South Africa's Health Promotion Levy: Excise tax findings and equity potential.
South Africa
equity
fiscal policy
health promotion
Journal
Obesity reviews : an official journal of the International Association for the Study of Obesity
ISSN: 1467-789X
Titre abrégé: Obes Rev
Pays: England
ID NLM: 100897395
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
20
05
2021
received:
23
02
2021
accepted:
22
05
2021
pubmed:
2
6
2021
medline:
12
8
2021
entrez:
1
6
2021
Statut:
ppublish
Résumé
In 2016, the South African government proposed a 20% sugar-sweetened beverage (SSB) tax. Protracted consultations with beverage manufacturers and the sugar industry followed. This resulted in a lower sugar-based beverage tax, the Health Promotion Levy (HPL), of approximately 10% coming into effect in April 2018. We provide a synthesis of findings until April 2021. Studies show that despite the lower rate, purchases of unhealthy SSBs and sugar intake consumption from SSBs fell. There were greater reductions in SSB purchases among both lower socioeconomic groups and in subpopulations with higher SSB consumption. These subpopulations bear larger burdens from obesity and related diseases, suggesting that this policy improves health equity. The current COVID-19 pandemic has impacted food and nutritional security. Increased pandemic mortality among people with obesity, diabetes, and hypertension highlight the importance of intersectoral public health disease-prevention policies like the HPL, which should be strengthened.
Identifiants
pubmed: 34060197
doi: 10.1111/obr.13301
pmc: PMC8349837
mid: NIHMS1712008
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13301Subventions
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : South African Medical Research Council
ID : D1305910-03
Organisme : Bloomberg Philanthropies
Organisme : International Development Research Centre
ID : 108424-001
Informations de copyright
© 2021 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
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