Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, and Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Medical Library, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Int J Behav Nutr Phys Act. 2019 Sep 4;16(1):78. doi: 10.1186/s12966-019-0843-0.
Taxation of sugar-sweetened beverages (SSBs), as a component of a comprehensive strategy, has emerged as an apparent effective intervention to counteract the rising prevalence of overweight and obesity. Insight into the political and public acceptability may help adoption and implementation in countries with governments that are considering an SSBs tax. Hence, we aimed to conduct a systematic review and meta-analysis to synthesize the existing qualitative and quantitative literature on political and public acceptability of an SSBs tax.
Four electronic databases (PubMed, Embase, Scopus, Web of Science) were searched until November 2018. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Qualitative studies were analyzed using a thematic synthesis. Quantitative studies were analyzed using a random-effects meta-analysis for the pooling of proportions.
Thirty-seven articles reporting on forty studies were eligible for inclusion. Five themes derived from the thematic synthesis: (i) beliefs about effectiveness and cost-effectiveness, (ii) appropriateness, (iii) economic and socioeconomic benefit, (iv) policy adoption and implementation, and (v) public mistrust of the industry, government and public health experts. Results of the meta-analysis indicated that of the public 42% (95% CI = 0.38-0.47) supports an SSBs tax, 39% (0.29-0.50) supports an SSBs tax as a strategy to reduce obesity, and 66% (0.60-0.72) supports an SSBs tax if revenue is used for health initiatives.
Beliefs about effectiveness and cost-effectiveness, appropriateness, economic and socioeconomic benefit, policy adoption and implementation, and public mistrust of the industry, government and public health experts have important implications for the political and public acceptability of an SSBs tax. We provide recommendations to increase acceptability and enhance successful adoption and implementation of an SSBs tax: (i) address inconsistencies between identified beliefs and scientific literature, (ii) use raised revenue for health initiatives, (iii) communicate transparently about the true purpose of the tax, and (iv) generate political priority for solutions to the challenges to implementation.
作为综合策略的一部分，对含糖饮料（SSB）征税已成为对抗超重和肥胖流行的一种明显有效的干预措施。了解政治和公众的接受程度可能有助于在考虑对 SSB 征税的政府的国家进行采纳和实施。因此，我们旨在进行系统回顾和荟萃分析，以综合现有关于 SSB 税的政治和公众接受度的定性和定量文献。
我们在四个电子数据库（PubMed、Embase、Scopus、Web of Science）中进行了检索，检索截至 2018 年 11 月。使用混合方法评估工具评估纳入研究的方法学质量。使用主题综合法分析定性研究。使用随机效应荟萃分析对比例进行汇总。
有 37 篇报告了 40 项研究的文章符合纳入标准。主题综合法得出了 5 个主题：（i）对有效性和成本效益的看法，（ii）适当性，（iii）经济和社会经济利益，（iv）政策采纳和实施，以及（v）公众对行业、政府和公共卫生专家的不信任。荟萃分析的结果表明，公众中有 42%（95%CI=0.38-0.47）支持对 SSB 征税，39%（0.29-0.50）支持将 SSB 税作为减少肥胖的策略，66%（0.60-0.72）支持如果税收用于健康计划，则对 SSB 征税。
对有效性和成本效益、适当性、经济和社会经济利益、政策采纳和实施以及公众对行业、政府和公共卫生专家的不信任的看法，对 SSB 税的政治和公众接受度有重要影响。我们提供了一些建议，以提高接受度并加强对 SSB 税的成功采纳和实施：（i）解决识别出的信念与科学文献之间的不一致，（ii）将所征税款用于健康计划，（iii）透明地传达税收的真正目的，以及（iv）为实施所面临挑战的解决方案创造政治优先事项。
