Changes in Dental Outcomes After Implementation of the Philadelphia Beverage Tax.


Journal

American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773

Informations de publication

Date de publication:
08 2023
Historique:
received: 10 11 2022
revised: 02 02 2023
accepted: 03 02 2023
pmc-release: 01 08 2024
medline: 23 10 2023
pubmed: 3 3 2023
entrez: 2 3 2023
Statut: ppublish

Résumé

Beverage taxes are associated with declines in sugar-sweetened beverage sales and consumption, but few studies have evaluated the associations of these taxes with health outcomes. This study analyzed changes in dental decay after the implementation of the Philadelphia sweetened beverage tax. Electronic dental record data were obtained on 83,260 patients living in Philadelphia and control areas from 2014 to 2019. Difference-in-differences analyses compared the number of new Decayed, Missing, and Filled Teeth with that of new Decayed, Missing, and Filled Surfaces before (January 2014-December 2016) and after (January 2019-December 2019) tax implementation in Philadelphia and control patients. Analyses were conducted in older children/adults (aged ≥15 years) and younger children (aged <15 years). Subgroup analyses stratified by Medicaid status. Analyses were conducted in 2022. The number of new Decayed, Missing, and Filled Teeth did not change after tax implementation in Philadelphia in panel analyses of older children/adults (difference-in-differences= -0.02, 95% CI= -0.08, 0.03) or younger children (difference-in-differences=0.07, 95% CI= -0.08, 0.23). There were similarly no post-tax changes in the number of new Decayed, Missing, and Filled Surfaces. However, in cross-sectional samples of patients on Medicaid, the number of new Decayed, Missing, and Filled Teeth was lower after tax implementation in older children/adults (difference-in-differences= -0.18, 95% CI= -0.34, -0.03; -22% decline) and younger children (difference-in-differences= -0.22, 95% CI= -0.46, 0.01; -30% decline), with similar results for number of new Decayed, Missing, and Filled Surfaces. The Philadelphia beverage tax was not associated with reduced tooth decay in the general population, but it was associated with reduced tooth decay in adults and children on Medicaid, suggesting potential health benefits for low-income populations.

Identifiants

pubmed: 36863896
pii: S0749-3797(23)00069-7
doi: 10.1016/j.amepre.2023.02.009
pmc: PMC10363192
mid: NIHMS1874721
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

221-229

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK123624
Pays : United States

Informations de copyright

Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

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Auteurs

Joshua Petimar (J)

Department of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute, Boston, Massachusetts; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: jsp778@mail.harvard.edu.

Laura A Gibson (LA)

Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Mark S Wolff (MS)

School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Nandita Mitra (N)

Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Patricia Corby (P)

School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Gary Hettinger (G)

Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Emily F Gregory (EF)

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Emma Edmondson (E)

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Jason P Block (JP)

Department of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute, Boston, Massachusetts.

Christina A Roberto (CA)

Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

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