduce consumption of sugar-sweetened beverages (SSB). Not only are
SSB the largest contributor of added sugar in the US diet and have been tied to obesity and its comorbidities,
but national survey data suggest that ½ of adults and 2/3 of youth consume at least one SSB on a given day. If
taxes can reduce SSB consumption, it follows that obesity prevalence will fall, along with obesity-related
diseases. In Berkeley, CA (the first city to levy a SSB tax [in 2015]) SSB sales declined 9.6% and SSB
consumption declined 19.8% in the first year after tax implementation. There are indications that effects were
greater in low-income neighborhoods. We propose to evaluate the natural experiment of SSB taxes on weight
change in youth and adults and to explore possible effects on glycated hemoglobin (HbA1c) levels and
diabetes incidence among a cohort of adults with prediabetes. Oakland, Albany, and San Francisco have also
levied an excise tax on SSB – cities in which a large number of residents are patients (approximately 230,000
adults and 50,000 youth) of Kaiser Permanente Northern California (KPNC). Using our electronic medical
records (EMR), we will examine body mass index (BMI; kg/m2) trajectories, HbA1c levels, and incidence of
diabetes prior and after initiation of SSB taxes, using two different analyses (synthetic controls and differences
in differences) to optimize the rigor of our results. KP patients living in Northern California and Southern
California cities comparable to cities with a SSB tax will be used as controls. We hypothesize that cities with a
SSB tax will experience favorable changes in BMI, HbA1c, and diabetes incidence compared with comparison
cities. Our specific aims are to 1) Examine differences in BMI trajectories and prevalence of overweight and
obesity before and after implementation of a SSB tax among youth and adults separately in California cities
with and without a SSB tax. 2) Assess how youth and adult characteristics, such as age, race/ethnicity, BMI
category, and neighborhood socioeconomic status, may modify the impact of SSB taxes on BMI and
prevalence of overweight and obesity. 3) Explore differences in mean HbA1c levels and diabetes incidence
among an age/sex/race/BMI and neighborhood socioeconomic status matched cohort of adults with
prediabetes who live and do not live in SSB tax cities. This information is needed to guide health advocates
and policy makers with respect to the role of SSB taxes in obesity prevention.
项目概要
尽管美国和其他发达国家广泛宣传肥胖流行病,但其患病率
依然不减。在美国,近 20% 的儿童和青少年以及 40% 的成年人患有肥胖症,我们
面临公共卫生危机。黑人、西班牙裔和社会经济地位较低的人比例过高
做作的。遏制疫情蔓延需要多层次、多管齐下。推荐一位
方法是基于人群的策略,使人们更容易做出更健康的选择。一
这种策略是通过征税来减少含糖饮料(SSB)的消费。不仅是
SSB 是美国饮食中添加糖的最大来源,并且与肥胖及其合并症有关,
但全国调查数据表明,1/2 的成年人和 2/3 的青少年在某一天至少消耗一种 SSB。如果
税收可以减少 SSB 消费,因此肥胖患病率将会下降,与肥胖相关的疾病也会随之下降
疾病。在加利福尼亚州伯克利(第一个征收 SSB 税的城市 [2015 年]),SSB 销售额下降了 9.6%,并且 SSB
税收实施后的第一年消费下降了19.8%。有迹象表明,影响
低收入社区的比例更大。我们建议评估 SSB 对重量征税的自然实验
青少年和成人的变化,并探讨对糖化血红蛋白 (HbA1c) 水平的可能影响
一组患有前驱糖尿病的成年人的糖尿病发病率。奥克兰、奥尔巴尼和旧金山也
对 SSB 征收消费税——有大量居民是患者的城市(约 230,000
北加州凯撒医疗机构 (KPNC) 的成人和 50,000 名青少年。使用我们的电子医疗
记录 (EMR),我们将检查体重指数 (BMI;kg/m2) 轨迹、HbA1c 水平和发生率
使用两种不同的分析(综合对照和差异分析)在开始 SSB 税之前和之后的糖尿病
差异)以优化我们结果的严谨性。居住在北加州和南加州的 KP 患者
与征收 SSB 税的城市相当的加州城市将被用作对照。我们假设城市具有
与比较相比,SSB 税将在 BMI、HbA1c 和糖尿病发病率方面出现有利的变化
城市。我们的具体目标是 1) 检查 BMI 轨迹的差异以及超重和肥胖的患病率
加州各城市青少年和成人分别实施 SSB 税之前和之后的肥胖症
有或没有 SSB 税。 2) 评估青少年和成人特征,例如年龄、种族/民族、BMI
类别和社区社会经济地位可能会改变 SSB 税对 BMI 和
超重和肥胖的患病率。 3) 探索平均 HbA1c 水平和糖尿病发病率的差异
在年龄/性别/种族/体重指数和社区社会经济地位相匹配的成年人群体中
居住和不居住在 SSB 税收城市的糖尿病前期患者。需要这些信息来指导健康倡导者
和政策制定者关于SSB税收在预防肥胖方面的作用。
项目成果
期刊论文数量(0)
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科研奖励数量(0)
会议论文数量(0)
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Monique Marie Hedderson其他文献
Monique Marie Hedderson的其他文献
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{{ truncateString('Monique Marie Hedderson', 18)}}的其他基金
Impact of Sugary Beverage Taxes on Weight and Health Outcomes after 3-5 Years
含糖饮料税 3-5 年后对体重和健康结果的影响
- 批准号:
10640865 - 财政年份:2020
- 资助金额:
$ 72.25万 - 项目类别:
Impact of Sugary Beverage Taxes on Weight and Health Outcomes after 3-5 Years
含糖饮料税 3-5 年后对体重和健康结果的影响
- 批准号:
10425258 - 财政年份:2020
- 资助金额:
$ 72.25万 - 项目类别:
Cluster randomized trial of a mobile health intervention to achieve appropriate gestational weight gain in overweight/obese women
移动健康干预的集群随机试验,以实现超重/肥胖女性适当的妊娠期体重增加
- 批准号:
10379928 - 财政年份:2019
- 资助金额:
$ 72.25万 - 项目类别:
Cluster randomized trial of a mobile health intervention to achieve appropriate gestational weight gain in overweight/obese women
移动健康干预的集群随机试验,以实现超重/肥胖女性适当的妊娠期体重增加
- 批准号:
10599159 - 财政年份:2019
- 资助金额:
$ 72.25万 - 项目类别:
Pregravid biomarkers of GDM risk, fetal growth and progression to diabetes
GDM 风险、胎儿生长和糖尿病进展的孕前生物标志物
- 批准号:
8287537 - 财政年份:2010
- 资助金额:
$ 72.25万 - 项目类别:
Pregravid biomarkers of GDM risk, fetal growth and progression to diabetes
GDM 风险、胎儿生长和糖尿病进展的孕前生物标志物
- 批准号:
8114199 - 财政年份:2010
- 资助金额:
$ 72.25万 - 项目类别:
Pregravid biomarkers of GDM risk, fetal growth and progression to diabetes
GDM 风险、胎儿生长和糖尿病进展的孕前生物标志物
- 批准号:
7948659 - 财政年份:2010
- 资助金额:
$ 72.25万 - 项目类别:
Pregravid biomarkers of GDM risk, fetal growth and progression to diabetes
GDM 风险、胎儿生长和糖尿病进展的孕前生物标志物
- 批准号:
8469071 - 财政年份:2010
- 资助金额:
$ 72.25万 - 项目类别:
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