scholarly journals The impact of health literacy on rural adults’ satisfaction with a multi-component intervention to reduce sugar-sweetened beverage intake

2016 ◽  
Vol 31 (4) ◽  
pp. 492-508 ◽  
Author(s):  
A. N. Bailey ◽  
K. J. Porter ◽  
J. L. Hill ◽  
Y. Chen ◽  
P. A. Estabrooks ◽  
...  
Keyword(s):  
Health Literacy ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Reduce Sugar ◽  
The Impact ◽  
Rural Adults

A ‘whole systems’ approach to reduce sugar-sweetened beverage consumption: issues for global health promotion through a small island lens

2020 ◽  
Vol 27 (4) ◽  
pp. 150-153
Author(s):  
Angela M. Jackson-Morris
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Global Health ◽  
Communicable Disease ◽  
Tap Water ◽  
Supply And Demand ◽  
Small Island ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Reduce Sugar

Reducing sugar-sweetened beverage (SSB) consumption is a prominent strategy to reduce sugar intake and non-communicable disease (NCD) risk worldwide. Recommended measures encompass policy, environmental modification, health literacy, reformulation and taxation. This commentary draws from an intervention to reduce SSB consumption in a remote, rural context with high intake and under-developed alternatives and health literacy. The island of St Helena introduced SSB taxation from 2014, yet impact appeared limited. In 2018, supply and demand measures for substitute products were developed, alongside a taxation increase. Preliminary data indicate a shift away from SSB towards non-sugar beverages (artificially sweetened beverages (ASB) and tap water). Issues for global health promotion include the specific manifestation of social and commercial determinants of health in remote and rural contexts, integrated multifaceted strategies to provide supporting conditions for policies such as SSB taxation to deliver impact, and the role of ASB to reduce SSB in high consumption contexts.

Linking a sugar-sweetened beverage tax with fruit and vegetable subsidies: A simulation analysis of the impact on the poor

2021 ◽  
Author(s):  
Pourya Valizadeh ◽  
Barry M Popkin ◽  
Shu Wen Ng
Keyword(s):  
Low Income ◽  
Simulation Analysis ◽  
Fruit And Vegetable ◽  
Sugar Sweetened Beverage ◽  
Subsidy Rate ◽  
Sweetened Beverage ◽  
Financial Gain ◽  
Households With Children ◽  
The Impact ◽  
Low Income Households

Abstract Background US individuals, particularly from low-income subpopulations, have very poor diet quality. Policies encouraging shifts from consuming unhealthy food towards healthy food consumption are needed. Objectives We simulate the differential impacts of a national sugar-sweetened beverage (SSB) tax and its combination with fruit and vegetable (FV) subsidies targeted to low-income households, on SSB and FV purchases of lower and higher SSB purchasers. Design We considered a one-cent-per-ounce SSB tax and two FV subsidy rates of 30% and 50% and used longitudinal grocery purchase data for 79,044 urban/semiurban US households from 2010-2014 Nielsen Homescan. We used demand elasticities for lower and higher SSB purchasers, estimated via longitudinal quantile regression, to simulate policies’ differential effects. Results Higher-SSB purchasing households made larger reductions (per adult equivalent) in SSB purchases than lower SSB purchasers due to the tax (e.g., 4.4 oz/day at SSB purchase percentile 90 vs. 0.5 oz/day at percentile 25; p < 0.05). Our analyses by household income indicated low-income households would make larger reductions than higher-income households at all SSB purchase levels. Targeted FV subsidies induced similar, but nutritionally insignificant, increases in FV purchases of low-income households regardless of their SSB purchase levels. Subsidies, however, were effective in mitigating the tax burdens. All low-income households experienced a net financial gain when the tax was combined with a 50% FV subsidy, but net gains were smaller among higher SSB purchasers. Further, low-income households with children gained smaller net financial benefits than households without children and incurred net financial losses under a 30% subsidy rate. Conclusions SSB taxes can effectively reduce SSB consumption. FV subsidies would increase FV purchases, but nutritionally meaningful increases are limited due to low purchase levels pre-policy. Expanding taxes beyond SSBs, larger FV subsidies, or subsidies beyond FVs, particularly for low-income households with children, may be more effective.

scholarly journals Simulating the Impact of Sugar-Sweetened Beverage Warning Labels in Three Cities

2018 ◽  
Vol 54 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Bruce Y. Lee ◽  
Marie C. Ferguson ◽  
Daniel L. Hertenstein ◽  
Atif Adam ◽  
Eli Zenkov ◽  
...  
Keyword(s):  
Warning Labels ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
The Impact

scholarly journals Corporations’ use and misuse of evidence to influence health policy: a case study of sugar-sweetened beverage taxation

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Gary Jonas Fooks ◽  
Simon Williams ◽  
Graham Box ◽  
Gary Sacks
Keyword(s):  
South African ◽  
Evidence Base ◽  
Evidence Based ◽  
Economic Modelling ◽  
Complex Interplay ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Sweetened Beverages ◽  
The Impact

Abstract Background Sugar sweetened beverages (SSB) are a major source of sugar in the diet. Although trends in consumption vary across regions, in many countries, particularly LMICs, their consumption continues to increase. In response, a growing number of governments have introduced a tax on SSBs. SSB manufacturers have opposed such taxes, disputing the role that SSBs play in diet-related diseases and the effectiveness of SSB taxation, and alleging major economic impacts. Given the importance of evidence to effective regulation of products harmful to human health, we scrutinised industry submissions to the South African government’s consultation on a proposed SSB tax and examined their use of evidence. Results Corporate submissions were underpinned by several strategies involving the misrepresentation of evidence. First, references were used in a misleading way, providing false support for key claims. Second, raw data, which represented a pliable, alternative evidence base to peer reviewed studies, was misused to dispute both the premise of targeting sugar for special attention and the impact of SSB taxes on SSB consumption. Third, purposively selected evidence was used in conjunction with other techniques, such as selective quoting from studies and omitting important qualifying information, to promote an alternative evidential narrative to that supported by the weight of peer-reviewed research. Fourth, a range of mutually enforcing techniques that inflated the effects of SSB taxation on jobs, public revenue generation, and gross domestic product, was used to exaggerate the economic impact of the tax. This “hyperbolic accounting” included rounding up figures in original sources, double counting, and skipping steps in economic modelling. Conclusions Our research raises fundamental questions concerning the bona fides of industry information in the context of government efforts to combat diet-related diseases. The beverage industry’s claims against SSB taxation rest on a complex interplay of techniques, that appear to be grounded in evidence, but which do not observe widely accepted approaches to the use of either scientific or economic evidence. These techniques are similar, but not identical, to those used by tobacco companies and highlight the problems of introducing evidence-based policies aimed at managing the market environment for unhealthful commodities.

scholarly journals Strategies to reduce sugar-sweetened beverage consumption and increase water access and intake among young children: perspectives from expert stakeholders

2018 ◽  
Vol 21 (18) ◽  
pp. 3440-3449 ◽  
Author(s):  
Kelsey A Vercammen ◽  
Johannah M Frelier ◽  
Caitlin M Lowery ◽  
Alyssa J Moran ◽  
Sara N Bleich
Keyword(s):  
Young Children ◽  
Environmental Changes ◽  
Snowball Sampling ◽  
Water Access ◽  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Innovative Strategies ◽  
Sweetened Beverage ◽  
Reduce Sugar ◽  
Email Invitation

AbstractObjectivesTo summarize stakeholder recommendations and ratings of strategies to reduce sugar-sweetened beverage (SSB) consumption and increase water access and intake among young children (0–5 years).DesignTwo online surveys: survey 1 asked respondents to recommend novel and innovative strategies to promote healthy beverage behaviour; survey 2 asked respondents to rank each of these strategies on five domains (overall importance, feasibility, effectiveness, reach, health equity). Open-ended questions were coded and analysed for thematic content.SettingUsing a snowball sampling approach, respondents were invited to complete the survey through an email invitation or an anonymous listserv link. Of the individuals who received a private email invitation, 24 % completed survey 1 and 29 % completed survey 2.SubjectsSurvey 1 (n 276) and survey 2 (n 182) included expert stakeholders who work on issues related to SSB and water consumption.ResultsSix overarching strategies emerged to change beverage consumption behaviours (survey 1): education; campaigns and contests; marketing and advertising; price changes; physical access; and improving the capacity of settings to promote healthy beverages. Labelling and sugar reduction (e.g. reformulation) were recommended as strategies to reduce SSB consumption, while water testing and remediation emerged as a strategy to promote water intake. Stakeholders most frequently recommended (survey 1) and provided higher ratings (survey 2) to strategies that used policy, systems and/or environmental changes.ConclusionsThe present study is the first to assess stakeholder opinions on strategies to promote healthy beverage consumption. This knowledge is key for understanding where stakeholders believe resources can be best utilized.

scholarly journals A Systematic Review of the Effectiveness of Promoting Water Intake to Reduce Sugar-sweetened Beverage Consumption (P04-005-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sepideh Dibay Moghadam ◽  
James W Krieger ◽  
Diana Louden
Keyword(s):  
Randomized Controlled Trials ◽  
Water Intake ◽  
Robert Wood Johnson Foundation ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
Randomized Controlled ◽  
Reduce Sugar

Abstract Objectives To examine whether promotion of water intake in the general population in and of itself reduces sugar-sweetened beverage (SSB) consumption independent from interventions that target SSBs. Methods Seven electronic databases were systematically searched: PubMed, Embase, PsycInfo, CINAHL Complete, Cochrane Central Register of Controlled Trials, CAB Direct, and Web of Science. The search hedge included concepts of drinking water, sweetened beverages, and clinical or controlled or longitudinal studies. Selected studies included a primary water promotion intervention and were published between 1 January 2000 and 6 January 2019, while those with more than a minimal SSB reduction intervention were excluded. We identified 5652 publications, chose 107 for full-text review and selected 17 for this review. Two authors independently extracted data using predefined data fields and rated study quality. Results Nine of the 17 studies were randomized controlled trials, six were non-randomized controlled trials, and two were single-group pre-post studies. Participants were primarily children and adolescents. Seven studies reported a decrease in sugar-sweetened beverage consumption. Among the eight studies that successfully increased water intake, five reported beneficial effects on SSB intake while three did not. Of the five positive studies, three were at serious or high risk of bias. Studies with decrease in sugar-sweetened beverage consumption tended to include a home-based or individually focused intervention. Conclusions This review found little evidence that interventions aimed solely at increasing water consumption reduce sugar-sweetened beverage intake. Further research is needed to investigate whether interventions that combine water promotion and SSB reduction strategies could be synergistic for reducing SSB intake. SSB reduction approaches at this time should focus directly on SSBs. Funding Sources Healthy Eating Research Program, Robert Wood Johnson Foundation.

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