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Sixteen-year trends in adolescent consumption of sugar-sweetened soda in six European countries with a soda tax and comparison countries: a repeated cross-sectional survey analysis.


ABSTRACT:

Objective

To examine changes in the proportions of daily, weekly and occasional consumers of sugar-sweetened soda in six European countries that introduced/updated a tax between 2001-2002 and 2017-2018 and in neighbouring comparison countries (without a tax).

Design

Repeated cross-sectional surveys.

Setting

Health Behaviour in School-aged Children study, spanning five survey years (school years 2001-2002 to 2017-2018).

Participants

Nationally representative samples of 13-year- and 15-year-old adolescents (n 236 623, 51·0 % girls).

Results

Tax sizes (€0·02/l to €0·22/l) and pre-tax soda consumption were heterogeneous across countries. Prevalence of daily soda consumption reduced in the survey year following tax implementation in Latvia (from 17·9 to 11·9 %, P = 0·01), Finland (4·2 to 2·5 %, P = 0·001), Belgium (35·1 to 27·8 %, P < 0·001) and Portugal (17·4 to 14·9 %, P = 0·02), but not in Hungary (29·8 to 31·3 %, P = 0·47) or France (29·4 to 28·2 %, P = 0·27). However, reductions were similar (Finland) or smaller (Belgium, Portugal) than those in the comparison countries, except in Latvia where the reduction was larger (Pinteraction < 0·001). Prevalence of weekly soda consumption remained stable (Finland, Hungary and France) or increased (Latvia, Belgium); only Portugal experienced a decline (P < 0·001), which was larger than in the comparison country (Pinteraction < 0·001). Prevalence of occasional soda consumption (<1x/week) did not rise after implementation of the tax in Latvia, Finland, Hungary, France or Belgium, or the rise was similar to the comparison country in Portugal (Pinteraction = 0·15).

Conclusions

Countries with a soda tax did not experience larger beneficial changes in post-tax adolescent consumption frequency of soda than comparison countries. Further studies, with different taxation types, are needed in the adolescent population.

SUBMITTER: Chatelan A 

PROVIDER: S-EPMC9989715 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

Sixteen-year trends in adolescent consumption of sugar-sweetened soda in six European countries with a soda tax and comparison countries: a repeated cross-sectional survey analysis.

Chatelan Angeline A   Rouche Manon M   Dzielska Anna A   Fismen Anne-Siri AS   Kelly Colette C   Pedroni Camille C   Desbouys Lucille L   Castetbon Katia K  

Public health nutrition 20221102 3


<h4>Objective</h4>To examine changes in the proportions of daily, weekly and occasional consumers of sugar-sweetened soda in six European countries that introduced/updated a tax between 2001-2002 and 2017-2018 and in neighbouring comparison countries (without a tax).<h4>Design</h4>Repeated cross-sectional surveys.<h4>Setting</h4>Health Behaviour in School-aged Children study, spanning five survey years (school years 2001-2002 to 2017-2018).<h4>Participants</h4>Nationally representative samples o  ...[more]

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