Department of Preventive Medicine and Public Health, Albacete University Teaching Hospital Complex, 02006 Albacete, Spain.
Public Health and Epidemiology Research Group, Faculty of Medicine and Health Sciences, University of Alcalá, 28871 Alcalá de Henares, Spain.
Int J Environ Res Public Health. 2022 Mar 22;19(7):3758. doi: 10.3390/ijerph19073758.
(1) Background: Taxes on sugar-sweetened beverages are an effective public health intervention, but can be difficult to implement in the absence of public support. This is the first study to analyze the Spanish population’s support for a tax on sugar-sweetened beverages. (2) Methods: We conducted a cross-sectional study of a representative sample of the Spanish adult population (n = 1002), using a computer-aided telephone interview with a questionnaire on nutritional policies. The support for the tax was calculated by the percentage of those who agreed plus those who strongly agreed with the measure. The sociodemographic determinants of support for the tax were analyzed using chi-squared test (χ2) and Poisson multiple regression models with robust variance. (3) Results: Of the participants, 66.9% supported a tax on sugar-sweetened beverages. Support for the tax was 9.2% higher (70% vs. 64.1%) when responders were first asked about support for tax relief and subsidies for healthy foods (p = 0.049). Support for the tax was 16% and 35% lower among persons reporting center and right-wing political sympathies (p < 0.01), and 16% lower among regular consumers of sugar-sweetened beverages (p = 0.01). (4) Conclusions: A clear majority of the Spanish population is in favor of imposing a tax on sugar-sweetened beverages. Awareness-raising campaigns and a policy of combining the measure with subsidies or tax cuts on healthy foods could increase the level of support among those currently against the intervention.
(1) 背景：对含糖饮料征税是一项有效的公共卫生干预措施，但如果没有公众支持，实施起来可能会很困难。这是第一项分析西班牙民众对含糖饮料征税支持程度的研究。(2) 方法：我们对西班牙成年人口（n=1002）进行了一项代表性横断面研究，使用计算机辅助电话访谈和营养政策问卷进行调查。通过计算同意和强烈同意该措施的人数百分比来确定对该税的支持率。采用卡方检验（χ2）和泊松多项回归模型分析支持该税的社会人口学决定因素，并采用稳健方差。(3) 结果：在参与者中，有 66.9%的人支持对含糖饮料征税。当首先询问受访者对健康食品减税和补贴的支持程度时，对该税的支持率增加了 9.2%（70%比 64.1%，p=0.049）。报告中间派和右派政治倾向的人对该税的支持率分别低 16%和 35%（p<0.01），经常饮用含糖饮料的人对该税的支持率低 16%（p=0.01）。(4) 结论：绝大多数西班牙民众赞成对含糖饮料征税。提高认识的宣传活动以及将该措施与健康食品的补贴或减税相结合的政策，可能会提高目前反对该干预措施的人群的支持率。
