Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America

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BACKGROUND AND OBJECTIVES: Latin American (LA) countries have begun to adopt a variety of regulations targeting sugar-sweetened beverages (SSBs) for public health reasons. Our objective was to characterize the regulatory strategies designed to reduce SSB consumption over the las...

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Autores principales: Mejía, Raúl M, Castagnari, Valentina, Bergallo, Paola, Fernández, Alicia
Formato: Artículo
Lenguaje:Inglés
Publicado: 1932-6203 2019
Materias:
Salud publica
Azúcares de la Dieta
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4467
Aporte de:
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad de Centro de Estudios de Estado y Sociedad (CEDES)
id I61-R167123456789-4467
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
orig_language_str_mv en
topic Salud publica
Azúcares de la Dieta
spellingShingle Salud publica
Azúcares de la Dieta
Mejía, Raúl M
Castagnari, Valentina
Bergallo, Paola
Fernández, Alicia
Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
topic_facet Salud publica
Azúcares de la Dieta
description BACKGROUND AND OBJECTIVES: Latin American (LA) countries have begun to adopt a variety of regulations targeting sugar-sweetened beverages (SSBs) for public health reasons. Our objective was to characterize the regulatory strategies designed to reduce SSB consumption over the last decade, and assess the available evidence on their enforcement and impact. METHODS: We searched legal and public health databases for public and private SSBs regulations in 14 LA countries and then conducted a systematic review of the available literature. We tracked comparative variations in the type of body issuing the regulations, their scope, and binding status. We present data following a 5-category framework we named NUTRE that classifies SSBs regulations as: (1) restrictions to SSB availability in schools (N), (2) taxes and other economic incentives to discourage consumption (U), (3) restrictions on advertising and marketing (T), (4) regulations on government procurement and subsidies (R), and (5) product labeling rules (E). RESULTS: Since 2006, 14 LA countries have adopted at least 39 public and private SSB regulatory initiatives across the NUTRE framework. Comprehensive efforts have only been approved by Chile, Mexico and Ecuador, while the rest have comparatively few initiatives. 28 out of the 39 regulatory initiatives were passed by legislative and executive bodies; 11 initiatives represent self-regulatory undertakings by the beverage industries. An 86% (24/28) of public sector regulations are binding; 56% (22/39) contain explicit monitoring or evaluation methods; and 62% (24/39) provide for sanctions. Moreover, 23 regulations specify the body in charge of monitoring the new rules and standards. CONCLUSIONS: LA countries are targeting SSB consumption through a variety of mechanisms, particularly via restrictions to availability in schools and through taxes. Interdisciplinary evidence comparing alternative regulatory strategies is scarce, and few studies offer data on impact and implementation challenges. More evidence and further comparative assessments are needed to support future decision-making.
format Artículo
author Mejía, Raúl M
Castagnari, Valentina
Bergallo, Paola
Fernández, Alicia
author_facet Mejía, Raúl M
Castagnari, Valentina
Bergallo, Paola
Fernández, Alicia
author_sort Mejía, Raúl M
title Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
title_short Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
title_full Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
title_fullStr Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
title_full_unstemmed Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America
title_sort regulatory initiatives to reduce sugar-sweetened beverages (ssbs) in latin america
publisher 1932-6203
publishDate 2019
url http://repositorio.cedes.org/handle/123456789/4467
work_keys_str_mv AT mejiaraulm regulatoryinitiativestoreducesugarsweetenedbeveragesssbsinlatinamerica
AT castagnarivalentina regulatoryinitiativestoreducesugarsweetenedbeveragesssbsinlatinamerica
AT bergallopaola regulatoryinitiativestoreducesugarsweetenedbeveragesssbsinlatinamerica
AT fernandezalicia regulatoryinitiativestoreducesugarsweetenedbeveragesssbsinlatinamerica
bdutipo_str Repositorios
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