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. 2022 Jun 1;5(6):e2215276. doi: 10.1001/jamanetworkopen.2022.15276

Table 2. Summary of Narrative Synthesis Results for SSB Tax Outcomes.

Outcome No. of studies Tax policy Tax jurisdiction/location Direction and statistical significance of estimated outcome(s) Primary measures
Meta-analyzed outcomes from studies in narrative analysis only
Prices: tax pass-through 5 Single-tier volume-based excise tax Denmark, Finland, France, Hungary, Mexico, and Philadelphia, Pennsylvania Increase, no statistical testing (Andalón and Gibson,41 2017; Bonilla-Chacin et al,42 2016; ECSIPC,56 2014; Coary and Baskin,77 2018; Oxford Economics,79 2017) Price change of taxed beverages
2 Tiered volume-based excise tax Portugal and Catalonia, Spain Increase, no statistical testing (Goiana-da-Silva et al,65 2020; Vall Castelló and Lopez Casasnovas,111 2020) Price change of taxed beverages
1 Sales tax United States No significant change (Colantuoni and Rojas,93 2015). Increase, significant (Colantuoni and Rojas,93 2015) Price change of taxed beverages (soft drinks)
Sales of taxed beverages 7 Single-tier volume-based excise tax Denmark, Finland, France, Hungary, Mexico, and Philadelphia, Pennsylvania Decrease, no statistical testing (Andalón and Gibson,41 2017; Bonilla-Chacin et al,42 2016; ECSIPC,56 2014; Pizzutti,71 2019; Oxford Economics79 2017). Decrease, significant (Pedraza et al,44 2018; Baskin and Coary,76 2019) Change in volume sold of taxed beverages, change in sales for taxed beverages
2 Tiered volume-based excise tax Portugal and United Kingdom Decrease, significant (Goiana-da-Silva et al,65 2020). Decrease, no statistical testing (Public Health England,52 2019) Change in volume sold of taxed beverages
1 Sales tax United States No significant change (Colantuoni and Rojas,93 2015) Change in volume sold of soft drinks
Sales of substitution beverages 7 Single-tier volume-based excise tax Denmark; Mexico; Saudi Arabia; Berkeley, California; Philadelphia, Pennsylvania No significant change (Aguilar et al,29 2019; Baskin and Coary,76 2019). No change, no statistical testing (ECSIPC,56 2014; Alsukait et al,66 2020). Increase, significant (Taylor et al,90 2019). Increase, no statistical testing (Pizzutti,71 2019). Mixed results (Pedraza et al,44 2018) Change in volume sold of untaxed beverages, change in sales for untaxed beverages
1 Tiered volume-based excise tax United Kingdom Increase, no statistical testing (Public Health England,52 2019) Change in volume sold of taxed beverages
Consumption of taxed beverages 3 Sales tax United States No significant change (Fletcher et al,94 2015; Fletcher et al,97 2010). Decrease, significant (Fletcher et al,95 2010) Change in volume consumed (soft drinks)
1 Single-tier volume-based excise tax Mexico Decrease, significant (Sánchez-Romero et al,45 2020) Probability of consumption levels
Consumption, substitution beverages 2 Sales tax United States Increase, significant (Fletcher et al,94 2015). Mixed results (Fletcher et al,95 2010) Change in intake of untaxed beverages
Outcomes not included in meta-analyses, narrative synthesis only
Cross-border shopping 7 Single-tier volume-based excise tax Cook County, Illinois; Oakland, California; Philadelphia, Pennsylvania; and Seattle, Washington Increase (Cawley et al,70 2019; Seiler et al,73 2019; Powell et al,104 2020). Increase, no statistical testing (Pizzutti,71 2019; Oxford Economics,79 2017). Mixed results (Cawley et al,99 2020). No significant change (Powell and Leider,106 2020) Increased taxed beverage sales in nearby tax-free areas
Retailer sales revenue 4 Single-tier volume-based excise tax Berkeley, California, and Philadelphia, Pennsylvania Decrease, significant (Baskin and Coary,76 2019). Mixed results (Roberto et al,72 2019). Increase, no statistical testing (Silver et al,89 2017). Decrease, no statistical testing Oxford Economics,79 2017) Reduced total sales in taxed jurisdictions
Employment 2 Single-tier volume-based excise tax Mexico and Philadelphia, Pennsylvania No significant change (Guerrero-Lopez et al,43 2017; Lawman et al,78 2019). Decrease, significant (Guerrero-Lopez et al,43 2017) Unemployment; employment in beverage manufacturing
Other 2 Tiered volume-based excise tax United Kingdom No significant change (Law et al,50 2020; Law et al,51 2020) Turnover (soft drink manufacturing), market return
1 Single-tier volume-based excise tax Oakland, California No significant change (Zenk et al,102 2020) Store advertising
Product change or reformulation 6 Tiered volume-based excise tax Portugal and United Kingdom Decrease, no statistical testing (Chu et al,48 2020; Hashem et al,49 2019; Public Health England,52 2019; Goiana-da-Silva,65 2020). Decrease, significant (Scarborough et al,47 2020) Sugar content, beverage energy content and density
Tiered sugar-based excise tax South Africa Decrease, no statistical testing (Stacey et al,67 2019)
Body weight 5 Sales tax United States No significant change (Fletcher et al,94 2015; Fletcher et al,95 2010; Fletcher et al,97 2010; Pak,98 2013). Decrease, significant (Fletcher et al,96 2010) Body mass index, overweight, obesity
Dietary intake/quality 2 Sales tax United States No significant change (Fletcher et al,95 2010). Increase, significant (Fletcher et al,94 2015) Nutrient intake, total calories

Abbreviations: ECSIPC, European Competitiveness and Sustainable Industrial Policy Consortium; SSB, sugar-sweetened beverages.