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Changes in take-home aerated soft drink purchases in urban India after the implementation of Goods and Services Tax (GST): An interrupted time series analysis

机译:在实施商品和服务税(GST)后,印度城市收购软饮料的变化(GST):中断时间序列分析

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ObjectivesTaxes on sugar-sweetened beverages (SSB) are increasingly being implemented as public health interventions to limit the consumption of sugar and reduce associated health risks. In July 2017, India imposed a new tax rate on aerated (carbonated) drinks as part of the Goods and Services Tax (GST) reform. This study investigates the post-GST changes in the purchase of aerated drinks in urban India.MethodsAn interrupted time series analysis was conducted on state-level monthly take-home purchases of aerated drinks in urban India from January 2013 to June 2018. We assessed changes in the year-on-year growth rate (i.e. percentage change) in aerated drink purchases with controls for contextual variables.ResultsWe found no evidence of a reduction in state-level monthly take-home aerated drink purchases in urban India following the implementation of GST. Further analysis showed that the year-on-year growth rate in aerated drink purchases increased slightly (0.1 percentage point per month, 95%CI?=?0.018, 0.181) after the implementation of GST; however, this trend was temporary and decreased over time (0.008 percentage point per month, 95%CI?=??0.015, ?0.001).ConclusionsIn India, a country currently with low aerated drink consumption, the implementation of GST was not associated with a reduction in aerated drink purchase in urban settings. Due to the lack of accurate and sufficiently detailed price data, it is not possible to say whether this finding is driven by prices not changing sufficiently. Furthermore, the impact of GST reform on industry practice (reformulation, marketing) and individual behaviour choices (substitution) is unknown and warrants further investigation to understand how such taxes could be implemented to deliver public health benefits.
机译:糖加饮料(SSB)的客观越来越多地实施为公共卫生干预措施,以限制糖的消费,减少相关的健康风险。 2017年7月,印度对货物和服务税(GST)改革的一部分,对充气(碳化)饮料进行了新的税率。本研究调查了在印度城市城市购买充气饮料中的GST变化。从2013年1月至2018年6月,在印度城市级充气饮料的国家级月收购物中采购了序列分析。我们评估了变化在逐年增长率(即百分比变化)在充气饮料购买中,随着语境变量的控制。在执行GST后,没有发现在印度城市中城市级月间充气饮料购买的证据。进一步的分析表明,在实施GST的实施后,收购饮料购买的同比增长率增加(每月每月0.1个百分点,95%,0.181);然而,这种趋势随着时间的推移暂时和减少(每月0.008个百分点,95%CI?= ?? 0.015,?0.001)。印度,一个目前具有低充气饮料消费的国家,GST的实施与...无关在城市环境中减少充气饮料。由于缺乏准确且充分详细的价格数据,不可能说这一发现是否受到不充分改变的价格。此外,GST改革对行业实践(重新制作,营销)和个人行为选择(替代)的影响是未知的,并保证进一步调查,了解如何实施此类税收以提供公共卫生福利。

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