ArticlePreventing chronic disease2020
The Navajo Nation Healthy Diné Nation Act: A Two Percent Tax on Foods of Minimal-to-No Nutritious Value, 2015-2019.
Article in Preventing chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An umbrella review of the acceptability of fiscal and pricing policies to reduce diet-related noncommunicable disease.Nutrition reviews · 2023Pooled it
- Sugar-sweetened beverages and water intake among Indigenous youth in the United States and Canada: a scoping review of interventions.International journal of circumpolar health · 2025Article
- Community-Based Intervention to Promote Awareness and Implementation Accuracy of Food and Beverage Tax Policies in Stores on Navajo Nation.Health promotion practice · 2025Article
- Practicing Tribal Sovereignty Through a Tribal Health Policy: Implementation of the Healthy Diné Nation Act on the Navajo Nation.Preventing chronic disease · 2022Article
- Navajo Nation Stores Show Resilience During COVID-19 Pandemic.Health promotion practice · 2022Article
- Implementation of Indigenous Food Tax Policies in Stores on Navajo Nation.Health promotion practice · 2022Article
- Shopper Purchasing Trends at Small Stores on the Navajo Nation since the Passage of the Healthy Diné Nation Act Tax: A Multi-Year Cross-sectional Survey.Current developments in nutrition · 2022Article
- Successful implementation of the Healthy Diné Nation Act in stores on the Navajo Nation.Preventive medicine reports · 2021Article
- Article
- The Navajo Nation Healthy Diné Nation Act: Community Support of a 2% Tax on Unhealthy Foods.Journal of public health management and practice : JPHMPArticle
- The Navajo Nation Healthy Diné Nation Act: A Description of Community Wellness Projects Funded by a 2% Tax on Minimal-to-No-Nutritious-Value Foods.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
Our study summarizes tax revenue and disbursements from the Navajo Nation Healthy Diné Nation Act of 2014, which included a 2% tax on foods of minimal-to-no nutritional value (junk food tax), the first in the United States and in any sovereign tribal nation. Since the tax was implemented in 2015, its gross revenue has been $7.58 million, including $1,887,323 in 2016, the first full year. Revenue decreased in absolute value by 3.2% in 2017, 1.2% in 2018, and 4.6% in 2019, a significant downward trend (P = .02). Revenue allocated for wellness projects averaged $13,171 annually for each local community, with over 99% successfully disbursed and more rural areas generating significantly less revenue. Our results provide context on expected revenue, decreases over time, and feasibility for tribal and rural communities considering similar policies.
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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.