Mexican adolescents’ experiences around the sugar-sweetened beverages tax: a qualitative study
Author(s): ,
Ana Ortega-Avila
Affiliations:
University of Bristol
,
Angeliki Papadaki
Affiliations:
University of Bristol
Russell Jago
Affiliations:
University of Bristol
PHE ePoster Library. Ortega-Avila A. Mar 21, 2018; 209130; 14121
Ana Ortega-Avila
Ana Ortega-Avila
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Abstract
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Abstract Background: Mexico has one the highest intake of sugar-sweetened beverages (SSB) intake worldwide, mirroring the prevalence of obesity and overweight in Mexican population. As part of strategies to reduce intake of SSBs, an excise tax was implemented in 2014. Although results suggest a decline in purchase, less is known about how the tax has affected adolescents’ perceptions around SSBs- a population group characterised for their high SSB intake.Objectives: To explore adolescent’s perceptions on taxation and how, despite the tax, the home and out-home environment facilitates SSB intake.Method: Qualitative study. Twenty-nine interviews were conducted between April-May 2016. Participants were SSBs consumers,15-19 years, males and females,urban residents in North west Mexico. Thematic analysis was used to analyse the data.Results: Adolescents were mostly unaware of the tax, they felt that the increase price was insufficient to affect their intake. Despite the tax, availability of SSBs at home encourages intake, and was facilitated by taste preference, beliefs of “healthfulness” of fruit-containing SSBs and that meals must be accompanied with SSBs.Family influences and lack of parental regulation also promoted adolescents’ SSB intake. In the out-home-environment limited water access in schools promoted SSB intake. Despite school policies restricting sales, SSBs were still available. Social norms and peer influences were identified as facilitators of SSB intake. The built environment around schools and homes promoted SSB intake during and after school hours.Conclusions: The results suggest that the lack of awareness of taxation hinders the effectiveness of the changes in prices. Modification to the taxation policy including communication strategies are needed to ensure effectiveness among adolescents. The findings also inform how different environments around adolescents still encourage intake of SSBs. Innovative interventions aimed to Mexican youth to complement taxation are needed Funding The studentship is funded by the Mexican Council of Science and Technology (CONACyT)
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