英国软饮料行业征税与英格兰儿童哮喘住院率。

The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England.

机构信息

MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge School of Clinical Medicine, Cambridge, UK.

Population Health Innovation Lab, Department of Public Health, Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, WC1H 9SH, UK.

出版信息

Nat Commun. 2024 Jun 10;15(1):4934. doi: 10.1038/s41467-024-49120-4.

Abstract

Sugar sweetened beverage consumption has been suggested as a risk factor for childhood asthma symptoms. We examined whether the UK Soft Drinks Industry Levy (SDIL), announced in March 2016 and implemented in April 2018, was associated with changes in National Health Service hospital admission rates for asthma in children, 22 months post-implementation of SDIL. We conducted interrupted time series analyses (2012-2020) to measure changes in monthly incidence rates of hospital admissions. Sub-analysis was by age-group (5-9,10-14,15-18 years) and neighbourhood deprivation quintiles. Changes were relative to counterfactual scenarios where the SDIL wasn't announced, or implemented. Overall, incidence rates reduced by 20.9% (95%CI: 29.6-12.2). Reductions were similar across age-groups and deprivation quintiles. These findings give support to the idea that implementation of a UK tax intended to reduce childhood obesity may have contributed to a significant unexpected and additional public health benefit in the form of reduced hospital admissions for childhood asthma.

摘要

含糖饮料的消费被认为是儿童哮喘症状的一个风险因素。我们研究了 2018 年 4 月实施的 2016 年 3 月宣布的英国软饮料行业税(SDIL)是否与实施 SDIL 后 22 个月儿童因哮喘住院的国民保健服务(NHS)入院率的变化有关。我们进行了中断时间序列分析(2012-2020 年),以衡量每月住院人数的变化。亚分析按年龄组(5-9、10-14、15-18 岁)和社区贫困五分位数进行。变化与假设情景相对,即没有宣布或实施 SDIL。总的来说,发病率降低了 20.9%(95%CI:29.6-12.2)。在年龄组和贫困五分位数中,减少幅度相似。这些发现支持了这样一种观点,即实施旨在减少儿童肥胖的英国税收可能带来了一个意想不到的额外公共卫生益处,即儿童哮喘的住院人数减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3879/11164966/e19894b543ce/41467_2024_49120_Fig1_HTML.jpg

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