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减少含糖饮料政策:进展与前景

Sugar-Sweetened Beverage Reduction Policies: Progress and Promise.

作者信息

Krieger James, Bleich Sara N, Scarmo Stephanie, Ng Shu Wen

机构信息

Healthy Food America, Seattle, Washington 98122, USA.

Department of Health Services, School of Public Health, University of Washington, Seattle, Washington 98195, USA; email:

出版信息

Annu Rev Public Health. 2021 Apr 1;42:439-461. doi: 10.1146/annurev-publhealth-090419-103005. Epub 2021 Nov 30.

Abstract

Evidence showing the effectiveness of policies to reduce the consumption of sugar-sweetened beverages (SSBs) is growing. SSBs are one of the largest sources of added sugar in the diet and are linked to multiple adverse health conditions. This review presents a framework illustrating the various types of policies that have been used to reduce SSB exposure and consumption; policies are organized into four categories (financial, information, defaults, and availability) and take into consideration crosscutting policy considerations (feasibility, impact, and equity). Next, for each category, we describe a specific example and provide evidence of impact. Finally, we discuss crosscutting policy considerations, the challenge of choosing among the various policy options, and important areas for future research. Notably, no single policy will reduce SSB consumption to healthy levels, so an integrated policy approach that adapts to changing market and consumption trends; evolving social, political, and public health needs; and emerging science is critical.

摘要

表明减少含糖饮料(SSB)消费的政策有效性的证据越来越多。含糖饮料是饮食中添加糖的最大来源之一,与多种不良健康状况有关。本综述提出了一个框架,阐述了用于减少含糖饮料接触和消费的各类政策;这些政策分为四类(财政、信息、默认设置和可获得性),并考虑了贯穿各领域的政策考量因素(可行性、影响和公平性)。接下来,针对每一类,我们描述一个具体例子并提供影响证据。最后,我们讨论贯穿各领域的政策考量因素、在各种政策选项中进行选择的挑战以及未来研究的重要领域。值得注意的是,没有单一政策能将含糖饮料消费降至健康水平,因此一种适应不断变化的市场和消费趋势、不断演变的社会、政治和公共卫生需求以及新兴科学的综合政策方法至关重要。

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