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Examining the news media reaction to a national sugary beverage tax in South Africa: a quantitative content analysis

机译:审查新闻媒体对南非国家含糖饮料的反应:定量内容分析

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BACKGROUND:South Africa was the first sub-Saharan African country to implement a sugar-sweetened beverage (SSB) tax called the Health Promotion Levy (HPL) in April 2018. Given news media can increase public awareness and sway opinions, this study analyzed how the media represented the HPL, including expressions of support or challenge, topics associated with the levy, and stakeholder views of the HPL.METHODS:We performed a quantitative content analysis of online South African news articles related to the HPL published between January 1, 2017 and June 30, 2019. We coded the presence or absence of mentions related to health and economic effects of the HPL and HPL support or opposition. Prevalence of these mentions, overall and by source (industry, government, academics, other), were analyzed with Pearson χ 2 and post-hoc Fisher exact tests.RESULTS:Across all articles, 81% mentioned health, and 65% mentioned economics topics. 54% of articles expressed support, 26% opposition, and 20% a balanced view of the HPL. All sources except industry expressed majority support for the HPL. Health reasons were the most common justifications for support, and economic harms were the most common justifications for opposition. Statements that sugar intake is not related to obesity, the HPL will not reduce SSB intake, and the HPL will cause industry or economic harm were all disproportionately high in industry sources (92, 80, and 81% vs 25% prevalence in total sample) (p??0.001). Statements that sugar intake is related to obesity and non-communicable diseases were disproportionately high in both government (46 and 54% vs 31% prevalence in total sample) (p??0.001) and academics (33 and 38% vs 25% prevalence in total sample) (p??0.05). Statements that the HPL will improve health and the HPL will reduce health care costs were disproportionately high in government (47% vs 31% prevalence in total sample) (p??0.001) and academics (44% vs 25% prevalence in total sample) (p??0.05), respectively.CONCLUSIONS:Industry expressed no support for the HPL, whereas academics, government, and other sources mainly expressed support. Future studies would be improved by linking news media exposure to SSB intake data to better understand the effects news media may have on individual behavior change.
机译:背景:南非是第一个撒哈拉以南非洲国家实施糖类甜味饮料(SSB)税,称为健康促进征收(HPL),于2018年4月。鉴于新闻媒体可以提高公众意识和摇摆意见,这项研究分析了媒体代表了HPL,包括支持或挑战的表达,与征收的主题以及HPL的利益相关者意见。和2019年6月30日。我们编写了与HPL和HPL支持或反对人员的健康和经济影响有关的提升。通过Pearsonχ2和Hoc Fisher精确测试分析了这些提到的普遍性,总体和源自。 54%的物品表示支持,26%的反对派和20%的HPL平衡视图。除了行业之外的所有来源都表达了对HPL的多数支持。健康原因是对支持的最常见理由,经济危害是反对派最常见的理由。糖摄入与肥胖无关的陈述,HPL不会降低SSB摄入量,而HPL将导致行业或经济危害在行业来源(92,80和81%vs总样本中的25%患病率为25%患病率(p?& 0.001)。糖摄入与肥胖症和非传染性疾病相关的陈述在政府中不成比例地高(46和54%对总样品的31%患病率)(P?&?0.001)和学者(33%和25%)总样品中的患病率)(p≤≤0.05)。 HPL将改善健康的陈述,HPL将降低医疗费用在政府中不成比例地高(47%对31%的样品患病率)(P?& 0.001)和学者(共有44%vs 25%)样品分别)(p?&?0.05)。结论:行业对HPL表示不支持,而学者,政府和其他来源主要表达支持。通过将新闻媒体暴露于SSB进气数据来更好地了解未来的研究将得到改善,以更好地了解新闻媒体可能对单个行为发生变化。

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