Evaluating the influence of a beverage tax on health outcomes

评估饮料税对健康结果的影响

• 批准号: 10466945
• 负责人: Laura Gibson
• 金额: $ 60.55万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-22 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10466945
• 关键词: Accounting; Address; Adolescent; Adult; Baltimore; Behavioral; Beverages; Body mass index; Child; Chronic Disease; Cities; Consumption; Control Groups; County; Data; Dental; Dental Hygiene; Dental Records; Dental caries; Diet; Diet Habits; Dietary Intervention; Electronic Health Record; Evaluation; Food; Goals; Health; Heart Diseases; Individual; Intake; Intervention; Lead; Link; Liquid substance; Location; Long-Term Effects; Longitudinal cohort; Low income; Methods; Natural experiment; Needles; Non-Insulin-Dependent Diabetes Mellitus; Nutritional; Obesity; Oral health; Outcome; Persons; Philadelphia; Policies; Research; Risk; Risk Factors; Sales; Source; Study models; Subgroup; Surface; Taxes; Testing; Time; Translating; Weight Gain; Work; Youth; base; cost effective; design; effectiveness evaluation; health record; improved; interest; nutrition; population health; prevent; sugar; sweetened beverage; young adult

PROJECT SUMMARY There is considerable interest in policies to reduce sugar-sweetened beverage (SSB) intake. On January 1, 2017 Philadelphia became the second U.S. city and the largest to date to implement a sweetened beverage excise tax of 1.5 cents per fluid ounce on both SSBs and diet drinks. There is compelling evidence that beverage excise taxes can lead to large reductions in purchases of SSBs, but there is a critical need to understand whether this translates into improvements in health outcomes. Without this evidence, we will not know if SSB taxes are an effective method of preventing and reducing obesity, its associated chronic diseases, and dental caries. The overall objectives of this application are to determine the long-term influence of the Philadelphia beverage tax on adult and youth weight gain, type 2 diabetes status, and oral health. The rationale for this proposal is based on strong behavioral data that the Philadelphia sweetened beverage tax decreased SSB purchases and modeling studies that suggest such taxes will lead to improved health outcomes, including reductions in obesity, type 2 diabetes, and dental caries, especially for subgroups of at- risk children and adults. Therefore, our central hypothesis is that the Philadelphia tax on SSBs and diet drinks will be associated with less weight gain and fewer dental caries over time among adults and youth in Philadelphia compared to control locations. Our specific aims are to evaluate the effectiveness of an SSB tax on preventing weight gain among youth (Aim 1) and adults (Aim 2) by analyzing electronic health record data using a natural experiment design. To accomplish these aims, we will use electronic health record data to compare changes in BMI z- scores over time among a longitudinal cohort of 43,589 children and adolescents in Philadelphia and 117,850 youth in the untaxed neighboring counties (control group) 3-5 years after tax. We will also examine change in BMI for a longitudinal cohort of 108,862 adults in Philadelphia and 185,360 adults in the untaxed, surrounding counties (control group) 3-5 years post-tax. These aims address important unanswered questions about the impact of the beverage tax on BMI, a major predictor of lifelong chronic disease. Our third aim is to evaluate the effectiveness of an SSB tax on improving oral health among youth and adults in Philadelphia by analyzing electronic oral health records using a natural experiment design. To accomplish this aim, we will examine dental records on 5,189 adults and 1,462 youth in Philadelphia and 3,554 adults and 1,003 youth in untaxed, surrounding counties (control group). If there is a relationship between the tax and oral health improvements, this would be the first study finding an association between a dietary intervention and improved oral health. This study will deliver vitally important information on the effects of one of the most significant policies to address poor dietary habits. By evaluating the effectiveness of Philadelphia’s tax on improving population health, this work will offer key information to other places considering taxes to improve health.

项目摘要 人们对减少糖甜卧室（SSB）摄入量的政策有很大的兴趣。 1月1日， 2017年费城成为美国第二个城市，也是迄今为止最大的实施甜味床位的城市 SSB和Diet饮料的每盎司液体的消费税1.5美分。有令人信服的证据表明 饮料消费税可以导致购买SSB的大量减少，但至关重要的是 了解这是否转化为健康结果的改善。没有这些证据，我们不会 知道SSB税是否是预防和减少肥胖的有效方法，其相关慢性疾病， 和龋齿。本应用程序的总体目标是确定 费城对成人和青少年体重增加，2型糖尿病状况以及口腔健康的血液税。 该提案的基本原理是基于费城甜味床位税的强大行为数据 开发的SSB购买和建模研究表明，这种税收将改善健康状况 结局，包括肥胖，2型糖尿病和牙齿的减少，尤其是针对AT-的亚组 风险儿童和成人。因此，我们的中心假设是费城对SSB和Diet饮料的税 在成人和青年中，随着时间的流逝，体重增加较小，牙齿较少有关 费城与对照地点相比。我们的具体目的是评估SSB税的有效性 通过分析电子健康记录数据，预防青年人（目标1）和成年人（AIM 2）的体重增加（AIM 2） 使用自然实验设计。为了实现这些目标，我们将使用电子健康记录数据 比较43,589名儿童和青少年的纵向队列中BMI Z-得分的变化 在费城和117,850名年轻人在税收后3 - 5年的未缴纳的邻近县（对照组）。我们 还将检查费城108,862名成年人的纵向队列的BMI变化和185,360名成年人 在税后3 - 5年的未纳税，周围的县（对照组）。这些目的解决重要 关于卧室税对BMI的影响的未解决的问题，BMI是终身慢性的主要预测指标 疾病。我们的第三个目标是评估SSB税对改善青年口腔健康和 费城的成年人通过使用自然实验设计分析电子口腔健康记录。到 实现这一目标，我们将检查有关5,189名成人和1,462名青年的牙科记录和3,554 成人和1,003名未纳税的周围县（对照组）的年轻人。如果 税收和口腔健康的改善，这将是第一项研究，发现饮食之间的关联 干预和改善口腔健康。这项研究将提供有关一个人的影响的非常重要的信息 解决饮食习惯不良的最重要政策。通过评估费城的有效性 关于改善人口健康的税收，这项工作将为考虑税收的其他地方提供关键信息 改善健康。

项目成果

Changes in Dental Outcomes After Implementation of the Philadelphia Beverage Tax.

实施费城饮料税后牙科结果的变化。

• DOI: 10.1016/j.amepre.2023.02.009
• 发表时间: 2023
• 期刊: American journal of preventive medicine
• 影响因子: 5.5
• 作者: Petimar,Joshua;Gibson,LauraA;Wolff,MarkS;Mitra,Nandita;Corby,Patricia;Hettinger,Gary;Gregory,EmilyF;Edmondson,Emma;Block,JasonP;Roberto,ChristinaA
• 通讯作者: Roberto,ChristinaA