Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC.
Department of Public Health, College of Health Professions, University of New England, Portland, ME.
J Nutr Educ Behav. 2019 Nov-Dec;51(10):1177-1187. doi: 10.1016/j.jneb.2019.07.005. Epub 2019 Aug 8.
To evaluate the potential cost-effectiveness of and stakeholder perspectives on a sugar-sweetened beverage (SSB) excise tax and a Supplemental Nutrition Assistance Program (SNAP) policy that would not allow SSB purchases in Maine, US.
A cost-effectiveness simulation model combined with stakeholder interviews.
Maine, US.
Microsimulation of the Maine population in 2015 and interviews with stakeholders (n = 14). Study conducted from 2013 to 2017.
Health care cost savings, net costs, and quality-adjusted life-years (QALYs) from 2017 to 2027. Stakeholder positions on policies. Retail SSB cost and implementation cost data were collected.
Childhood Obesity Intervention Cost-Effectiveness Study project microsimulation model with uncertainty analysis to estimate cost-effectiveness. Thematic stakeholder interview coding.
Over 10 years, the SSB and SNAP policies were projected to reduce health care costs by $78.3 million (95% uncertainty interval [UI], $31.7 million-$185 million) and $15.3 million (95% UI, $8.32 million-$23.9 million), respectively. The SSB and SNAP policies were projected to save 3,560 QALYs (95% UI, 1,447-8,361) and 749 QALYs (95% UI, 415-1,168), respectively. Stakeholders were more supportive of SSB taxes than the SNAP policy because of equity concerns associated with the SNAP policy.
Cost-effectiveness analysis provided evidence of potential health improvement and cost savings to state-level stakeholders weighing broader implementation considerations.
评估美国缅因州含糖饮料（SSB）消费税和补充营养援助计划（SNAP）政策的潜在成本效益和利益相关者观点，该政策将不允许在缅因州购买 SSB。
成本效益模拟模型结合利益相关者访谈。
美国缅因州。
2015 年缅因州人口的微观模拟和利益相关者访谈（n=14）。研究于 2013 年至 2017 年进行。
2017 年至 2027 年的医疗保健成本节约、净成本和质量调整生命年（QALYs）。政策的利益相关者立场。收集零售 SSB 成本和实施成本数据。
儿童肥胖干预成本效益研究项目微观模拟模型与不确定性分析，以估计成本效益。主题利益相关者访谈编码。
在 10 年内，SSB 和 SNAP 政策预计将分别减少医疗保健成本 7830 万美元（95%不确定性区间[UI]，3170 万美元至 1.85 亿美元）和 1530 万美元（95% UI，8320 万美元至 2390 万美元）。SSB 和 SNAP 政策预计将分别节省 3560 个 QALYs（95% UI，1447 至 8361）和 749 个 QALYs（95% UI，415 至 1168）。由于与 SNAP 政策相关的公平问题，利益相关者对 SSB 税的支持度高于 SNAP 政策。
成本效益分析为权衡更广泛实施考虑的州级利益相关者提供了潜在健康改善和成本节约的证据。
