SAMRCCentre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa.
Department of Health Policy, London School of Economics and Political Science, London, UK.
Obes Rev. 2021 Sep;22(9):e13301. doi: 10.1111/obr.13301. Epub 2021 May 31.
In 2016, the South African government proposed a 20% sugar-sweetened beverage (SSB) tax. Protracted consultations with beverage manufacturers and the sugar industry followed. This resulted in a lower sugar-based beverage tax, the Health Promotion Levy (HPL), of approximately 10% coming into effect in April 2018. We provide a synthesis of findings until April 2021. Studies show that despite the lower rate, purchases of unhealthy SSBs and sugar intake consumption from SSBs fell. There were greater reductions in SSB purchases among both lower socioeconomic groups and in subpopulations with higher SSB consumption. These subpopulations bear larger burdens from obesity and related diseases, suggesting that this policy improves health equity. The current COVID-19 pandemic has impacted food and nutritional security. Increased pandemic mortality among people with obesity, diabetes, and hypertension highlight the importance of intersectoral public health disease-prevention policies like the HPL, which should be strengthened.
2016 年，南非政府提议对含糖饮料（SSB）征收 20%的税。随后，与饮料制造商和糖业进行了漫长的磋商。这导致了基于糖的饮料税的降低，即健康促进税（HPL），于 2018 年 4 月生效，税率约为 10%。我们提供了截至 2021 年 4 月的综合研究结果。研究表明，尽管税率较低，但购买不健康的 SSB 和 SSB 中糖的摄入量均有所下降。在社会经济地位较低的群体和 SSB 消费较高的亚人群中，SSB 的购买量降幅更大。这些亚人群因肥胖和相关疾病而承受更大的负担，这表明该政策改善了健康公平。当前的 COVID-19 大流行影响了食物和营养安全。肥胖、糖尿病和高血压患者的 COVID-19 死亡率增加，突显了 HPL 等跨部门公共卫生疾病预防政策的重要性，应加强这些政策。
