ReviewObesity reviews : an official journal of the International Association for the Study of Obesity2021
South Africa's Health Promotion Levy: Excise tax findings and equity potential.
Review in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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
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Who cites it
21 citing papers in PubMed.
- Securing Somalia's health: leveraging sin tax revenues to drive universal health coverage and financial protection for lifesaving care in Somalia's health system-scoping review.Health economics review · 2026Review
- The need for equity in interventional cardiology care in sub-Saharan Africa.Frontiers in cardiovascular medicine · 2026Article
- (Un)sweetened deal? Young people's views on the South African Health Promotion Levy and food in Khayelitsha, Cape Town.PLOS global public health · 2026Article
- Health taxation and need to pay health related taxes in Iran: A scoping review.Health promotion perspectives · 2025Review
- Trends in the double burden of malnutrition among Indonesian adults, 2007 to 2023.Scientific reports · 2025Article
- Front-of-package labelling: A public health imperative rooted in the right to health.International journal for equity in health · 2025Article
- A global call to action: strengthening strategies to combat dysglycemia and improve public health outcomes.Frontiers in public health · 2025Article
- Sex disparities in adult obesity prevalence across 47 African countries: A cross-sectional descriptive study.PloS one · 2025Article
- Alarming Rise of Obesity: The 4Global heart · 2025Article
- Unhealthy food outlets and outdoor advertisements in urban South African primary school students' food environments.Health promotion international · 2024Article
- Can sugar taxes be used for financing surgical systems in Nigeria? A mixed-methods political economy analysis.Health policy and planning · 2024Article
- Dietary intake of low-income adults in South Africa: ultra-processed food consumption a cause for concern.Public health nutrition · 2024Article
- 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
- Obese patients' dissatisfaction with weight, body image and clinicians' interaction at a district hospital; Gauteng.African journal of primary health care & family medicine · 2023Article
- Beverage industry's advertising expenditures and airtimes in South Africa from 2013 to 2019 target children and families.Journal of public health research · 2023Article
- Clinical review of stroke care at National District Hospital, Bloemfontein.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Why has the taxing policy on sugar sweetened beverages not reduced their purchase in Iranian households?Frontiers in nutrition · 2023Article
- Taxation of sugar-sweetened beverages in South Africa: Perspectives of consumers in Cape Town.Journal of public health research · 2022Article
- Decomposing consumer and producer effects on sugar from beverage purchases after a sugar-based tax on beverages in South Africa.Economics and human biology · 2022Article
- South Africa's Health Promotion Levy on pricing and acquisition of beverages in small stores and supermarkets.Public health nutrition · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
In 2016, the South African government proposed a 20% sugar-sweetened beverage (SSB) tax. Protracted consultations with beverage manufacturers and the sugar industry followed. This resulted in a lower sugar-based beverage tax, the Health Promotion Levy (HPL), of approximately 10% coming into effect in April 2018. We provide a synthesis of findings until April 2021. Studies show that despite the lower rate, purchases of unhealthy SSBs and sugar intake consumption from SSBs fell. There were greater reductions in SSB purchases among both lower socioeconomic groups and in subpopulations with higher SSB consumption. These subpopulations bear larger burdens from obesity and related diseases, suggesting that this policy improves health equity. The current COVID-19 pandemic has impacted food and nutritional security. Increased pandemic mortality among people with obesity, diabetes, and hypertension highlight the importance of intersectoral public health disease-prevention policies like the HPL, which should be strengthened.
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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.