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Support for, and perceived effectiveness of, the UK soft drinks industry levy among UK adults: cross-sectional analysis of the International Food Policy Study.

Accepted version
Peer-reviewed

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Authors

Pell, David 
Penney, Tarra 
Hammond, David 
Vanderlee, Lana 
White, Martin 

Abstract

OBJECTIVES: To answer four questions: What are attitudes, knowledge and social norms around sugar-sweetened beverages (SSBs)? What are current levels of trust in messages on SSBs? What is current support for, and perceived effectiveness of, the UK soft drinks industry levy (SDIL)? What is the association between attitudes, knowledge, social norms, trust, SSB consumption and sociodemographic factors; and support for, and perceived effectiveness of, the SDIL? DESIGN: Cross-sectional online survey. SETTING: UK. PARTICIPANTS: UK respondents to the 2017 International Food Policy Study aged 18-64 years who provided information on all variables of interest (n=3104). OUTCOME MEASURES: Self-reported perceived effectiveness of, and support for, the SDIL. RESULTS: Most participants supported the SDIL (70%), believed it would be effective (71%), had a positive attitude to SSBs (62%), had knowledge of the link between SSBs and obesity (90%), and trusted messages from health experts (61%), but not those from the food and beverage industry (73%). Nearly half (46%) had negative social norms about drinking SSBs. In adjusted models, older age, non-consumption of SSBs, social norms to not drinks SSBs, knowledge of the link between SSBs and obesity and trust in health expert messages were associated with greater support for the SDIL, whereas having dependent children and trusting messages from the food and beverage industry were associated with less support. In adjusted models, older age was associated with lower perceived effectiveness of the SDIL, whereas social norms to not drink SSBs, negative attitudes to SSBs and trusting messages from health experts and the food and beverage industry were associated with greater perceived effectiveness. CONCLUSIONS: There was strong support for the SDIL and belief that it would be effective. Those with more 'public health' orientated norms and trust were generally more likely to support the SDIL or believe that it would be effective.

Description

Keywords

attitudes, public health, soda tax, taxation, Adult, Carbonated Beverages, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Nutrition Policy, Nutrition Surveys, Obesity, Public Health, Taxes, United Kingdom, Young Adult

Journal Title

BMJ Open

Conference Name

Journal ISSN

2044-6055
2044-6055

Volume Title

9

Publisher

BMJ
Sponsorship
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MR/K023187/1)
Department of Health (via National Institute for Health Research (NIHR)) (16/130/01)
Department of Health (via National Institute for Health Research (NIHR)) (PHR Project: 16/49/01)
Health Foundation (7871)
Health Foundation (AIMS ID 1460271)
Health Foundation (1273876)
Funding for the International Food Policy Study was provided by the Canadian Institutes of Health Research (CIHR; operating grant). Additional support was provided by a CIHR – Public Health agency of Canada (PHAC) Applied Public Health Research Chair. The study has no affiliations with the food industry. The analyses reported in this paper were supported by The Health Foundation. JA & MW are supported by the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged (grant number MR/K023187/1).