Fiscal Policies
Fiscal policies such as taxes on sugary drinks or junk foods work to reduce purchases and intake of unhealthy products and to increase purchases and intake of healthier alternatives. Over 50 countries and smaller jurisdictions have instituted taxes like these aimed at improving public health and reducing the burden of chronic diseases including obesity.
Resources
A prescription for healthier diets: SuperSNAP in NC
Policy brief describing SuperSNAP, a Food is Medicine program in NC. Starting in September 2019, the SuperSNAP program enrolled individuals with diet-related health conditions receiving Supplemental Nutrition Assistance Program (SNAP) benefits in nine federally qualified health centers across North Carolina. SuperSNAP participants received $40 per month to spend on fresh, frozen, canned, or dried fruits and vegetables without additives at a participating NC-based chain retailer with around 500 stores across North Carolina. This policy brief includes reflections from surveys with consumers, NC retailers, and healthcare providers on the success of the SuperSNAP program.
Global maps showing countries and smaller jurisdictions with taxes on sugary or sweetened beverages and/or foods high in nutrients or ingredients of health concern. These taxes aim to curb intake of sugar, salt, saturated or trans fat, or excessive calories to improving public health; to encourage industry to shift their products and portfolios towards healthier products; and to raise revenue. Included are brief descriptions of each tax design and dates of implementation and updates.
Comments for WHO consultation on the draft fiscal policy guidelines
The Global Food Research Program submission to World Health Organization’s public consultation on draft guidelines on fiscal policies to promote healthy diets
Taxing sugary drinks: A fiscal policy to improve public health
Learn about the connections between excess sugar consumption and prevalence of obesity and other noncommunicable diseases, as well as real-world evidence for how sugary drink taxes can reduce sugar intake, improve health, and increase government revenue while decreasing health care costs and the personal and shared burdens of nutrition-related diseases.
Sweetened beverage tax evaluations: Stakeholders, potential outcomes, and responses
Diagram depicting the relationships between stakeholders’ interests (governments, health advocates, consumers, and industry), their potential responses to sweetened beverage taxes, and measurable outcomes for evaluations.
Fact sheet describing ultra-processed foods and drinks and the threat they pose to public health worldwide as they make up increasingly greater portions of the global diet. Learn how to identify ultra-processed products; review the evidence for their association with a multitude of risk factors, diseases, and mortality; and explore policy options to reduce consumption. […]
Preventing obesity in South Africa
October 2016, addresses the burden of obesity, why tax sugary drinks, & countering food industry claims
Publications
Promoting healthier purchases: ultra-processed food taxes and minimally-processed food subsidies for the low income.
Authors: Pourya Valizadeh, Shu Wen Ng
Published in: American Journal of Preventative Medicine, April 2, 2024 view full text
Impact of the Philadelphia beverage tax on perceived beverage healthfulness, tax awareness and tax opinions
Authors: Caitlin Lowery, Christina Roberto, Sophia Hua, Sara Bleich, Nandita Mitra, Hannah Lawman, Lindsey Smith Taillie, Shu Wen Ng, Laura Gibson
Published in: Journal of Nutrition Education and Behavior, March 9, 2024 view full text
Understanding Whether Price Tag Messaging Can Amplify the Benefits of Taxes: An Online Experiment.
Authors: Marissa Hall, Phoebe Ruggles, Katherine McNeel, Carmen Prestemon, Cristina Lee, Caitlin Lowery, Aline D'Angelo Campos, Lindsey Smith Taillie
Published In: American Journal Of Preventative Medicine, January 7, 2024 view full text
Cost-benefit analysis of alternative tax policies on sugar-sweetened beverages in Mexico
Authors: Juan Carlos Salgado Hernandez, Shu Wen Ng, Sally C. Stearns, Justin G. Trogdon
Published in: PLOS One, October 3, 2023 view full text
Impact of taxes and warning labels on red meat purchases in a naturalistic online grocery store: A randomized controlled trial
Authors: Lindsey Smith Taillie, Maxime Bercholz, Carmen Prestemon, Isabella Higgins, Anna H. Grummon, Marissa G. Hall, Lindsay Jaacks
Published in: PLOS Medicine, September 18, 2023
view full text
Changes in sugar-sweetened beverage purchases across the price distribution after the implementation of a tax in Mexico: a before-and-after analysis
Authors: Juan Carlos Salgado Hernández, Shu Wen Ng, M. Arantxa Colchero
Published in: BMC Public Health, February 7, 2023 view full text
Employment and wage effects of sugar-sweetened beverage taxes and front-of-package warning label regulations on the food and beverage industry: Evidence from Peru
Authors: Juan-José Díaz, Alan Sánchez, Francisco Diez-Canseco, J. Jaime Miranda, Barry
M. Popkin
Published in: Food Policy, January 20, 2023 view full text
Sugar-sweetened beverage purchases in urban Peru before the implementation of taxation and warning label policies: a baseline study
Authors: Caitlin M. Lowery, Lorena Saavedra-Garcia, Francisco Diez-Canseco, María Kathia Cárdenas, J. Jaime Miranda, Lindsey Smith Taillie
Published in: BMC Public Health, December 20, 2022 view full text
Grocery purchase changes were associated with a North Carolina COVID food assistance incentive program
Authors: Caitlin M. Lowery, Richard Henderson, Neal Curran, Sam Hoeffler, Molly DeMarco, Shu Wen Ng
Published in: Health Affairs, November 7, 2022 view full text
Are intentions to change, policy awareness, or health knowledge related to changes in dietary intake following a sugar-sweetened beverage tax in South Africa? A before-and-after study
Authors: Michael Essman, Catherine Zimmer, Francesca Dillman Carpentier, Elizabeth C. Swart, Lindsey Smith Taillie
Published in: International Journal of Behavioral Nutrition and Physical Activity, October 28, 2022 view full text
Simulation models of sugary drink policies: A scoping review
Authors: Natalie Riva Smith, Anna H. Grummon, Shu Wen Ng, Sarah Towner Wright, Leah Frerichs
Published in: PLOS ONE, October 3, 2022 view full text
Decomposing consumer and producer effects on sugar from beverage purchases after a sugar-based tax on beverages in South Africa
Authors: Maxime Bercholz, Shu Wen Ng, Nicholas Stacey, Elizabeth C. Swart
Published in: Economics & Human Biology, March 21, 2022 view full text
South Africa’s Health Promotion Levy on pricing and acquisition of beverages in local spazas and supermarkets
Authors: Alexandra Ross, Elizabeth C. Swart, Tamryn Frank, Caitlin M. Lowery, Shu Wen Ng
Published in: Public Health Nutrition, March 7, 2022 view full text
Purchases of non-taxed foods, beverages, and alcohol in a longitudinal cohort after implementation of the Philadelphia Beverage Tax
Authors: Anna H. Grummon, Christina A. Roberto, Hannah G. Lawman, Sara N. Bleich, Jiali Yan, Nandita Mitra, Sophia V. Hua, Caitlin M. Lowery, Ana Peterhans, Laura A. Gibson
Published in: The Journal of Nutrition, December 15, 2021 view full text
The impacts on food purchases and tax revenues of a tax based on Chile’s nutrient profiling model
Authors: M. Arantxa Colchero, Guillermo Paraje, Barry M. Popkin
Published in: PLOS ONE, December 2, 2021 view full text
Examining the news media reaction to a national sugary beverage tax in South Africa: A quantitative content analysis
Authors: Michael Essman, Fernanda Mediano Stoltze, Francesca Dillman Carpentier, Elizabeth C. Swart, Lindsey Smith Taillie
Published in: BMC Public Health, December 2021 view full text
How should we evaluate sweetened beverage tax policies? A review of worldwide experience
Authors: Shu Wen Ng, M. Arantxa Colchero, Martin White
Published in: BMC Public Health, October 26, 2021 view full text
Cash transfer programs are important for improved nutrition in low- and middle-income countries
Authors: Barry M. Popkin
Published in: The Journal of Nutrition, October 12, 2021 view full text
Linking a sugar-sweetened beverage tax with fruit and vegetable subsidies: A simulation analysis of the impact on the poor
Authors: Pourya Valizadeh, Barry M. Popkin, Shu Wen Ng
Published in: The American Journal of Clinical Nutrition, October 5, 2021 view full text
Simulating international tax designs on sugar-sweetened beverages in Mexico
Authors: Juan Carlos Salgado Hernández, Shu Wen Ng
Published in: PLOS ONE, August 19, 2021 view full text
South Africa's health promotion levy: Excise tax findings and equity potential
Authors: Karen Hofman, Nicholas Stacey, Elizabeth Swart, Barry Popkin, Shu Wen Ng
Published in: Obesity Reviews, May 31, 2021 view full text
Taxed and untaxed beverage consumption by young adults in Langa, South Africa before and one year after a national sugar-sweetened beverage tax
Authors: Michael Essman, Lindsey Smith Taillie, Tamryn Frank, Shu Wen Ng, Barry M. Popkin, Elizabeth C. Swart
Published in: PLOS Medicine, May 25, 2021 view full text
Changes in beverage purchases following the announcement and implementation of South Africa's Health Promotion Levy: An observational study
Authors: Nicholas Stacey, Ijeoma Edoka, Karen Hofman, Elizabeth C. Swart, Barry Popkin, and Shu Wen Ng
Published in: The Lancet Planetary Health, April 1, 2021 view full text
Sugar-sweetened beverage reduction policies: Progress and promise
Authors: James Krieger, Sara Bleich, Stephanie Scarmo, and Shu Wen Ng
Published in: Annual Review of Public Health, April 1, 2021 view full text
Would a national sugar‐sweetened beverage tax in the united states be well targeted?
Authors: Pourya Valizadeh, Shu Wen Ng
Published in: American Journal of Agricultural Economics, February 2, 2021 view full text
Implementation science is important for understanding and advancing beverage taxes
Authors: Sara N. Bleich, Jamie Chriqui, Shu Wen Ng
Published in: Am J Public Health, September 1, 2020 view full text
Mexican households’ food shopping patterns in 2015: Analysis following nonessential food and sugary beverage taxes
Authors: Lilia S Pedraza, Barry M Popkin, Linda Adair, Whitney R Robinson, Lindsey Smith Taillie
Published in: Public Health Nutrition, August 5, 2020 view full text
Association between tax on sugar sweetened beverages and soft drink consumption in adults in Mexico: Open cohort longitudinal analysis of Health Workers Cohort Study
Authors: Luz María Sánchez-Romero, Francisco Canto-Osorio, Romina González-Morales, M Arantxa Colchero, Shu Wen Ng, Paula Ramírez-Palacios, Jorge Salmerón, Tonatiuh Barrientos-Gutiérrez
Published in: BMJ, May 6, 2020 view full text
Body weight impact of the sugar-sweetened beverages tax in Mexican children: A modeling study
Authors: Rossana Torres-Álvarez, Rodrigo Barrán-Zubaran, Francisco Canto-Osorio, Luz M. Sánchez-Romero, Dalia Camacho-García-Formentí, Barry M. Popkin, Juan A. Rivera, Rafael Meza, Tonatiuh Barrientos-Gutiérrez
Published in: Pediatr Obes, April 13 2020 view full text
Combined fiscal policies to promote healthier diets: effects on purchases and consumer welfare
Authors: Juan C. Caro, Pourya Valizadeh, Alejandrina Correa, Andres Silva, Shu Wen Ng
Published in: PLOS One, January 15 2020 view full text
Understanding heterogeneity in price changes and firm responses to a national unhealthy food tax in Mexico
Authors: Juan C. Salgado, Shu Wen Ng
Published in: Food Policy, December 1 2019 view full text
The caloric and sugar content of beverages purchased at different store-types changed after the sugary drinks taxation in Mexico
Authors: Lilia S. Pedraza, Barry M. Popkin, Carolina Batis, Linda Adair, Whitney R. Robinson, David K. Guilkey, Lindsey S. Taillie
Published in: Int J Behav Nutr Phys Act, November 12 2019 view full text
Sugar-based beverage taxes and beverage prices: Evidence from South Africa’s Health Promotion Levy
Authors: Nicholas Stacey, Caroline Mudara, Shu Wen Ng, Corne van Walbeek, Karen Hofmam, Ijeoma Edoka
Published in: Social Science & Medicine, October 1 2019 view full text
Did high sugar-sweetened beverage purchasers respond differently to the excise tax on sugar-sweetened beverages in Mexico?
Authors: Shu Wen Ng, Juan A. Rivera, Barry M. Popkin, Michelle A. Colchero
Published in: Public Health Nutr, March 2019 view full text
Patterns and trends in the intake distribution of manufactured and homemade sugar-sweetened beverages in pre-tax Mexico, 1999-2012
Authors: Tania Aburto, Jennifer M. Poti, Barry M. Popkin
Published in: Public Health Nutr, December 2018 view full text
Chile’s 2014 sugar-sweetened beverage tax and changes in prices and purchases of sugar-sweetened beverages: An observational study in an urban environment
Authors: Juan C. Caro, Camila Corvalán, Marcela Reyes, Andres Silva, Barry M. Popkin, Lindsey S. Taillie
Published in: PLOS Med, 2018 view full text
Sugary drinks taxation, projected consumption and fiscal revenues in Colombia: Evidence from a QUAIDS model
Authors: Juan C. Caro, Shu Wen Ng, Ricardo Bonilla, Jorge Tovar, Barry M. Popkin
Published in: PLOS ONE, December 20 2017 view full text view full text
Mexican cohort study predates but predicts the type of body composition changes expected from the Mexican sugar-sweetened beverage tax
Author: Barry M. Popkin
Published in: Am J Public Health, November 2017 view full text
Designing a tax to discourage unhealthy food and beverage purchases: The case of Chile
Authors: Juan C. Caro, Shu Wen Ng, Lindsey S. Taillie, Barry M. Popkin
Published in: Food Policy, August 2017 view full text
Do high vs. low purchasers respond differently to a nonessential energy-dense food tax? Two-year evaluation of Mexico’s 8% nonessential food tax
Authors: Lindsey S. Taillie, Juan A. Rivera, Barry M. Popkin, Carolina Batis
Published in: Preventive Medicine, July 17 2017 view full text
Sugar-sweetened beverage tax: The authors reply
Authors: Michelle A. Colchero, Shu Wen Ng, Barry M. Popkin
Published in: Health Aff (Millwood), June 2017 view full text
Changes in prices, sales, consumer spending and beverage consumption one year after a tax on sugar-sweetened beverages in Berkeley, USA: A before-and-after study
Authors: Lynn D. Silver, Shu Wen Ng, Suzanne Ryan-Ibarra, Marta Induni, Donna R. Miles, Jennifer M. Poti, Lindsey S. Taillie, Barry M. Popkin
Published in: PLoS Medicine, April 2017, See video overview view full text
In Mexico, evidence of sustained consumer response two years after implementing a sugar-sweetened beverage tax
Authors: Michelle A. Colchero, Barry M. Popkin, Juan A. Rivera, Shu Wen Ng
Published in: Health Affairs, March 2017 view full text
SSB taxes and diet quality in U.S. preschoolers: Estimated changes in the 2010 Healthy Eating Index
Authors: Christopher N. Ford, Jennifer M. Poti, Shu Wen Ng, Barry M. Popkin
Published in: Pediatric Obesity, April 5 2016 view full text
Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study
Authors: M Arantxa Colchero, Barry M. Popkin, Juan A. Rivera, Shu Wen Ng
Published in: BMJ, January 2016 view full text
Changes in prices after an excise tax to sugar sweetened beverages was implemented in Mexico: evidence from urban areas
Authors: Colchero MA, Salgado JC, Unar-Munguía M, Molina M, Ng SW, Rivera-Dommarco JA
Published in: PLoS ONE, December 2015 view full text
Targeted beverage taxes influence food and beverage purchases among households with preschool children
Authors: Christopher N. Ford, Shu Wen Ng, Barry M. Popkin
Published in: Journal of Nutrition, August 2015 view full text
Drinking to our health: Can beverage companies cut calories while maintaining profits?
Authors: Susan Kleiman, Shu Wen Ng, Barry M. Popkin
Published in: Obesity Reviews, March 2012 view full text