Colchero M A, Salgado J C, Unar-Munguía M, Hernández-Ávila M, Rivera-Dommarco J A
Instituto Nacional de Salud Pública, Av. Universidad #655, Col. Santa María Ahuacatitlán, 62508 Cuernavaca, Morelos, Mexico.
Instituto Nacional de Salud Pública, Av. Universidad #655, Col. Santa María Ahuacatitlán, 62508 Cuernavaca, Morelos, Mexico.
Econ Hum Biol. 2015 Dec;19:129-37. doi: 10.1016/j.ehb.2015.08.007. Epub 2015 Sep 5.
A large and growing body of scientific evidence demonstrates that sugar drinks are harmful to health. Intake of sugar-sweetened beverages (SSB) is a risk factor for obesity and type 2 diabetes. Mexico has one of the largest per capita consumption of soft drinks worldwide and high rates of obesity and diabetes. Fiscal approaches such as taxation have been recommended as a public health policy to reduce SSB consumption. We estimated an almost ideal demand system with linear approximation for beverages and high-energy food by simultaneous equations and derived the own and cross price elasticities for soft drinks and for all SSB (soft drinks, fruit juices, fruit drinks, flavored water and energy drinks). Models were stratified by income quintile and marginality index at the municipality level. Price elasticity for soft drinks was -1.06 and -1.16 for SSB, i.e., a 10% price increase was associated with a decrease in quantity consumed of soft drinks by 10.6% and 11.6% for SSB. A price increase in soft drinks is associated with larger quantity consumed of water, milk, snacks and sugar and a decrease in the consumption of other SSB, candies and traditional snacks. The same was found for SSB except that an increase in price of SSB was associated with a decrease in snacks. Higher elasticities were found among households living in rural areas (for soft drinks), in more marginalized areas and with lower income. Implementation of a tax to soft drinks or to SSB could decrease consumption particularly among the poor. Substitutions and complementarities with other food and beverages should be evaluated to assess the potential impact on total calories consumed.
大量且不断增加的科学证据表明,含糖饮料对健康有害。摄入含糖饮料(SSB)是肥胖和2型糖尿病的一个风险因素。墨西哥是全球人均软饮料消费量最大的国家之一,肥胖和糖尿病发病率也很高。税收等财政手段已被推荐作为一项公共卫生政策,以减少含糖饮料的消费。我们通过联立方程估计了一个关于饮料和高能量食品的近似理想需求系统,并推导了软饮料和所有含糖饮料(软饮料、果汁、果味饮料、调味水和能量饮料)的自身价格弹性和交叉价格弹性。模型按收入五分位数和市级边际指数进行分层。软饮料的价格弹性为-1.06,含糖饮料为-1.16,即价格上涨10%会使软饮料消费量减少10.6%,含糖饮料消费量减少11.6%。软饮料价格上涨与水、牛奶、零食和糖的消费量增加以及其他含糖饮料、糖果和传统零食的消费量减少有关。含糖饮料的情况也是如此,只是含糖饮料价格上涨与零食消费量减少有关。在农村地区(软饮料方面)、更边缘化地区以及低收入家庭中发现了更高的弹性。对软饮料或含糖饮料征税的实施可能会减少消费,尤其是在贫困人口中。应评估与其他食品和饮料的替代和互补关系,以评估对总热量摄入的潜在影响。