Abstract：
OBJECTIVE:To evaluate the potential cost-effectiveness of and stakeholder perspectives on a sugar-sweetened beverage (SSB) excise tax and a Supplemental Nutrition Assistance Program (SNAP) policy that would not allow SSB purchases in Maine, US. DESIGN:A cost-effectiveness simulation model combined with stakeholder interviews. SETTING:Maine, US. PARTICIPANTS:Microsimulation of the Maine population in 2015 and interviews with stakeholders (n = 14). Study conducted from 2013 to 2017. MAIN OUTCOME MEASURES:Health care cost savings, net costs, and quality-adjusted life-years (QALYs) from 2017 to 2027. Stakeholder positions on policies. Retail SSB cost and implementation cost data were collected. ANALYSIS:Childhood Obesity Intervention Cost-Effectiveness Study project microsimulation model with uncertainty analysis to estimate cost-effectiveness. Thematic stakeholder interview coding. RESULTS:Over 10 years, the SSB and SNAP policies were projected to reduce health care costs by $78.3 million (95% uncertainty interval [UI], $31.7 million-$185 million) and $15.3 million (95% UI, $8.32 million-$23.9 million), respectively. The SSB and SNAP policies were projected to save 3,560 QALYs (95% UI, 1,447-8,361) and 749 QALYs (95% UI, 415-1,168), respectively. Stakeholders were more supportive of SSB taxes than the SNAP policy because of equity concerns associated with the SNAP policy. CONCLUSIONS AND IMPLICATIONS:Cost-effectiveness analysis provided evidence of potential health improvement and cost savings to state-level stakeholders weighing broader implementation considerations.
journal_name
J Nutr Educ Behavjournal_title
Journal of nutrition education and behaviorauthors
Long MW,Polacsek M,Bruno P,Giles CM,Ward ZJ,Cradock AL,Gortmaker SLdoi
10.1016/j.jneb.2019.07.005subject
Has Abstractpub_date
2019-01-01 00:00:00pages
1177-1187issue
10eissn
1499-4046issn
1878-2620pii
S1499-4046(19)30922-4journal_volume
51pub_type
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journal_title：Journal of nutrition education and behavior
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journal_title：Journal of nutrition education and behavior
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