Global Health Policy Unit, School of Social and Political Science, University of Edinburgh, Edinburgh, UK.
Int J Health Policy Manag. 2023;12:7618. doi: 10.34172/ijhpm.2022.7618. Epub 2022 Nov 20.
A growing evidence base indicates that sugar-sweetened beverage (SSB) taxes are an effective tool to help reduce excess sugar intake. The effects of SSB taxes and the mechanisms which underlie them, however, are dependent on a number of interrelated factors such as policy design and responses of industry and consumers. Forde and colleagues contribute to unpacking these mechanisms by exploring the way in which the UK's Soft Drinks Industry Levy (SDIL) shaped the four Ps of soft drinks marketing: product, price, placement, and promotion. This commentary builds on the authors' insights by connecting them to existing knowledge on corporate political activity and the commercial determinants of health (CDOH) more broadly. Specifically, I discuss the risk that an industry framing of regulation-induced marketing changes as a voluntary step towards corporate responsibility undermines the need for government intervention to address obesity in other contexts and countries. I conclude by arguing that the public health community would benefit from considering marketing responses to regulation alongside industry narratives about these changes.
越来越多的证据表明,含糖饮料(SSB)税是帮助减少过量糖分摄入的有效工具。然而,SSB 税的效果及其背后的机制取决于许多相互关联的因素,如政策设计以及行业和消费者的反应。Forde 及其同事通过探索英国软饮料行业征税(SDIL)如何塑造软饮料营销的四个 P(产品、价格、地点和促销)来深入研究这些机制。本文通过将这些观点与更广泛的企业政治活动和商业健康决定因素(CDOH)的现有知识联系起来,进一步阐述了作者的观点。具体来说,我讨论了一种风险,即行业将监管引发的营销变化框定为企业责任的自愿举措,可能会削弱政府在其他情况下和国家干预肥胖问题的必要性。最后,我认为公共卫生界将受益于考虑到对监管的营销反应,以及行业对这些变化的叙述。