BMI and healthcare cost impact of eliminating tax subsidy for advertising unhealthy food to youth

Sonneville, Kendrin, Long, Michael W., Ward, Zachary J., Resch, Stephen C., Wang, Y Claire, Pomeranz, Jennifer L., Moodie, Marj L., Carter, Rob, Sacks, Gary, Swinburn, Boyd A. and Gortmaker, Steven L. 2015, BMI and healthcare cost impact of eliminating tax subsidy for advertising unhealthy food to youth, American journal of preventive medicine, vol. 49, no. 1, pp. 124-134, doi: 10.1016/j.amepre.2015.02.026.

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Title BMI and healthcare cost impact of eliminating tax subsidy for advertising unhealthy food to youth
Author(s) Sonneville, Kendrin
Long, Michael W.
Ward, Zachary J.
Resch, Stephen C.
Wang, Y Claire
Pomeranz, Jennifer L.
Moodie, Marj L.
Carter, RobORCID iD for Carter, Rob
Sacks, GaryORCID iD for Sacks, Gary
Swinburn, Boyd A.
Gortmaker, Steven L.
Journal name American journal of preventive medicine
Volume number 49
Issue number 1
Start page 124
End page 134
Total pages 11
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-07
ISSN 1873-2607
Summary INTRODUCTION: Food and beverage TV advertising contributes to childhood obesity. The current tax treatment of advertising as an ordinary business expense in the U.S. subsidizes marketing of nutritionally poor foods and beverages to children. This study models the effect of a national intervention that eliminates the tax subsidy of advertising nutritionally poor foods and beverages on TV to children aged 2-19 years. METHODS: We adapted and modified the Assessing Cost Effectiveness framework and methods to create the Childhood Obesity Intervention Cost Effectiveness Study model to simulate the impact of the intervention over the 2015-2025 period for the U.S. population, including short-term effects on BMI and 10-year healthcare expenditures. We simulated uncertainty intervals (UIs) using probabilistic sensitivity analysis and discounted outcomes at 3% annually. Data were analyzed in 2014. RESULTS: We estimated the intervention would reduce an aggregate 2.13 million (95% UI=0.83 million, 3.52 million) BMI units in the population and would cost $1.16 per BMI unit reduced (95% UI=$0.51, $2.63). From 2015 to 2025, the intervention would result in $352 million (95% UI=$138 million, $581 million) in healthcare cost savings and gain 4,538 (95% UI=1,752, 7,489) quality-adjusted life-years. CONCLUSIONS: Eliminating the tax subsidy of TV advertising costs for nutritionally poor foods and beverages advertised to children and adolescents would likely be a cost-saving strategy to reduce childhood obesity and related healthcare expenditures.
Language eng
DOI 10.1016/j.amepre.2015.02.026
Field of Research 111104 Public Nutrition Intervention
111712 Health Promotion
160508 Health Policy
Socio Economic Objective 920207 Health Policy Economic Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Grant ID APP1041020
Copyright notice ©2015, Elsevier
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