Moretto Nicole, Kendall Elizabeth, Whitty Jennifer, Byrnes Joshua, Hills Andrew P, Gordon Louisa, Turkstra Erika, Scuffham Paul, Comans Tracy
Population and Social Health Research Program, Griffith Health Institute, Griffith University, Meadowbrook QLD 4131, Australia.
Centre for Nutrition and Exercise, Mater Research Institute, University of Queensland, Aubigny Place, South Brisbane QLD 4101, Australia.
Int J Environ Res Public Health. 2014 Feb 27;11(3):2456-71. doi: 10.3390/ijerph110302456.
Taxation has been suggested as a possible preventive strategy to address the serious public health concern of childhood obesity. Understanding the public's viewpoint on the potential role of taxation is vital to inform policy decisions if they are to be acceptable to the wider community. A Citizens' Jury is a deliberative method for engaging the public in decision making and can assist in setting policy agendas. A Citizens' Jury was conducted in Brisbane, Australia in May 2013 to answer the question: Is taxation on food and drinks an acceptable strategy to the public in order to reduce rates of childhood obesity? Citizens were randomly selected from the electoral roll and invited to participate. Thirteen members were purposively sampled from those expressing interest to broadly reflect the diversity of the Australian public. Over two days, participants were presented with evidence on the topic by experts, were able to question witnesses and deliberate on the evidence. The jurors unanimously supported taxation on sugar-sweetened drinks but generally did not support taxation on processed meats, snack foods and foods eaten/ purchased outside the home. They also supported taxation on snack foods on the condition that traffic light labelling was also introduced. Though they were not specifically asked to deliberate strategies outside of taxation, the jurors strongly recommended more nutritional information on all food packaging using the traffic light and teaspoon labelling systems for sugar, salt and fat content. The Citizens' Jury suggests that the general public may support taxation on sugar-sweetened drinks to reduce rates of obesity in children. Regulatory reforms of taxation on sugar-sweetened drinks and improved labelling of nutritional information on product packaging were strongly supported by all members of the jury. These reforms should be considered by governments to prevent childhood obesity and the future burden on society from the consequences of obesity.
税收已被提议作为一种可能的预防策略,以应对儿童肥胖这一严重的公共卫生问题。如果税收政策要被更广泛的社区所接受,了解公众对税收潜在作用的看法对于为政策决策提供信息至关重要。公民陪审团是一种让公众参与决策的审议方法,有助于设定政策议程。2013年5月在澳大利亚布里斯班进行了一次公民陪审团,以回答以下问题:对食品和饮料征税是否为公众所接受的减少儿童肥胖率的策略?公民从选民名单中随机抽取并受邀参与。从表示感兴趣的人中有意抽取了13名成员,以广泛反映澳大利亚公众的多样性。在两天时间里,参与者听取了专家就该主题提供的证据,能够对证人提问并对证据进行审议。陪审员一致支持对含糖饮料征税,但总体上不支持对加工肉类、休闲食品以及在家庭外食用/购买的食品征税。他们还支持在引入红绿灯标签的条件下对休闲食品征税。尽管没有特别要求他们审议税收以外的策略,但陪审员强烈建议在所有食品包装上提供更多营养信息,采用红绿灯和茶匙标签系统标注糖、盐和脂肪含量。公民陪审团表明,公众可能支持对含糖饮料征税以降低儿童肥胖率。陪审团所有成员都强烈支持对含糖饮料税收进行监管改革以及改进产品包装上营养信息的标签。政府应考虑这些改革措施,以预防儿童肥胖及其给社会带来的肥胖后果这一未来负担。