ArticlePublic health nutrition2020
Attitudes and perceptions among urban South Africans towards sugar-sweetened beverages and taxation.
Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- An umbrella review of the acceptability of fiscal and pricing policies to reduce diet-related noncommunicable disease.Nutrition reviews · 2023Pooled it
- Taxation of sugar-sweetened beverages: Perspectives of adults and nursing practitioners in Makhanda, Eastern Cape, South Africa.Journal of public health research · 2026Article
- Beyond the sugar tax: public acceptability of a comprehensive food policy bundle in urban Ghana.Frontiers in nutrition · 2026Article
- Prevalence, patterns, and determinants of multimorbidity in South Africa: Insights from a nationally representative survey.PLOS global public health · 2025Article
- Knowledge, perceptions and practices towards diabetes risk in sub-Saharan Africa: a mixed-methods scoping review.Public health nutrition · 2024Article
- Economic priorities over population health: A political dilemma in addressing noncommunicable diseases in developing countries.Health science reports · 2024Article
- Stakeholder arguments during the adoption of a sugar sweetened beverage tax in South Africa and their influence: a content analysis.Global health action · 2023Article
- The passage and implementation of a Health Promotion Levy in South Africa as a case study of fair financing procedures.Health policy and planning · 2023Review
- Nutrition policy reforms to address the double burden of malnutrition in Zambia: a prospective policy analysis.Health policy and planning · 2023Article
- Healthy eating and physical activity: Analysing Soweto's young adults' perspectives with an intersectionality lens.PLOS global public health · 2023Article
- The Potential Effect of Sugar-Sweetened Beverages Tax on Obesity Prevalence in Tanzania.The East African health research journal · 2023Article
- Are intentions to change, policy awareness, or health knowledge related to changes in dietary intake following a sugar-sweetened beverage tax in South Africa? A before-and-after study.The international journal of behavioral nutrition and physical activity · 2022Article
- Taxation of sugar-sweetened beverages in South Africa: Perspectives of consumers in Cape Town.Journal of public health research · 2022Article
- Sugar Tax or What? The Perspective and Preferences of Consumers.International journal of environmental research and public health · 2022Article
- School Food Environment in Urban Zambia: A Qualitative Analysis of Drivers of Adolescent Food Choices and Their Policy Implications.International journal of environmental research and public health · 2022Article
- Evaluation of Seattle's sweetened beverage tax on tax support and perceived economic and health impacts.Preventive medicine reports · 2022Article
- South Africa's Health Promotion Levy on pricing and acquisition of beverages in small stores and supermarkets.Public health nutrition · 2022Article
- Tax awareness and perceived cost of sugar-sweetened beverages in four countries between 2017 and 2019: findings from the international food policy study.The international journal of behavioral nutrition and physical activity · 2022Article
- Perspectives of Adult Singaporeans toward Potential Policies to Reduce the Consumption of Sugar Sweetened Beverages-A Cross-Sectional Study.Nutrients · 2021Article
- South Africa's Health Promotion Levy: Excise tax findings and equity potential.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA tax on sugar-sweetened beverages (SSB) was introduced in South Africa in April 2018. Our objective was to document perceptions and attitudes among urban South Africans living in Soweto on factors that contribute to their SSB intake and on South Africa's use of a tax to reduce SSB consumption.
designWe conducted six focus group discussions using a semi-structured guide.
settingThe study was conducted in Soweto, Johannesburg, South Africa, 3 months before South Africa's SSB tax was implemented.
participantsAdults aged 18 years or above living in Soweto (n 57).
resultsParticipants reported frequent SSB consumption and attributed this to habit, addiction, advertising and wide accessibility of SSB. Most of the participants were not aware of the proposed SSB tax; when made aware of the tax, their responses included both beliefs that it would and would not result in reduced SSB intake. However, participants indicated cynicism with regard to the government's stated motivation in introducing the tax for health rather than revenue reasons.
conclusionsWhile an SSB tax is a policy tool that could be used with other strategies to reduce people's high level of SSB consumption in Soweto, our findings suggest a need to complement the SSB tax with a multipronged behaviour change strategy. This strategy could include both environmental and individual levers to reduce SSB consumption and its associated risks.
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Registered trials
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.