Economic Contextual Influences on Population Diet and Obesity

Summary

Principal Investigator: Lisa M Powell
Abstract: Poor diet and obesity have been linked to increased risks for a number of chronic diseases including cancer and cardiovascular diseases. The proposed research will investigate the relationship between food (candy, baked goods, and chips), beverage (soda) and restaurant state sales taxes and food consumption patterns, diet quality, body mass index (BMI) and obesity prevalence among children, adolescents, and adults. The proposed project will build substantially on the previous literature which has linked food prices but not taxes to individual-level population data. These food and beverage sales taxes are on items that are usually high in either sugar and/or fat and given that most of these taxes already exist in a number of states (with substantial variation across states) they are likely to be starting points for potential policy changes. Thus, this research would provide policy makers with evidence on the extent to which implementing or increasing any of these state-level taxes is likely to affect food consumption behavior, diet quality and related BMI and obesity. All analyses will control for the local area availability of food stores and restaurants. We also propose specific analyses of low-income sub-samples and, in particular, we will examine low-income food stamp recipients and non-recipients separately because when purchased by food stamp recipients, such items are exempt from the tax. The specific aims of this project are threefold: 1) Examine the relationship between soda, candy, baked goods, chips and restaurant sales taxes and dietary patterns (intake of taxed food/beverage items and consumption of FAFH) and diet quality (total caloric intake, % fat and/or % sugar in diet, and overall healthy eating index);2) Examine the relationship between soda, candy, baked goods, chips and restaurant sales taxes and BMI and obesity prevalence;and, 3) Examine the proposed relationships separately for low-income populations and assess the differences in tax sensitivity between low-income food stamp and non-food stamp recipients. To accomplish these aims, the proposed research will conduct secondary data analyses, using a unique combination of four types of data: 1) state-level food, beverage and restaurant sales tax rates;2) local area outlet density measures of food stores and restaurants;3) local area socioeconomic status drawn from the Census;and, 4) nationally representative population data on dietary intake and measured BMI for children, adolescents and adults from four data sets including three longitudinal surveys. To our knowledge, the proposed project represents the most comprehensive exploration to date of the contextual relationship between specific food, beverage and restaurant taxes and individuals'dietary patterns, diet quality and BMI. Given the serious public health risk posed by poor diet and obesity prevalence, this research can provide important information for policymakers and public health advocates about the potential effectiveness of implementing or increasing existing tax rates on soda, candy, baked goods, chips and restaurants.
Funding Period: ----------------2009 - ---------------2011-
more information: NIH RePORT

Top Publications

  1. pmc Weight status among adolescents in States that govern competitive food nutrition content
    Daniel R Taber
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, 1747 W Roosevelt Rd, Chicago, IL 60608, USA
    Pediatrics 130:437-44. 2012
  2. pmc Consumption patterns of sugar-sweetened beverages in the United States
    Euna Han
    College of Pharmacy and Gachon Institue of Pharmaceutical Sciences, Gachon University, Inchon, South Korea
    J Acad Nutr Diet 113:43-53. 2013
  3. pmc Association between state laws governing school meal nutrition content and student weight status: implications for new USDA school meal standards
    Daniel R Taber
    University of Illinois, Chicago IL, USA
    JAMA Pediatr 167:513-9. 2013
  4. pmc A typology of beverage taxation: multiple approaches for obesity prevention and obesity prevention-related revenue generation
    Jamie F Chriqui
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA
    J Public Health Policy 34:403-23. 2013
  5. pmc Soda taxes, soft drink consumption, and children's body mass index
    Roland Sturm
    RAND Corporation, Santa Monica, CA, USA
    Health Aff (Millwood) 29:1052-8. 2010
  6. pmc Banning all sugar-sweetened beverages in middle schools: reduction of in-school access and purchasing but not overall consumption
    Daniel R Taber
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, 1747 W Roosevelt Rd, Chicago, IL 60608, USA
    Arch Pediatr Adolesc Med 166:256-62. 2012

Scientific Experts

Detail Information

Publications6

  1. pmc Weight status among adolescents in States that govern competitive food nutrition content
    Daniel R Taber
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, 1747 W Roosevelt Rd, Chicago, IL 60608, USA
    Pediatrics 130:437-44. 2012
    ..To determine if state laws regulating nutrition content of foods and beverages sold outside of federal school meal programs ("competitive foods") are associated with lower adolescent weight gain...
  2. pmc Consumption patterns of sugar-sweetened beverages in the United States
    Euna Han
    College of Pharmacy and Gachon Institue of Pharmaceutical Sciences, Gachon University, Inchon, South Korea
    J Acad Nutr Diet 113:43-53. 2013
    ..Few previous studies have investigated consumption distributions of sugar-sweetened beverages (SSBs) over time and individual-level associations despite recent interest in SSBs regarding obesity control...
  3. pmc Association between state laws governing school meal nutrition content and student weight status: implications for new USDA school meal standards
    Daniel R Taber
    University of Illinois, Chicago IL, USA
    JAMA Pediatr 167:513-9. 2013
    ..OBJECTIVE To determine if state laws with stricter school meal nutrition standards are inversely associated with adolescent weight status, while controlling for unmeasured state-level confounders...
  4. pmc A typology of beverage taxation: multiple approaches for obesity prevention and obesity prevention-related revenue generation
    Jamie F Chriqui
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA
    J Public Health Policy 34:403-23. 2013
    ..We offer examples of existing beverage taxes in the United States and internationally. The information will be useful to policymakers at all levels of government, as they continue to consider beverage taxation policies. ..
  5. pmc Soda taxes, soft drink consumption, and children's body mass index
    Roland Sturm
    RAND Corporation, Santa Monica, CA, USA
    Health Aff (Millwood) 29:1052-8. 2010
    ..A greater impact of these small taxes could come from the dedication of the revenues they generate to other obesity prevention efforts rather than through their direct effect on consumption...
  6. pmc Banning all sugar-sweetened beverages in middle schools: reduction of in-school access and purchasing but not overall consumption
    Daniel R Taber
    Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, 1747 W Roosevelt Rd, Chicago, IL 60608, USA
    Arch Pediatr Adolesc Med 166:256-62. 2012
    ..To determine whether state policies that regulate beverages in schools are associated with reduced in-school access and purchase of sugar-sweetened beverages (SSBs) and reduced consumption of SSBs (in and out of school) among adolescents...