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评估健康税对印度不健康食品和饮料需求以及税收收入的潜在影响。

Estimating the potential impact of a health tax on the demand for unhealthy food and beverages and on tax revenue in India.

作者信息

Varghese Beena, Panicker Rajashree, Mukhopadhyay Dripto, Backholer Kathryn, Sethi Vani, de Wagt Arjan, Murira Zivai, Bhatia Neena, Arora Monika

机构信息

Indian Institute of Public Health, Public Health Foundation of India, Rajendra Nagar Mandal, Kismatpur, Hyderabad, Telangana 500030, India.

Total Alliance Health Partners International, Dubai Healthcare City, Dubai 66566, UAE.

出版信息

Health Policy Plan. 2024 Mar 12;39(3):299-306. doi: 10.1093/heapol/czad117.

Abstract

Foods high in fat, sugar or salt are important contributors to the rising burden of non-communicable diseases globally and in India. Health taxes (HTs) have been used by over 70 countries as an effective tool for reducing consumption of sugar sweetened beverages (SSBs). However, the potential impacts of HTs on consumption and on revenues have not been estimated in India. This paper aims to estimate the potential impact of health taxes on the demand for sugar, SSBs and foods high in fat, sugar or salt (HFSS) in India while exploring its impact on tax revenues. PE of sugar was estimated using Private Final Consumption Expenditure and Consumer Price Index data while price elasticities for SSBs and HFSS were obtained from literature. The reduction in demand was estimated for an additional 10-30% HT added to the current goods and services tax, for varying levels of price elasticities. The results show that for manufacturers of sweets and confectionaries who buy sugar in bulk and assuming a higher price elasticity of -0.70, 20% additional HT (total tax 48%) would result in 13-18% decrease in the demand for sugar used for confectionaries and sweets. For SSBs, HT of 10-30% would result in 7-30% decline in the demand of SSBs. For HFSS food products, 10-30% HT would result in 5-24% decline in the demand for HFSS products. These additional taxes would increase tax revenues for the government by 12-200% across different scenarios. Taxing unhealthy foods is likely to reduce demand, while increasing government revenues for reinvestment back into public health programmes and policies that may reduce obesity and the incidence of non-communicable diseases in India.

摘要

高脂肪、高糖或高盐食品是全球及印度非传染性疾病负担不断上升的重要因素。70多个国家已将健康税作为减少含糖饮料(SSB)消费的有效工具。然而,印度尚未评估健康税对消费和税收的潜在影响。本文旨在估计健康税对印度糖、含糖饮料和高脂肪、高糖或高盐食品(HFSS)需求的潜在影响,同时探讨其对税收收入的影响。利用私人最终消费支出和消费者价格指数数据估算糖的价格弹性,而含糖饮料和HFSS的价格弹性则从文献中获取。针对不同的价格弹性水平,估计在现行商品及服务税基础上额外增加10%-30%的健康税时需求的减少情况。结果表明,对于批量购买糖的糖果制造商,假设价格弹性较高为-0.70,额外征收20%的健康税(总税率48%)将导致用于糖果的糖需求下降13%-18%。对于含糖饮料,10%-30%的健康税将导致含糖饮料需求下降7%-30%。对于HFSS食品,10%-30%的健康税将导致HFSS产品需求下降5%-24%。在不同情况下,这些额外税收将使政府税收收入增加12%-200%。对不健康食品征税可能会减少需求,同时增加政府收入,以便重新投资于公共卫生项目和政策,这可能会降低印度的肥胖率和非传染性疾病发病率。

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