As voters consider soda taxes in four U.S. cities, a new study finds that low-income Berkeley neighbourhoods slashed sugar-sweetened beverage consumption by more than one-fifth after the Northern California city enacted the first soda tax in the U.S.
Berkeley voters in 2014 levied a penny-per-ounce tax on soda and other sugary drinks to try to curb consumption and stem the rising tide of diabetes and obesity. After the tax took effect in March 2015, residents of two low-income neighbourhoods reported drinking 21 per cent less of all sugar-sweetened beverages and 26 per cent less soda than they had the year before, according to the report in the October American Journal of Public Health.
“From a public health perspective, that is a huge impact.
That is an intervention that’s more powerful than anything I’ve ever seen aimed at changing someone’s dietary behaviour,” senior author Dr. Kristine Madsen said in a telephone interview.
Madsen, a professor of public health at the University of California at Berkeley, said the drop in sugary drink consumption surpassed her expectations, though it was consistent with consumption declines in low-income neighbourhoods in Mexico after it imposed a nationwide tax on sugar-sweetened beverages.
The soda industry has spent millions of dollars defeating taxes on sugary drinks in dozens of U.S. cities. But the tax passed easily — with 76 per cent of the vote — in Berkeley. In addition to soda, the measure covers sweetened fruit-flavoured drinks, energy drinks like Red Bull and caffeinated drinks like Frappuccino iced coffee. Diet beverages are exempt.
In June, the Philadelphia City Council enacted its own tax on sugar-sweetened beverages. The 1.5-cent-per-ounce tax is set to take effect in January, although soda trade groups have sued to try to block the measure.
Meanwhile, voters in Boulder, Colorado and the Bay Area cities of San Francisco, Oakland and Albany will vote on whether to tax their sugary beverages on November 8.
Public health officials and politicians point to the Berkeley study as proof of the power of an excise tax to wean residents of low-income neighbourhoods off sweetened drinks.
“Just like tobacco, these are commodities we can live without that are killing us,” she said. Cohen wrote the San Francisco ballot measure.
Researchers surveyed 873 adults in low-income commercial neighbourhoods in Berkeley and 1,806 adults in similar neighbourhoods in nearby San Francisco and Oakland before and a few months after imposition of the soda tax.
Sweetened beverage consumption increased slightly in San Francisco and Oakland at the same time it dropped in Berkeley, the study showed. In Berkeley, water consumption spiked 63 per cent, compared to 19 per cent in San Francisco and Oakland, after the tax took effect.
The researchers attributed the surge in water consumption to a heat wave. But the American Beverage Association saw it as example of the study’s flaws.
The association’s criticism may hold grains of truth, Nestle said. But she largely dismissed it. “Obviously, the ABA is going to attack the results. That’s rule number one in the playbook: cast doubt on the science,” she said.