Evidence map›Paper›PMID 30728616›Full record

ArticleBulletin of the World Health Organization2019

Modelling the impact of a tax on sweetened beverages in the Philippines: an extended cost-effectiveness analysis.

Akshar Saxena, Adam D Koon, Leizel Lagrada-Rombaua, Imelda Angeles-Agdeppa, Benjamin Johns, Mario Capanzana

Open access · diamondAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% of its field
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Akshar SaxenaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, United States of America (USA).
Adam D KoonInternational Development Division, Abt Associates Inc., 6130 Executive Blvd, Rockville, MD 20852, USA.
Leizel Lagrada-RombauaIndependent Consultant, Block 14 Lot 4 Lapulapu Street, New Capitol Estates 1, Batasan Hills, Quezon City, Philippines 1126.
Imelda Angeles-AgdeppaFood and Nutrition Research Institute, Department of Science and Technology, Manila, Philippines.
Benjamin JohnsInternational Development Division, Abt Associates Inc., 6130 Executive Blvd, Rockville, MD 20852, USA.
Mario CapanzanaFood and Nutrition Research Institute, Department of Science and Technology, Manila, Philippines.
Nutrition Center of the Philippines · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the potential impact of a new tax on sweetened beverages on premature deaths associated with noncommunicable diseases in the Philippines.

methodsIn January 2018, the Philippines began imposing a tax of 6 Philippine pesos per litre (around 13%) on sweetened beverages to curb the obesity burden. Using national data sources, we conducted an extended cost-effectiveness analysis to estimate the effect of the tax on the numbers of premature deaths averted attributed to type 2 diabetes mellitus, ischaemic heart disease and stroke, across income quintiles over the period 2018-2037. We also estimated the financial benefits of the tax from reductions in out-of-pocket payments, direct medical costs averted and government health-care cost savings.

findingsThe tax could avert an estimated 5913 deaths related to diabetes, 10 339 deaths from ischaemic heart disease and 7950 deaths from stroke over 20 years. The largest number of deaths averted could be among the fourth and fifth (highest) income quintiles. The tax could generate total health-care savings of 31.6 billion Philippine pesos (627 million United States dollars, US$) over 20 years, and raise 41.0 billion Philippine pesos (US$ 813 million) in revenue per annum. The poorest quintile could bear the smallest tax burden increase (14% of the additional tax; 5.6 billion Philippine pesos) and have the lowest savings in out-of-pocket payments due to relatively large health-care subsidies. Finally, we estimated that 13 890 cases of catastrophic expenditure could be averted.

conclusionThe new sweetened beverage tax may help to reduce obesity-related premature deaths and improve financial well-being in the Philippines.

Indexed as

BeveragesCost-Benefit AnalysisDiabetes Mellitus, Type 2Health Care CostsIncomeMortality, PrematureMyocardial IschemiaNoncommunicable DiseasesObesityPhilippinesStrokeSweetening AgentsTaxesUnited StatesSweetening Agents

Identifiers

PMID30728616
PMCPMC6357567
OpenAlexW2911350971

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.