[Formerly] Health Directorate, St Helena Government, Jamestown, St Helena.
Glob Health Promot. 2020 Dec;27(4):150-153. doi: 10.1177/1757975920918587. Epub 2020 May 25.
Reducing sugar-sweetened beverage (SSB) consumption is a prominent strategy to reduce sugar intake and non-communicable disease (NCD) risk worldwide. Recommended measures encompass policy, environmental modification, health literacy, reformulation and taxation. This commentary draws from an intervention to reduce SSB consumption in a remote, rural context with high intake and under-developed alternatives and health literacy. The island of St Helena introduced SSB taxation from 2014, yet impact appeared limited. In 2018, supply and demand measures for substitute products were developed, alongside a taxation increase. Preliminary data indicate a shift away from SSB towards non-sugar beverages (artificially sweetened beverages (ASB) and tap water). Issues for global health promotion include the specific manifestation of social and commercial determinants of health in remote and rural contexts, integrated multifaceted strategies to provide supporting conditions for policies such as SSB taxation to deliver impact, and the role of ASB to reduce SSB in high consumption contexts.
减少含糖饮料（SSB）的消费是全球范围内降低糖摄入量和减少非传染性疾病（NCD）风险的主要策略。推荐的措施包括政策、环境改善、健康素养、配方改革和征税。本评论借鉴了在一个偏远农村地区减少 SSB 消费的干预措施，该地区 SSB 摄入量高，替代产品和健康素养欠发达。圣赫勒拿岛自 2014 年开始对 SSB 征税，但影响似乎有限。2018 年，针对替代产品的供应和需求措施以及税收增加被制定出来。初步数据表明，人们正在从 SSB 转向非糖饮料（人工加糖饮料（ASB）和自来水）。全球健康促进面临的问题包括在偏远和农村地区社会和商业决定因素的具体表现，为 SSB 征税等政策提供支持条件的综合多方面战略，以及在高消费地区用 ASB 替代 SSB 的作用。
