Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill, Barbados.
Prim Care Diabetes. 2021 Feb;15(1):69-73. doi: 10.1016/j.pcd.2020.04.002. Epub 2020 May 26.
Barbados implemented a 10% tax on sugar sweetened beverages (SSBs) in 2015. We aimed to determine knowledge, attitudes and practices towards SSB consumption and taxation among people with type 2 diabetes (T2D) attending public sector primary care clinics in Barbados.
People with T2D attending public sector clinics completed a survey including the Beverage Intake Questionnaire (BEVQ-15). Waist circumference was measured.
Of 384 participants (34.6% male, median age 67 years, interquartile range 60-74 years, African descent 97.6%) 45.9% had diabetes diagnosed for >10 years, 30.7% used insulin, 31.8% had not seen a dietician since diabetes diagnosis, and 62.2% had abdominal obesity. Most (91.1%) thought that consuming SSB was unhealthy and 91% felt that reducing intake would be easy. Only 44.7% favoured the current 10% tax and 29.7% favoured a 20% tax. The median daily SSB consumption was 26.6ml (IQR 3.0-53.2). Responses did not differ by age, gender or abdominal obesity status (p>0.5). Weight loss was being attempted by 45.6% and 21.1% with and without abdominal obesity respectively (p<0.0001).
While most felt SSB consumption is harmful and the median reported consumption contributes few calories to the diet, a minority supported the current tax.
巴巴多斯于 2015 年对含糖饮料（SSB）征收 10%的税。我们旨在确定在巴巴多斯公立初级保健诊所就诊的 2 型糖尿病（T2D）患者对 SSB 消费和征税的知识、态度和行为。
在参加公立诊所的 T2D 患者中完成了一项调查，其中包括饮料摄入量问卷（BEVQ-15）。测量了腰围。
在 384 名参与者中（男性占 34.6%，中位年龄为 67 岁，四分位间距为 60-74 岁，非洲裔占 97.6%），45.9%的人糖尿病诊断时间超过 10 年，30.7%使用胰岛素，31.8%自糖尿病诊断以来从未见过营养师，62.2%有腹部肥胖。大多数（91.1%）认为饮用 SSB 不健康，91%的人认为减少摄入量会很容易。只有 44.7%赞成目前的 10%税，29.7%赞成 20%的税。每日 SSB 消费的中位数为 26.6ml（IQR 3.0-53.2）。年龄、性别或腹部肥胖状态之间的回答没有差异（p>0.5）。分别有 45.6%和 21.1%的肥胖和非肥胖患者正在尝试减肥（p<0.0001）。
尽管大多数人认为 SSB 消费有害，且报告的中位数消费对饮食贡献的卡路里很少，但少数人支持目前的税收。
