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.