ArticleBMJ global health2019
The distributional impact of taxing sugar-sweetened beverages: findings from an extended cost-effectiveness analysis in South Africa.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Modeling and empirical evidence of the impact of implementation of sugar sweetened-beverages tax to reduce non-communicable diseases prevalence: a systematic review.Frontiers in nutrition · 2024Pooled it
- Incorporating Equity Concerns in Cost-Effectiveness Analyses: A Systematic Literature Review.PharmacoEconomics · 2022Pooled it
- A Targeted Review of Available Data Sources to Support Evidence-Informed Decisions: Implications for Health Technology Assessment in South Africa.PharmacoEconomics - open · 2026Review
- Extended cost-effectiveness analysis in global health systems: a scoping review of geographic gaps and research trends.Cost effectiveness and resource allocation : C/E · 2026Review
- Estimating the cost of not setting the Health Promotion Levy at 20% in South Africa: an extended cost-effectiveness analysis.BMJ public health · 2026Article
- Cost-effectiveness and budget impact analysis of peritoneal dialysis and haemodialysis in South Africa.BMC health services research · 2025Article
- Modelling the potential impact of a tax on fruit juice in South Africa: implications for the primary prevention of type 2 diabetes and health financing.BMC nutrition · 2024Article
- Global health 2050: the path to halving premature death by mid-century.Lancet (London, England) · 2024Review
- Effectiveness of implemented global dietary interventions: a scoping review of fiscal policies.BMC public health · 2024Article
- Extended cost-effectiveness analysis of interventions to improve uptake of diabetes services in South Africa.Health policy and planning · 2024Article
- The health and economic impact and cost effectiveness of interventions for the prevention and control of overweight and obesity in Kenya: a stakeholder engaged modelling study.Cost effectiveness and resource allocation : C/E · 2023Article
- Perceptions of and Preparedness for the Application of Pharmacoeconomics in Practice, among Final Year Bachelor of Pharmacy Students in South Africa: A National Cross-Sectional Study.Pharmacy (Basel, Switzerland) · 2023Article
- Article
- Estimating the healthcare cost of overweight and obesity in South Africa.Global health action · 2022Article
- Taxation of sugar-sweetened beverages in South Africa: Perspectives of consumers in Cape Town.Journal of public health research · 2022Article
- A comparative policy analysis of the adoption and implementation of sugar-sweetened beverage taxes (2016-19) in 16 countries.Health policy and planning · 2022Article
- Equity impact of minimum unit pricing of alcohol on household health and finances among rich and poor drinkers in South Africa.BMJ global health · 2022Article
- Population-level interventions targeting risk factors of diabetes and hypertension in South Africa: a document review.BMC public health · 2021Review
- How should we evaluate sweetened beverage tax policies? A review of worldwide experience.BMC public health · 2021Review
- Simulation Modeling for the Economic Evaluation of Population-Based Dietary Policies: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFacing increasing obesity prevalence and obesity-related disease burden, South Africa has devised an obesity prevention strategy that includes a recently implemented tax on the sugar content of sugar-sweetened beverages (SSB). We assess the potential distributional impact (across socioeconomic groups) of this tax on type 2 diabetes mellitus (T2DM) incidence and associated mortality and its financial burden on households.
methodsWe conducted an extended cost-effectiveness analysis of the new 10% tax on SSBs in South Africa, and estimated: the averted premature deaths related to T2DM, the financial benefits to households (out-of-pocket (OOP) medical costs and indirect costs due to productivity losses averted), the increased government tax revenues and healthcare savings for the government, all across income quintiles.
findingsA 10% SSB tax increase would avert an estimated 8000 T2DM-related premature deaths over 20 years, with most deaths averted among the third and fourth income quintiles. The government would save about South African rand (ZAR) 2 billion (US$140 million) in subsidised healthcare over 20 years; and would raise ZAR6 billion (US$450 million) in tax revenues per annum. The bottom two quintiles would bear the smallest tax burden increase (36% of the additional taxes). The bottom two income quintiles would also have the lowest savings in OOP payments due to significant subsidisation provided by government healthcare. Lastly, an estimated 32 000 T2DM-related cases of catastrophic expenditures and 12 000 cases of poverty would be averted.
conclusionsSSB taxation would have a substantial distributional impact on obesity-related premature deaths, cost savings to the government and the financial outcomes of South Africa's population.
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