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Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study
BACKGROUND: The World Health Organization (WHO) recommends sugar-sweetened beverage (SSB) taxes to address obesity. Thailand has just launched the new tax rates for SSB in 2017; however, the existing tax rate is not as high as the 20% recommended by the WHO. The objective for this study was to estim...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084227/ https://www.ncbi.nlm.nih.gov/pubmed/33914822 http://dx.doi.org/10.1371/journal.pone.0250841 |
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author | Phonsuk, Payao Vongmongkol, Vuthiphan Ponguttha, Suladda Suphanchaimat, Rapeepong Rojroongwasinkul, Nipa Swinburn, Boyd Anthony |
author_facet | Phonsuk, Payao Vongmongkol, Vuthiphan Ponguttha, Suladda Suphanchaimat, Rapeepong Rojroongwasinkul, Nipa Swinburn, Boyd Anthony |
author_sort | Phonsuk, Payao |
collection | PubMed |
description | BACKGROUND: The World Health Organization (WHO) recommends sugar-sweetened beverage (SSB) taxes to address obesity. Thailand has just launched the new tax rates for SSB in 2017; however, the existing tax rate is not as high as the 20% recommended by the WHO. The objective for this study was to estimate the impacts of an SSB tax on body mass index (BMI) and obesity prevalence in Thailand under three different scenarios based on existing SSB and recommended tax rates. METHODS: A base model was built to estimate the impacts of an SSB tax on SSB consumption, energy intake, BMI, and obesity prevalence. Literature review was conducted to estimate pass on rate, price elasticity, energy compensation, and energy balance to weight change. Different tax rates (11%, 20% and 25%) were used in the model. The model assumed no substitution effects, model values were based on international data since there was no empirical Thai data available. Differential effects by income groups were not estimated. FINDINGS: When applying 11%, 20%, and 25% tax rates together with 100% pass on rate and an -1.30 own-price elasticity, the SSB consumption decreased by 14%, 26%, and 32%, respectively. The 20% and 25% price increase in SSB price tended to reduce higher energy intake, weight status and BMI, when compared with an 11% increase in existing price increase of SSB. The percentage changes of obesity prevalence of 11%, 20% and 25% SSB tax rates were estimated to be 1.73%, 3.83%, and 4.91%, respectively. CONCLUSIONS: A higher SSB tax (20% and 25%) was estimated to reduce consumption and consequently decrease obesity prevalence. Since Thailand has already endorsed the excise tax structure, the new excise tax structure for SSB should be scaled up to a 20% or 25% tax rate if the SSB consumption change does not meet a favourable goal. |
format | Online Article Text |
id | pubmed-8084227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-80842272021-05-06 Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study Phonsuk, Payao Vongmongkol, Vuthiphan Ponguttha, Suladda Suphanchaimat, Rapeepong Rojroongwasinkul, Nipa Swinburn, Boyd Anthony PLoS One Research Article BACKGROUND: The World Health Organization (WHO) recommends sugar-sweetened beverage (SSB) taxes to address obesity. Thailand has just launched the new tax rates for SSB in 2017; however, the existing tax rate is not as high as the 20% recommended by the WHO. The objective for this study was to estimate the impacts of an SSB tax on body mass index (BMI) and obesity prevalence in Thailand under three different scenarios based on existing SSB and recommended tax rates. METHODS: A base model was built to estimate the impacts of an SSB tax on SSB consumption, energy intake, BMI, and obesity prevalence. Literature review was conducted to estimate pass on rate, price elasticity, energy compensation, and energy balance to weight change. Different tax rates (11%, 20% and 25%) were used in the model. The model assumed no substitution effects, model values were based on international data since there was no empirical Thai data available. Differential effects by income groups were not estimated. FINDINGS: When applying 11%, 20%, and 25% tax rates together with 100% pass on rate and an -1.30 own-price elasticity, the SSB consumption decreased by 14%, 26%, and 32%, respectively. The 20% and 25% price increase in SSB price tended to reduce higher energy intake, weight status and BMI, when compared with an 11% increase in existing price increase of SSB. The percentage changes of obesity prevalence of 11%, 20% and 25% SSB tax rates were estimated to be 1.73%, 3.83%, and 4.91%, respectively. CONCLUSIONS: A higher SSB tax (20% and 25%) was estimated to reduce consumption and consequently decrease obesity prevalence. Since Thailand has already endorsed the excise tax structure, the new excise tax structure for SSB should be scaled up to a 20% or 25% tax rate if the SSB consumption change does not meet a favourable goal. Public Library of Science 2021-04-29 /pmc/articles/PMC8084227/ /pubmed/33914822 http://dx.doi.org/10.1371/journal.pone.0250841 Text en © 2021 Phonsuk et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Phonsuk, Payao Vongmongkol, Vuthiphan Ponguttha, Suladda Suphanchaimat, Rapeepong Rojroongwasinkul, Nipa Swinburn, Boyd Anthony Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title | Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title_full | Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title_fullStr | Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title_full_unstemmed | Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title_short | Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study |
title_sort | impacts of a sugar sweetened beverage tax on body mass index and obesity in thailand: a modelling study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084227/ https://www.ncbi.nlm.nih.gov/pubmed/33914822 http://dx.doi.org/10.1371/journal.pone.0250841 |
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