Changes in food pricing and availability on the Navajo Nation following a 2% tax on unhealthy foods: The Healthy Dine Nation Act of 2014.

ABSTRACT:

Introduction

In 2014, the Navajo Nation Healthy Diné Nation Act (HDNA) was passed, combining a 2% tax on foods of 'minimal-to-no-nutritional value' and waiver of 5% sales tax on healthy foods, the first-ever such tax in the U.S. and globally among a sovereign tribal nation. The aim of this study was to measure changes in pricing and food availability in stores on the Navajo Nation following the implementation of the HDNA.

Methods

Store observations were conducted in 2013 and 2019 using the Nutrition Environment Measurement Survey-Stores (NEMS-S) adapted for the Navajo Nation. Observations included store location, type, whether healthy foods or HDNA were promoted, and availability and pricing of fresh fruits and vegetables, canned items, beverages, water, snacks and tradition

SUBMITTER: George C 

PROVIDER: S-EPMC8412325 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature