Evidence map›Paper›PMID 30296966›Full record

ArticlePublic health nutrition2018

Implications of Brexit on the effectiveness of the UK soft drinks industry levy upon CHD in England: a modelling study.

Paraskevi Seferidi, Anthony A Laverty, Jonathan Pearson-Stuttard, Maria Guzman-Castillo, Brendan Collins, Simon Capewell, Martin O'Flaherty, Christopher Millett

Abstract read
In one paragraph

Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paraskevi Seferidi1Public Health Policy Evaluation Unit,School of Public Health,Imperial College London,Reynolds Building,St Dunstan's Road,London W6 8RP,UK.ORCID 0000-0003-3966-3314
Anthony A Laverty1Public Health Policy Evaluation Unit,School of Public Health,Imperial College London,Reynolds Building,St Dunstan's Road,London W6 8RP,UK.
Jonathan Pearson-Stuttard1Public Health Policy Evaluation Unit,School of Public Health,Imperial College London,Reynolds Building,St Dunstan's Road,London W6 8RP,UK.
Maria Guzman-Castillo2Department of Public Health and Policy,University of Liverpool,Liverpool,UK.
Brendan Collins2Department of Public Health and Policy,University of Liverpool,Liverpool,UK.
Simon Capewell2Department of Public Health and Policy,University of Liverpool,Liverpool,UK.
Martin O'Flaherty2Department of Public Health and Policy,University of Liverpool,Liverpool,UK.
Christopher Millett1Public Health Policy Evaluation Unit,School of Public Health,Imperial College London,Reynolds Building,St Dunstan's Road,London W6 8RP,UK.

Funding

Department of Health RP 2014-04-032Medical Research Council G0900847
6 · The paper itself

Abstract

objectiveAn industry levy on sugar-sweetened beverages (SSB) was implemented in the UK in 2018. One year later, Brexit is likely to change the UK trade regime with potential implications for sugar price. We modelled the effect of potential changes in sugar price due to Brexit on SSB levy impacts upon CHD mortality and inequalities.

designWe modelled a baseline SSB levy scenario; an SSB levy under 'soft' Brexit, where the UK establishes a free trading agreement with the EU; and an SSB levy under 'hard' Brexit, in which World Trade Organization tariffs are applied. We used the previously validated IMPACT Food Policy model and probabilistic sensitivity analysis to estimate the effect of each scenario on CHD deaths prevented or postponed and life-years gained, stratified by age, sex and socio-economic circumstance, in 2021.

settingEngland. SUBJECTS: Adults aged 25 years or older.

resultsThe SSB levy was associated with approximately 370 (95 % uncertainty interval 220, 560) fewer CHD deaths and 4490 (2690, 6710) life-years gained in 2021. Associated reductions in CHD mortality were 4 and 8 % greater under 'soft' and 'hard' Brexit scenarios, respectively. The SSB levy was associated with approximately 110 (50, 190) fewer CHD deaths in the most deprived quintile compared with 60 (20, 100) in the most affluent, under 'hard' Brexit.

conclusionsOur study found the SSB levy resilient to potential effects of Brexit upon sugar price. Even under 'hard' Brexit, the SSB levy would yield benefits for CHD mortality and inequalities. Brexit negotiations should deliver a fiscal and regulatory environment which promotes population health.

Indexed as

AdultAgedCarbonated BeveragesCardiovascular DiseasesCommerceDietary SucroseEuropean UnionHumansMiddle AgedModels, TheoreticalNutrition PolicyPublic HealthTaxesUnited KingdomDietary SucroseBrexitCHDInequalitiesSoft drinks levySugar

Identifiers

PMID30296966
PMCPMC10260949

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.