Department for Health, University of Bath, Bath, UK.
WHO European Office for the Prevention and Control of Non-Communicable Diseases (NCD Office), Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russia.
Eur J Public Health. 2022 Oct 3;32(5):786-793. doi: 10.1093/eurpub/ckac117.
Sugar-sweetened beverage (SSB) taxes have emerged as an effective and increasingly popular tool to reduce added sugar intake, an important contributor to obesity and non-communicable diseases. A common barrier to the implementation of well-designed SSB taxes is the opposition of commercial actors. Focusing on the WHO European Region, this study seeks to map if and how key stakeholders have experienced industry efforts to influence SSB taxes.
We identified 11 countries in the WHO European Region which have implemented SSB taxes or attempted to do so. Using an online survey informed by the global literature on industry interference with SSB taxation, we approached 70 in-country policymakers, advocates and academics. The data were analysed using an existing framework of corporate political activity.
Twenty-three experts from nine countries responded to the survey. Transnational SSB producers and their business associations were identified as the most active opponents of SSB taxation. Industry claims that the policy would have negative economic effects were identified as the most common and powerful arguments. Direct lobbying was reported in all study countries. Shifts in political activity were recognisable across stages of the policy process, moving from outright opposition to attempts to delay or weaken the policy after its announcement.
Those seeking to introduce effective SSB taxation can use our findings to pre-empt and counter industry opposition. We identify several measures for preventing and mitigating industry interference with SSB tax policy.
含糖饮料 (SSB) 税已成为减少添加糖摄入量的有效且日益流行的工具,而添加糖摄入量是肥胖和非传染性疾病的重要成因。实施精心设计的 SSB 税的一个常见障碍是商业行为者的反对。本研究聚焦世卫组织欧洲区域,旨在绘制关键利益攸关方是否以及如何经历了行业对 SSB 税的影响。
我们确定了世卫组织欧洲区域内已实施 SSB 税或试图实施的 11 个国家。我们使用全球关于行业干扰 SSB 征税的文献提供的在线调查,联系了 70 名国内政策制定者、倡导者和学者。使用企业政治活动的现有框架分析数据。
来自九个国家的 23 名专家对调查做出了回应。跨国 SSB 生产商及其商业协会被确定为 SSB 征税最积极的反对者。该政策将产生负面影响的行业主张被确定为最常见和最有力的论点。在所有研究国家都报告了直接游说。在政策过程的各个阶段都可以看到政治活动的转变,从完全反对到宣布后试图拖延或削弱该政策。
那些寻求引入有效 SSB 税的人可以利用我们的发现来预先阻止和对抗行业反对。我们确定了一些防止和减轻行业干扰 SSB 税收政策的措施。