Considerations for modelling a broad food tax in the Philippines and other low-income and middle-income countries.

Autor:	Johnson Curtis C; Resolve to Saves Lives, New York, New York, USA cmj.johnson@gmail.com., Marklund M; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.; The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Saxena A; School of Social Sciences, Economics, Nanyang Technological University, Singapore., Goyena E; Department of Science and Technology, Food and Nutrition Research Institute, Manila, Philippines., P Desnacido J; Department of Science and Technology, Food and Nutrition Research Institute, Manila, Philippines., Koon AD; International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA., Warren B; Resolve to Saves Lives, New York, New York, USA., Cobb LK; Resolve to Saves Lives, New York, New York, USA., E Henry M; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA., Appel LJ; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.; International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.; Division of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland, USA., Angeles-Agdeppa I; Department of Science and Technology, Food and Nutrition Research Institute, Manila, Philippines.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2023 Oct; Vol. 8 (Suppl 8).
DOI:	10.1136/bmjgh-2023-012068
Abstrakt:	Fiscal policies to improve diet are a promising strategy to address the increasing burden of non-communicable disease, the leading cause of death globally. Sugar-sweetened beverage taxes are the most implemented type of fiscal policy to improve diet. Yet taxes on food, if appropriately structured and applied across the food supply, may support a larger population-level shift towards a healthier diet. Designing these policies and guiding them through the legislative process requires evidence. Equity-oriented cost-effectiveness analyses that estimate the distribution of potential health and economic gains can provide this critical evidence. Taxes on less healthy foods are rarely modelled in low-income and middle-income countries.We describe considerations for modelling the effect of a food tax, which can provide guidance for food tax policy design. This includes describing issues related to the availability, reliability and level of detail of national data on dietary habits, the nutrient content of foods and food prices; the structure of the nutrient profile model; type of tax; tax rate; pass-through rate and price elasticity. Using the Philippines as an example, we discuss considerations for using existing data to model the potential effect of a tax, while also taking into account the political and food policy context. In this way, we provide a modelling framework that can help guide policy-makers and advocates in designing a food policy to improve the health and well-being of future generations in the Philippines and elsewhere. Competing Interests: Competing interests: All authors have completed the ICMJE uniform disclosure form and declare: MM, AS, MEH, ADK and LJA report funding from Resolve to Save Lives for the present work. MM reports grant support from the WHO and travel support from the Nordic Dairy Congress 2022; all outside of the present work. LJA reports participation in the American Heart Association Nutrition Committee and honoraria from UpToDate, outside the present work. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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