含糖饮料税对健康和医疗成本的影响:一项系统综述

Diana Safraa Selimin, Nazarudin Safian, Mohd Rohaizat Hassan, Mohd Rizal Abdul Manaf, Qistina Mohd Ghazali
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引用次数: 0

摘要

背景:对含糖饮料(SSB)征税是减少人群中SSB消费的许多其他最佳策略之一。众所周知,SSB消费是导致肥胖并进一步导致非传染性疾病的主要因素。本研究旨在从健康结果和医疗成本效益方面收集有关含糖饮料税实施有效性的证据。方法:从健康结果和医疗成本效益的角度,对报告含糖饮料税实施有效性的文献进行了系统回顾。使用PubMed、Cochrane、Scopus、Ovid和Medline四个数据库对文献进行鉴定。使用PRISMA流程清单作为搜索符合条件的物品的指南。结果:本系统综述共纳入16篇符合条件的文章。所有的研究都是模拟研究。结果表明,消费税和从价税都能有效降低医疗成本,避免与高糖摄入相关的疾病。除此之外,事实证明,实施税收将获得有利的健康结果,而不是无所作为。当税收增加时,效果会更好。结论:综上所述,SSB税是一种有效的公共卫生干预措施,对健康结果和医疗成本都有好处。关键词:含糖饮料税;有效性;健康
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Effectiveness of sugar sweetened beverages tax on health and healthcare costs: A systematic review
Background: Taxing sugar-sweetened beverages (SSB) is one of many other best strategies to reduce consumption of SSB among populations. It is known that SSB consumption is the main contributor which cause obesity and further lead to non-communicable diseases. This study aimed to gather the evidence on the effectiveness of sugar-sweetened beverages tax implementation, in terms of health outcome and healthcare cost benefit. Methodology: A systematic review was done related to literature that reported about effectiveness of sugar-sweetened beverages tax implementation, in terms of health outcome and healthcare cost benefit. Four databases were used to identify the literature, namely PubMed, Cochrane, Scopus and Ovid and Medline. PRISMA flow checklist was used as a guide to search for the eligible articles. Results: In total, there were sixteen eligible articles included in this systematic review. All studies are simulation studies. Results shows that both excise and ad valorem tax are effective to reduce healthcare costs and could avert diseases related to high sugar intake. Other than that, it is proven that implementing tax will gain favorable health outcome rather than do nothing. Better results seen when the tax is increased. Conclusion: As a conclusion, SSB tax is proven as an effective public health intervention in terms of giving benefit to the health outcome and healthcare cost. Keywords: sugar-sweetened beverages tax, effectiveness, health, healthcare costs
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