Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois 60608, USA; email:
Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, Illinois 60612, USA; email:
Annu Rev Public Health. 2019 Apr 1;40:187-201. doi: 10.1146/annurev-publhealth-040218-043816. Epub 2019 Jan 2.
In countries around the world, tobacco use, excessive alcohol consumption, and consumption of sugar-sweetened beverages (SSBs) are significant contributors to the global epidemic of noncommunicable diseases. As a consequence, they contribute, as well, to excess health care costs and productivity losses. A large and growing body of research documents that taxes specific to such products, known as excise taxes, reduce consumption of these products and thereby diminish their adverse health consequences. Although such taxation has historically been motivated primarily by revenue generation, governments are increasingly using these taxes to discourage unhealthy consumption. We review the global evidence on the impact of taxes and prices on the consumption of these products and the health and social consequences. We then evaluate arguments commonly raised against these taxes, identify best practices in excise tax policy, and conclude with a summary of the current status of tobacco, alcohol, and SSB excise taxes globally.
在世界各国,烟草使用、过量饮酒和含糖饮料(SSB)的消费是导致非传染性疾病全球流行的重要因素。因此,这些因素也导致医疗保健费用增加和生产力损失。大量不断增加的研究文献表明,对这些产品征收特定税,即消费税,可以减少这些产品的消费,从而减少其对健康的不良影响。尽管这种税收征收历史上主要是为了增加收入,但各国政府越来越多地利用这些税收来抑制不健康的消费。我们审查了关于这些税收和价格对这些产品消费以及对健康和社会后果影响的全球证据。然后,我们评估了反对这些税收的常见论点,确定了消费税政策的最佳做法,并总结了目前全球烟草、酒精和 SSB 消费税的现状。