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Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States

BACKGROUND: Sugar-sweetened beverage (SSB) consumption contributes to obesity, a risk factor for 13 cancers. Although SSB taxes can reduce intake, the health and economic impact on reducing cancer burdens in the United States are unknown, especially among low-income Americans with higher SSB intake...

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Autores principales: Du, Mengxi, Griecci, Christina F, Kim, David D, Cudhea, Frederick, Ruan, Mengyuan, Eom, Heesun, Wong, John B, Wilde, Parke E, Michaud, Dominique S, Lee, Yujin, Micha, Renata, Mozaffarian, Dariush, Zhang, Fang Fang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771430/
https://www.ncbi.nlm.nih.gov/pubmed/33409452
http://dx.doi.org/10.1093/jncics/pkaa073
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author Du, Mengxi
Griecci, Christina F
Kim, David D
Cudhea, Frederick
Ruan, Mengyuan
Eom, Heesun
Wong, John B
Wilde, Parke E
Michaud, Dominique S
Lee, Yujin
Micha, Renata
Mozaffarian, Dariush
Zhang, Fang Fang
author_facet Du, Mengxi
Griecci, Christina F
Kim, David D
Cudhea, Frederick
Ruan, Mengyuan
Eom, Heesun
Wong, John B
Wilde, Parke E
Michaud, Dominique S
Lee, Yujin
Micha, Renata
Mozaffarian, Dariush
Zhang, Fang Fang
author_sort Du, Mengxi
collection PubMed
description BACKGROUND: Sugar-sweetened beverage (SSB) consumption contributes to obesity, a risk factor for 13 cancers. Although SSB taxes can reduce intake, the health and economic impact on reducing cancer burdens in the United States are unknown, especially among low-income Americans with higher SSB intake and obesity-related cancer burdens. METHODS: We used the Diet and Cancer Outcome Model, a probabilistic cohort state-transition model, to project health gains and economic benefits of a penny-per-ounce national SSB tax on reducing obesity-associated cancers among US adults aged 20 years and older by income. RESULTS: A national SSB tax was estimated to prevent 22 075 (95% uncertainty interval [UI] = 16 040-28 577) new cancer cases and 13 524 (95% UI = 9841-17 681) cancer deaths among US adults over a lifetime. The policy was estimated to cost $1.70 (95% UI = $1.50-$1.95) billion for government implementation and $1.70 (95% UI = $1.48-$1.96) billion for industry compliance, while saving $2.28 (95% UI = $1.67-$2.98) billion cancer-related healthcare costs. The SSB tax was highly cost-effective from both a government affordability perspective (incremental cost-effectiveness ratio [ICER] = $1486, 95% UI = -$3516-$9265 per quality-adjusted life year [QALY]) and a societal perspective (ICER = $13 220, 95% UI = $3453-$28 120 per QALY). Approximately 4800 more cancer cases and 3100 more cancer deaths would be prevented, and $0.34 billion more healthcare cost savings would be generated among low-income (federal poverty-to-income ratio [FPIR] ≤ 1.85) than higher-income individuals (FPIR > 1.85). CONCLUSIONS: A penny-per-ounce national SSB tax is cost-effective for cancer prevention in the United States, with the largest health gains and economic benefits among low-income Americans.
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spelling pubmed-77714302021-01-05 Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States Du, Mengxi Griecci, Christina F Kim, David D Cudhea, Frederick Ruan, Mengyuan Eom, Heesun Wong, John B Wilde, Parke E Michaud, Dominique S Lee, Yujin Micha, Renata Mozaffarian, Dariush Zhang, Fang Fang JNCI Cancer Spectr Article BACKGROUND: Sugar-sweetened beverage (SSB) consumption contributes to obesity, a risk factor for 13 cancers. Although SSB taxes can reduce intake, the health and economic impact on reducing cancer burdens in the United States are unknown, especially among low-income Americans with higher SSB intake and obesity-related cancer burdens. METHODS: We used the Diet and Cancer Outcome Model, a probabilistic cohort state-transition model, to project health gains and economic benefits of a penny-per-ounce national SSB tax on reducing obesity-associated cancers among US adults aged 20 years and older by income. RESULTS: A national SSB tax was estimated to prevent 22 075 (95% uncertainty interval [UI] = 16 040-28 577) new cancer cases and 13 524 (95% UI = 9841-17 681) cancer deaths among US adults over a lifetime. The policy was estimated to cost $1.70 (95% UI = $1.50-$1.95) billion for government implementation and $1.70 (95% UI = $1.48-$1.96) billion for industry compliance, while saving $2.28 (95% UI = $1.67-$2.98) billion cancer-related healthcare costs. The SSB tax was highly cost-effective from both a government affordability perspective (incremental cost-effectiveness ratio [ICER] = $1486, 95% UI = -$3516-$9265 per quality-adjusted life year [QALY]) and a societal perspective (ICER = $13 220, 95% UI = $3453-$28 120 per QALY). Approximately 4800 more cancer cases and 3100 more cancer deaths would be prevented, and $0.34 billion more healthcare cost savings would be generated among low-income (federal poverty-to-income ratio [FPIR] ≤ 1.85) than higher-income individuals (FPIR > 1.85). CONCLUSIONS: A penny-per-ounce national SSB tax is cost-effective for cancer prevention in the United States, with the largest health gains and economic benefits among low-income Americans. Oxford University Press 2020-08-25 /pmc/articles/PMC7771430/ /pubmed/33409452 http://dx.doi.org/10.1093/jncics/pkaa073 Text en © The Author(s) 2020. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Article
Du, Mengxi
Griecci, Christina F
Kim, David D
Cudhea, Frederick
Ruan, Mengyuan
Eom, Heesun
Wong, John B
Wilde, Parke E
Michaud, Dominique S
Lee, Yujin
Micha, Renata
Mozaffarian, Dariush
Zhang, Fang Fang
Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title_full Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title_fullStr Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title_full_unstemmed Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title_short Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States
title_sort cost-effectiveness of a national sugar-sweetened beverage tax to reduce cancer burdens and disparities in the united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771430/
https://www.ncbi.nlm.nih.gov/pubmed/33409452
http://dx.doi.org/10.1093/jncics/pkaa073
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