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南非议会通过含糖饮料税过程中的行业策略:系统映射。

Industry strategies in the parliamentary process of adopting a sugar-sweetened beverage tax in South Africa: a systematic mapping.

机构信息

SAMRC Centre for Health Economics and Decision Science - PRICELESS SA, School of Public Health, University of Witwatersrand, Johannesburg, South Africa.

出版信息

Global Health. 2020 Dec 10;16(1):116. doi: 10.1186/s12992-020-00647-3.

Abstract

BACKGROUND

In 2016, the South African government became the first in the African region to announce the introduction of an SSB tax based on sugar content as a public health measure to reduce obesity. This tax was introduced against the backdrop of South Africa having a large sugar production and SSB manufacturing industry, as well as very high unemployment rates. The introduction of fiscal measures, such as a SSB tax, has been met with well-coordinated and funded opposition in other countries.

METHODS

The aim of this study is to describe and analyse the arguments and strategies utilised by industry during policymaking processes to oppose regulatory actions in LMIC. This study analyses arguments and strategies used by the beverage and related industries during the public consultation phase of the process to adopt the South African SSB tax.

RESULTS

Industry opposition to the SSB tax was comprehensive and employed several tactics. First, industry underscored its economic importance and the potential job losses and other economic harms that may arise from the tax. This argument was well-received by policymakers, and similar to industry tactics employed in other middle income countries like Mexico. Second, industry discussed self-regulation and voluntary measures as a form of policy substitution, which mirrors industry responses in the US, the Caribbean and Latin America. Third, industry misused or disputed evidence to undermine the perceived efficacy of the tax. Finally, considerations for small business and their ability to compete with multi-national corporations were a unique feature of industry response.

CONCLUSIONS

Industry opposition followed both general trends, and also introduced nuanced and context-specific arguments. The industry response experienced in South Africa can be instructive for other countries contemplating the introduction of similar measures.

摘要

背景

2016 年,南非政府成为非洲地区首个宣布引入基于含糖量的 SSB 税的政府,此举旨在作为一项公共卫生措施,以降低肥胖率。该税的引入是基于南非拥有庞大的糖生产和 SSB 制造业,以及非常高的失业率。在其他国家,引入财政措施(如 SSB 税)遭到了协调一致且资金充足的反对。

方法

本研究旨在描述和分析行业在政策制定过程中为反对在 LMIC 采取监管行动而利用的论点和策略。本研究分析了饮料和相关行业在南非 SSB 税采用过程的公众咨询阶段中使用的论点和策略。

结果

行业对 SSB 税的反对是全面的,并采用了几种策略。首先,行业强调了其经济重要性以及税收可能带来的失业和其他经济危害。这一论点得到了政策制定者的认可,与墨西哥等其他中等收入国家的行业策略类似。其次,行业讨论了自我监管和自愿措施作为政策替代形式,这反映了美国、加勒比和拉丁美洲的行业应对措施。第三,行业滥用或质疑证据,以破坏对该税的有效性的认知。最后,对小企业及其与跨国公司竞争的能力的考虑是行业应对措施的一个独特特征。

结论

行业的反对意见既遵循了一般趋势,也提出了细微和具体背景的论点。南非所经历的行业反应可以为其他考虑引入类似措施的国家提供借鉴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b21/7727123/e02227adc288/12992_2020_647_Fig1_HTML.jpg

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