Economic Evaluations of Obesity-Targeted Sugar-Sweetened Beverage (SSB) Taxes-A Review to Identify Methodological Issues.

Thiboonboon, K; Lourenco, RDA; Cronin, P; Khoo, T; Goodall, S

Economic Evaluations of Obesity-Targeted Sugar-Sweetened Beverage (SSB) Taxes-A Review to Identify Methodological Issues.

Thiboonboon, K

Lourenco, RDA Cronin, P

Khoo, T

Goodall, S

Permalink

Publisher:: ELSEVIER IRELAND LTD
Publication Type:: Journal Article
Citation:: Health Policy, 2024, 144, pp. 105076
Issue Date:: 2024-06

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Download Published versionAdobe PDF (845.35 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Thiboonboon, K https://orcid.org/0000-0003-3922-4362
dc.contributor.author	Lourenco, RDA
dc.contributor.author	Cronin, P https://orcid.org/0000-0003-4422-7760
dc.contributor.author	Khoo, T https://orcid.org/0000-0002-6765-7889
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565
dc.date.accessioned	2024-09-23T03:05:06Z
dc.date.available	2024-04-20
dc.date.available	2024-09-23T03:05:06Z
dc.date.issued	2024-06
dc.identifier.citation	Health Policy, 2024, 144, pp. 105076
dc.identifier.issn	0168-8510
dc.identifier.issn	1872-6054
dc.identifier.uri	http://hdl.handle.net/10453/180913
dc.description.abstract	INTRODUCTION: Economic evaluations of public health interventions like sugar-sweetened beverage (SSB) taxes face difficulties similar to those previously identified in other public health areas. This stems from challenges in accurately attributing effects, capturing outcomes and costs beyond health, and integrating equity effects. This review examines how these challenges were addressed in economic evaluations of SSB taxes. METHODS: A systematic review was conducted to identify economic evaluations of SSB taxes focused on addressing obesity in adults, published up to February 2021. The methodological challenges examined include measuring effects, valuing outcomes, assessing costs, and incorporating equity. RESULTS: Fourteen economic evaluations of SSB taxes were identified. Across these evaluations, estimating SSB tax effects was uncertain due to a reliance on indirect evidence that was less robust than evidence from randomised controlled trials. Health outcomes, like quality-adjusted life years, along with a healthcare system perspective for costs, dominated the evaluations of SSB taxes, with a limited focus on broader non-health consequences. Equity analyses were common but employed significantly different approaches and exhibited varying degrees of quality. CONCLUSION: Addressing the methodological challenges remains an issue for economic evaluations of public health interventions like SSB taxes, suggesting the need for increased attention on those issues in future studies. Dedicated methodological guidelines, in particular addressing the measurement of effect and incorporation of equity impacts, are warranted.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER IRELAND LTD
dc.relation.ispartof	Health Policy
dc.relation.isbasedon	10.1016/j.healthpol.2024.105076
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1605 Policy and Administration
dc.subject.classification	Health Policy & Services
dc.subject.classification	4206 Public health
dc.subject.classification	4407 Policy and administration
dc.subject.mesh	Taxes
dc.subject.mesh	Humans
dc.subject.mesh	Sugar-Sweetened Beverages
dc.subject.mesh	Obesity
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Public Health
dc.subject.mesh	Quality-Adjusted Life Years
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Public Health
dc.subject.mesh	Quality-Adjusted Life Years
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Taxes
dc.subject.mesh	Sugar-Sweetened Beverages
dc.subject.mesh	Taxes
dc.subject.mesh	Humans
dc.subject.mesh	Sugar-Sweetened Beverages
dc.subject.mesh	Obesity
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Public Health
dc.subject.mesh	Quality-Adjusted Life Years
dc.title	Economic Evaluations of Obesity-Targeted Sugar-Sweetened Beverage (SSB) Taxes-A Review to Identify Methodological Issues.
dc.type	Journal Article
utslib.citation.volume	144
utslib.location.activity	Ireland
utslib.for	1117 Public Health and Health Services
utslib.for	1605 Policy and Administration
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Business
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Economics Research and Evaluation (CHERE)
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Technologies (CHT)
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-09-23T03:05:04Z
pubs.publication-status	Published
pubs.volume	144

Abstract:

INTRODUCTION: Economic evaluations of public health interventions like sugar-sweetened beverage (SSB) taxes face difficulties similar to those previously identified in other public health areas. This stems from challenges in accurately attributing effects, capturing outcomes and costs beyond health, and integrating equity effects. This review examines how these challenges were addressed in economic evaluations of SSB taxes. METHODS: A systematic review was conducted to identify economic evaluations of SSB taxes focused on addressing obesity in adults, published up to February 2021. The methodological challenges examined include measuring effects, valuing outcomes, assessing costs, and incorporating equity. RESULTS: Fourteen economic evaluations of SSB taxes were identified. Across these evaluations, estimating SSB tax effects was uncertain due to a reliance on indirect evidence that was less robust than evidence from randomised controlled trials. Health outcomes, like quality-adjusted life years, along with a healthcare system perspective for costs, dominated the evaluations of SSB taxes, with a limited focus on broader non-health consequences. Equity analyses were common but employed significantly different approaches and exhibited varying degrees of quality. CONCLUSION: Addressing the methodological challenges remains an issue for economic evaluations of public health interventions like SSB taxes, suggesting the need for increased attention on those issues in future studies. Dedicated methodological guidelines, in particular addressing the measurement of effect and incorporation of equity impacts, are warranted.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/180913