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      Changes in Prices After an Excise Tax to Sweetened Sugar Beverages Was Implemented in Mexico: Evidence from Urban Areas

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          Abstract

          In 2014 an excise tax to non-alcoholic sweetened beverages (SSB) was implemented in Mexico. The objective of this paper is to study whether and to what degree these taxes passed-through onto SSB prices in urban areas overall and by region, type of beverage and package size. Prices were obtained from the National Institute of Statistics and Geography from 2011 to 2014. We applied a pre-post quasi-experimental approach using fixed effects models. In sensitivity analysis we applied other model specifications to test the robustness of the findings and we also present weighted estimations based on household purchases. The dependent variables are real prices of a specific beverage category; the main independent variables are dummies for each month of 2014, and the models adjust for time trends and seasonality. Results suggest that the SSB tax passed along to consumers for all SSBs and we found overshifting for the carbonated SSBs. A greater effect is seen among the small package sizes, and we see heterogeneous effects by region. Estimating the effect of the tax on prices is important to understand the potential effect on consumption.

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          Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies.

          To summarise evidence on the association between intake of dietary sugars and body weight in adults and children. Systematic review and meta-analysis of randomised controlled trials and prospective cohort studies. OVID Medline, Embase, PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Web of Science (up to December 2011). Eligible studies reported the intake of total sugars, intake of a component of total sugars, or intake of sugar containing foods or beverages; and at least one measure of body fatness. Minimum duration was two weeks for trials and one year for cohort studies. Trials of weight loss or confounded by additional medical or lifestyle interventions were excluded. Study selection, assessment, validity, data extraction, and analysis were undertaken as specified by the Cochrane Collaboration and the GRADE working group. For trials, we pooled data for weight change using inverse variance models with random effects. We pooled cohort study data where possible to estimate effect sizes, expressed as odds ratios for risk of obesity or β coefficients for change in adiposity per unit of intake. 30 of 7895 trials and 38 of 9445 cohort studies were eligible. In trials of adults with ad libitum diets (that is, with no strict control of food intake), reduced intake of dietary sugars was associated with a decrease in body weight (0.80 kg, 95% confidence interval 0.39 to 1.21; P<0.001); increased sugars intake was associated with a comparable weight increase (0.75 kg, 0.30 to 1.19; P=0.001). Isoenergetic exchange of dietary sugars with other carbohydrates showed no change in body weight (0.04 kg, -0.04 to 0.13). Trials in children, which involved recommendations to reduce intake of sugar sweetened foods and beverages, had low participant compliance to dietary advice; these trials showed no overall change in body weight. However, in relation to intakes of sugar sweetened beverages after one year follow-up in prospective studies, the odds ratio for being overweight or obese increased was 1.55 (1.32 to 1.82) among groups with the highest intake compared with those with the lowest intake. Despite significant heterogeneity in one meta-analysis and potential bias in some trials, sensitivity analyses showed that the trends were consistent and associations remained after these studies were excluded. Among free living people involving ad libitum diets, intake of free sugars or sugar sweetened beverages is a determinant of body weight. The change in body fatness that occurs with modifying intakes seems to be mediated via changes in energy intakes, since isoenergetic exchange of sugars with other carbohydrates was not associated with weight change.
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            Price elasticity of the demand for sugar sweetened beverages and soft drinks in Mexico.

            A large and growing body of scientific evidence demonstrates that sugar drinks are harmful to health. Intake of sugar-sweetened beverages (SSB) is a risk factor for obesity and type 2 diabetes. Mexico has one of the largest per capita consumption of soft drinks worldwide and high rates of obesity and diabetes. Fiscal approaches such as taxation have been recommended as a public health policy to reduce SSB consumption. We estimated an almost ideal demand system with linear approximation for beverages and high-energy food by simultaneous equations and derived the own and cross price elasticities for soft drinks and for all SSB (soft drinks, fruit juices, fruit drinks, flavored water and energy drinks). Models were stratified by income quintile and marginality index at the municipality level. Price elasticity for soft drinks was -1.06 and -1.16 for SSB, i.e., a 10% price increase was associated with a decrease in quantity consumed of soft drinks by 10.6% and 11.6% for SSB. A price increase in soft drinks is associated with larger quantity consumed of water, milk, snacks and sugar and a decrease in the consumption of other SSB, candies and traditional snacks. The same was found for SSB except that an increase in price of SSB was associated with a decrease in snacks. Higher elasticities were found among households living in rural areas (for soft drinks), in more marginalized areas and with lower income. Implementation of a tax to soft drinks or to SSB could decrease consumption particularly among the poor. Substitutions and complementarities with other food and beverages should be evaluated to assess the potential impact on total calories consumed.
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              [Prevalence of obesity in Mexican adults 2000-2012].

              To describe the prevalence of overweight and obesity in Mexican adults ≥20 y of age, as well as to describe its trends in the last three Mexican health surveys. A sample of 38 208 adults with anthropometric's. The classification to categorize body mass index (BMI) was the World health Organization's (WHO). To define abdominal obesity classification was used the International Diabetes Federation (IDF) data. The prevalence of overweight and obesity was 71.3% (overweight 38.8% and obesity 32.4%). The prevalence of abdominal adiposity was 74.0%, being higher in women (82.8%) than in men (64.5%). Over the past 12 years the mean annualized BMI percent increase was 1.3%. This increase was higher in the 2000-2006 (1%) than in the 2006-2012 (0.3%) period. In spite of the deacceleration of the increasing prevalence, there is no evidence to infer that prevalences will decrease in the next years. Thus, public policies for obestiy prevention and control should be strengthened and improved.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                14 December 2015
                2015
                : 10
                : 12
                : e0144408
                Affiliations
                [1 ]Center for Health Systems Research (CISS), Instituto Nacional de Salud Pública (INSP), Cuernavaca, Morelos, México
                [2 ]Nutrition and Health Research Center (CINyS), Instituto Nacional de Salud Pública (INSP), Cuernavaca, Morelos, México
                [3 ]Department of Nutrition and Carolina Population Center, University of North Carolina at Chapel Hill (UNC), Chapel Hill, North Carolina, United States of America
                University of Washington, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: MAC JCS MUM JARD SN. Analyzed the data: MAC JCS MM. Wrote the paper: MAC. Contributed, reviewed and approved the manuscript: MAC JCS MUM MM SN JARD.

                Article
                PONE-D-15-36645
                10.1371/journal.pone.0144408
                4682930
                26675166
                1e4f1a5c-0ecc-42a6-82bf-3317acce02db
                © 2015 Colchero et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 19 August 2015
                : 17 October 2015
                Page count
                Figures: 1, Tables: 4, Pages: 11
                Funding
                Funded by Bloomberg Foundation, project "Fighting obesity in Mexico: Supporting the design and evaluation of effective social actions and public policies". The sponsor did not have any role in the study design, analysis, and preparation of the manuscript or decision to publish.
                Categories
                Research Article
                Custom metadata
                Data are publicly available at the following website (National Institute of Statistics and Geography): http://www.inegi.org.mx/est/contenidos/proyectos/inp/inpc.aspx.

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                Uncategorized

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