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dc.contributor.authorScarborough, Peteren
dc.contributor.authorAdhikari, Vyasen
dc.contributor.authorHarrington, Richard Aen
dc.contributor.authorElhussein, Ahmeden
dc.contributor.authorBriggs, Adamen
dc.contributor.authorRayner, Mikeen
dc.contributor.authorAdams, Jeanen
dc.contributor.authorCummins, Stevenen
dc.contributor.authorPenney, Tarraen
dc.contributor.authorWhite, Martinen
dc.date.accessioned2020-01-10T00:31:01Z
dc.date.available2020-01-10T00:31:01Z
dc.date.issued2020-02-11en
dc.identifier.issn1549-1277
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/300698
dc.description.abstractAbstract Background: Dietary sugar, especially in liquid form, increases risk of dental caries, adiposity and type 2 diabetes. The UK Soft Drinks Industry Levy (SDIL) was announced in March 2016 and implemented in April 2018 and charges manufacturers and importers at £0.24 per litre for drinks with over 8g sugar per 100ml (high levy category), £0.18 per litre for drinks with 5 to 8g sugar per 100ml (low levy category) and no charge for drinks with less than 5g sugar per 100ml (no levy category). Fruit juices and milk-based drinks are exempt. We measured the impact of the SDIL on price, product size, number of soft drinks on the marketplace, and the proportion of drinks over the lower levy threshold of 5g sugar per 100ml. Methods and Findings: We analysed data on a total of 209,637 observations of soft drinks over 85 time points between September 2015 and February 2019, collected from the websites of the leading supermarkets in the UK. The dataset was structured as a repeat cross-sectional study. We used controlled interrupted time series to assess the impact of the SDIL on changes in level and slope for the four outcome variables. Equivalent models were run for potentially levy-eligible drink categories (‘intervention’ drinks) and levy-exempt fruit juices and milk-based drinks (‘control’ drinks). Observed results were compared with counterfactual scenarios based on extrapolation of pre-SDIL trends. We found that in February 2019, the proportion of intervention drinks over the lower levy sugar threshold had fallen by 33.8 percentage points (95% confidence intervals: 33.3, 34.4, p < 0.001). The price of intervention drinks in the high levy category had risen by £0.075 (£0.037, £0.115, p < 0.001) per litre – a 31% pass through rate – whilst prices of intervention drinks in the low levy category and no levy category had fallen and risen by smaller amounts, respectively. Whilst the product size of branded high levy and low levy drinks barely changed after implementation of the SDIL (-7ml (-23ml, 11ml) and 16ml (6ml, 27ml) respectively), there were large changes to product size of own-brand drinks with an increase of 172ml (133ml, 214ml) for high levy drinks and a decrease of 141ml (111ml, 170ml) for low levy drinks. The number of available drinks that were in the high levy category when the SDIL was announced was reduced by 3 (-6, 12) by the implementation of the SDIL. Equivalent models for control drinks provided little evidence of impact of the SDIL. These results are not sales weighted, so do not give an account of how sugar consumption from drinks may have changed over the time period. Conclusions: The results suggest that the SDIL incentivised many manufacturers to reduce sugar in soft drinks. Some of the cost of the levy to manufacturers and importers was passed on to consumers as higher prices, but not always on targeted drinks. These changes could reduce population exposure to liquid sugars and associated health risks.
dc.format.mediumElectronic-eCollectionen
dc.languageengen
dc.publisherPublic Library of Science (PLoS)
dc.rightsAll rights reserved
dc.rights.uri
dc.subjectHumansen
dc.subjectDietary Sucroseen
dc.subjectCarbonated Beveragesen
dc.subjectCosts and Cost Analysisen
dc.subjectTaxesen
dc.subjectPortion Sizeen
dc.subjectControlled Before-After Studiesen
dc.subjectInterrupted Time Series Analysisen
dc.subjectUnited Kingdomen
dc.subjectSugar-Sweetened Beveragesen
dc.titleImpact of the announcement and implementation of the UK Soft Drinks Industry Levy on sugar content, price, product size and number of available soft drinks in the UK, 2015-19: A controlled interrupted time series analysis.en
dc.typeArticle
prism.issueIdentifier2en
prism.publicationDate2020en
prism.publicationNamePLoS medicineen
prism.startingPagee1003025
prism.volume17en
dc.identifier.doi10.17863/CAM.47771
dcterms.dateAccepted2020-01-07en
rioxxterms.versionofrecord10.1371/journal.pmed.1003025en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-02-11en
dc.contributor.orcidScarborough, Peter [0000-0002-2378-2944]
dc.contributor.orcidAdhikari, Vyas [0000-0001-7188-7014]
dc.contributor.orcidHarrington, Richard A [0000-0001-6854-1186]
dc.contributor.orcidBriggs, Adam [0000-0002-2314-1039]
dc.contributor.orcidRayner, Mike [0000-0003-0479-6483]
dc.contributor.orcidAdams, Jean [0000-0002-5733-7830]
dc.contributor.orcidCummins, Steven [0000-0002-3957-4357]
dc.contributor.orcidPenney, Tarra [0000-0002-4889-9102]
dc.contributor.orcidWhite, Martin [0000-0002-1861-6757]
dc.identifier.eissn1549-1676
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MR/K023187/1)
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idESRC (ES/G007462/1)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (16/130/01)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (PHR Project: 16/49/01)
cam.orpheus.counter2*
rioxxterms.freetoread.startdate2023-01-09


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