دورية أكاديمية
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Health Taxes on Tobacco, Alcohol, Food and Drinks in Low- and Middle-Income Countries: A Scoping Review of Policy Content, Actors, Process and Context.

التفاصيل البيبلوغرافية
العنوان: Health Taxes on Tobacco, Alcohol, Food and Drinks in Low- and Middle-Income Countries: A Scoping Review of Policy Content, Actors, Process and Context.
المؤلفون: Elliott LM; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.; School of Public Health & Social Work, Queensland University of Technology, Brisbane, QLD, Australia., Dalglish SL; Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.; Institute for Global Health, University College London, London, UK., Topp SM; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.; Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia.
المصدر: International journal of health policy and management [Int J Health Policy Manag] 2022 Apr 01; Vol. 11 (4), pp. 414-428. Date of Electronic Publication: 2022 Apr 01.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Kerman University of Medical Sciences Country of Publication: Iran NLM ID: 101619905 Publication Model: Electronic Cited Medium: Internet ISSN: 2322-5939 (Electronic) Linking ISSN: 23225939 NLM ISO Abbreviation: Int J Health Policy Manag Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kerman, Iran : Kerman University of Medical Sciences, [2013]-
مواضيع طبية MeSH: Sugar-Sweetened Beverages*, Developing Countries ; Humans ; Policy ; Taxes ; Nicotiana
مستخلص: Background: Taxation of tobacco, food, alcohol and other beverages has gained renewed attention in responding to non-communicable diseases (NCDs). While largely built on evidence from high-income countries (HICs), the projected economic and health benefits of these measures have increased calls for their use in price-sensitive low- and middle-income countries (LMICs). However, uptake has been sporadic and there remains little research on why and how LMICs utilise fiscal measures in response to NCDs.
Methods: This scoping review analyses factors influencing the design and implementation of health-related fiscal measures in LMICs. Utilising Arksey and O'Malley's scoping review methodology and Walt and Gilson's policy triangle, we considered the contextual, procedural, content and stakeholder-related factors that influenced measures.
Results: We identified 75 papers focussing on health-related fiscal measures, with 47 (63%) focused on tobacco, 5 on alcohol, 6 on soft drink and 4 studies on food-related fiscal regulation. Thirteen papers analysed multiple measures and most papers (n = 66, 88%) were less than a decade old. Key factors enabling the design and implementation of measures included localised health and economic evidence, policy championing, inter-ministerial support, and global or regional momentum. Impeding factors encompassed negative framing and retaliation by industry, vested interests and governmental policy disjuncture. Aligning with theoretic insights from the policy triangle, findings consistently demonstrated that the interplay between factors - rather than the presence or absence of particular factors - has the most profound impact on policy implementation.
Conclusion: Given the growing urgency to address NCDs in LMICs, this review highlights the need for recognition and rigorous exploration of political economy factors influencing the design and implementation of fiscal measures. Broader LMIC-specific empirical research is needed to overcome an implication noted in much of the literature: that mechanisms used to enact tobacco taxation are universally applicable to measures targeting foods, alcohol and other beverages.
(© 2022 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.)
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فهرسة مساهمة: Keywords: Fiscal; LMICs; NCDs; Non-communicable Diseases; Policy; Tax
تواريخ الأحداث: Date Created: 20200918 Date Completed: 20220325 Latest Revision: 20231213
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9309941
DOI: 10.34172/ijhpm.2020.170
PMID: 32945639
قاعدة البيانات: MEDLINE
الوصف
تدمد:2322-5939
DOI:10.34172/ijhpm.2020.170