Evidence map›Paper›PMID 36142100›Full record

ReviewInternational journal of environmental research and public health2022

Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention.

Nicole McCreedy, Maylene Shung-King, Amy Weimann, Lambed Tatah, Clarisse Mapa-Tassou, Trish Muzenda, Ishtar Govia, Vincent Were, Tolu Oni

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

9 authors.

Nicole McCreedyHealth Policy and Systems Division, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.ORCID 0000-0003-3557-3012
Maylene Shung-KingHealth Policy and Systems Division, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.
Amy WeimannResearch Initiative for Cities Health and Equity (RICHE), Division of Public Health Medicine, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.ORCID 0000-0003-4146-1412
Lambed TatahHealth of Populations in Transition Research Group (HoPiT), University of Yaoundé I, Yaoundé P.O. Box 812, Cameroon.ORCID 0000-0002-8967-6917
Clarisse Mapa-TassouHealth of Populations in Transition Research Group (HoPiT), University of Yaoundé I, Yaoundé P.O. Box 812, Cameroon.ORCID 0000-0002-0709-1449
Trish MuzendaResearch Initiative for Cities Health and Equity (RICHE), Division of Public Health Medicine, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.
Ishtar GoviaCaribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica.ORCID 0000-0001-6852-102X
Vincent WereCenter for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu 40100, Kenya.ORCID 0000-0002-3554-795X
Tolu OniResearch Initiative for Cities Health and Equity (RICHE), Division of Public Health Medicine, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High sugar intake contributes to diet-related excess weight and obesity and is a key determinant for noncommunicable diseases (NCDs) in low- and middle-income countries (LMICs). The World Health Organization (WHO) gives specific advice on limiting sugar intake in adults and children. Yet, to what extent have policy ideas on sugar intake reduction originating at the global level found expression at lower levels of policymaking? A systematic policy document analysis identified policies issued at the African regional, South African national and Western Cape provincial levels between 2000 and 2020 using search terms related to sugar, sugar-sweetened beverages (SSBs), and NCDs. Forty-eight policy documents were included in the review, most were global and national policies and thus the focus of analysis. A policy transfer conceptual framework was applied. Global recommendations for effectively tackling unhealthy diets and NCDs advise implementing a mix of cost-effective policy options that employ a multisectoral approach. South African country-level policy action has followed the explicit global guidance, and ideas on reducing sugar intake have found expression in sectors outside of health, to a limited extent. As proposed in this paper, with the adoption of the SSB health tax and other policy measures, South Africa's experience offers several learnings for other LMICs.

Indexed as

Noncommunicable DiseasesAdultBeveragesChildDietHumansPolicyPolicy MakingSouth AfricaSugarsTaxesSugarsNCDsnoncommunicable diseasesSouth AfricaSSBssugarsugar-sweetened beverages

Identifiers

PMID36142100
PMCPMC9517510

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.