通过将含糖饮料税与水果和蔬菜补贴相结合,在肥胖问题上取得进展

Sarah Pfreundschuh
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摘要

在美国,儿童和成人的肥胖率持续上升,对公众健康和经济福祉构成了重大威胁。许多因素导致了肥胖,包括超加工食品和饮料的广泛供应和吸引力。含糖饮料(SSBs)就是这样一种饮料,对现有证据的严格审查表明,摄入含糖饮料与肥胖和相关疾病(如2型糖尿病)风险增加之间存在明显联系。因此,对SSB的购买征税是一种潜在的有价值的手段,可以削弱肥胖方程中一个关键风险因素的贡献,尽管饮料行业一直反对这些税收的制定,相反,他们对SSB的公共卫生立场普遍不明确。本文探讨了近年来实施的现有SSB消费税,特别关注费城的税收,作为研究与SSB税收和SSB税收管理相关的行为变化的案例研究。然后,它建议将SSB税收直接用于补贴水果和蔬菜,以最大限度地发挥这些相对新颖的消费税的抗肥胖潜力。
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Making A Dent in the Obesity Equation via Coupling Sugar-Sweetened Beverage Taxes with Fruit and Vegetable Subsidies
Obesity rates continue to rise in children and adults alike in the United States and represent a significant threat to public health and economic well-being. Many factors have contributed to the obesity equation, including the widespread availability and appeal of ultra-processed food and drink. Sugar-sweetened beverages (SSBs) represent one such drink, as a critical examination of the available evidence reveals a clear link between their consumption and increased risks of obesity and related conditions such as type 2 diabetes. Taxing SSB purchases therefore presents a potentially valuable means of making a dent in the contribution of one key risk factor to the obesity equation, though the beverage industry has fought against the enactment of these taxes and has instead promoted a generally unclear public health stance on SSBs. This paper explores existing SSB excise taxes that have been implemented in recent years, focusing especially on Philadelphia’s tax as a case study for examining the behavioral changes associated with SSB taxes and the management of SSB tax revenue. It then suggests that SSB tax revenue be directly funneled into the subsidization of fruits and vegetables to maximize the obesity-fighting potential of these relatively novel excise taxes.
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