Cahuana-Hurtado, Lucero and Sosa-Rubí, Sandra and Rubalcava-Peñafiel, Luis and Panopoulou, Panagiota and Rodriguez-Oliveros, Guadalupe (2013): Efectos heterogéneos en la demanda ante un impuesto al refresco en México.
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Abstract
The increasing burden of obesity and related non-communicable diseases in the world has encouraged the design of effective policies in order to contain this trend. Excise taxes on low-nutritious food and sugar-sweetened beverages consumption, such as soft-drinks, have been proposed. Currently, a growing number of studies have calculated potential effects of soft-drinks taxes considering data for average consumers, and have assessed effectiveness of such measure on raising fresh revenues to the government, modifying consumption patterns, and population weight reduction. Nevertheless, there is evidence of heterogeneity of the demand of soft-drinks related to poverty and the level of consumption of soft-drinks. It has also been emphasised the need of examining the possible distributional effects of an excise tax in populations with uneven income distribution. We used Mexican data to discuss effectiveness and equity implications of an excise tax on soft-drinks consumption in populations with heterogeneous demand. We estimated the changes in the quantity purchased and household monthly expenditure on soft-drinks of 8434 households that answered the 2005 Mexican Family Life Survey. Specific price elasticities of the demand for soft-drinks of households grouped by their level of consumption (low, medium and high) and poverty (extreme, moderate and income superior to moderate poverty) were used. Several excise tax rate scenarios were considered: from a conservative level (tax rate: t=20%), to a least conservative level (t=65%) that was defined by the longitudinal analysis of body mass index changes in adults between 2002 and 2005. Effectiveness was evaluated by revenue collection (as a proportion of the cost of a comprehensive obesity prevention strategy), changes of the patterns of consumption and changes in calories related to changes of body mass index. Equity was assessed by concentration curves and indexes of the distribution of tax burden and the distribution of changes of the proportion of food expenditure devoted to soft-drink purchasing. The results suggest although revenues collected with low tax rates (20%) could partially finance a comprehensive obesity prevention strategy for Mexico, effectiveness on changing the patterns of consumption is only observable at tax rates higher than 45%. An excise tax is not effective on modifying population body mass index if tax rates are lower than 65%. Despite the fact that effects are concentrated in high consumption households, regressiveness is a latent problem due to the high tax burden imposed to households on extreme poverty. These results are different from the ones calculated in previous exercises in Mexico, considering average consumers. If governments are considering excise taxes on soft drinks to prevent obesity, heterogeneity of the demand for soft-drinks due to poverty and consumption level should be considered, especially in emergent economies with uneven income distribution. For the Mexican case, in order to design policies that adequately affect the demand for soft drinks, tax rates superior to 45% are recommended, along with redistributional mechanisms to promote equity by compensating households in extreme and moderate poverty, and effective interventions to reduce population weight.
Item Type: | MPRA Paper |
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Original Title: | Efectos heterogéneos en la demanda ante un impuesto al refresco en México |
English Title: | Will the poor and high consumers benefit more by obesity prevention fiscal policies? Evidence from Mexico |
Language: | Spanish |
Keywords: | Taxes; Soft-Drinks; Heterogeneity; Household Consumption; Inequalities |
Subjects: | D - Microeconomics > D1 - Household Behavior and Family Economics > D12 - Consumer Economics: Empirical Analysis D - Microeconomics > D6 - Welfare Economics > D63 - Equity, Justice, Inequality, and Other Normative Criteria and Measurement H - Public Economics > H2 - Taxation, Subsidies, and Revenue > H20 - General H - Public Economics > H3 - Fiscal Policies and Behavior of Economic Agents > H31 - Household |
Item ID: | 61277 |
Depositing User: | Lucero Cahuana-Hurtado |
Date Deposited: | 19 Jan 2015 15:28 |
Last Modified: | 30 Sep 2019 16:37 |
References: | 1. Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P et al for The Lancet NCD Action Group and the NCD Alliance. Priority actions for the non-communicable disease crisis. Lancet 2011; 377: 1438-47 2. Institute for Health Metrics and Evaluation. The Global Burden of Disease: Generating evidence, guiding policy. Seattle, WA: IHME, 2013 3. Gutiérrez JP et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública, 2012. 4. Rivera JA, Campos-Nonato I, Barquera S y T González. Epidemiología de la obesidad en México: magnitud, distribución, tendencias y factores de riesgo. En: Rivera J et al. Obesidad en México: recomendaciones para una política de Estado. México DF: Universidad Nacional Autónoma de México, 2012. pp. 79-98 5. Secretaría de Salud. Acuerdo nacional para la salud alimentaria. Estrategia contra el sobrepeso y la obesidad. México DF: Secretaría de Salud, 2010. 6. Berkey CS et al. Sugar-added beverages and adolescent weight change. Obesity research 2004; 12(5):778-788 7. Jiménez-Aguilar A et al. Sugar-sweetened beverages consumption and BMI in Mexican adolescents. Mexican National Health and Nutrition Survey 2006. Salud Publica Mex 2009; 51 suppl 4:S604-S612 8. Dhingra R et al. Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community. Circulation 2007; 116:480-8 9. Fung TT et al. Sweetened beverages consumption and risk of coronary heart disease in women. Am J Clin Nutr 2009; 89:1037-1042 10. Palmer JR et al. Sugar-Sweetened Beverages and Incidence of Type 2 Diabetes Mellitus in African American Women. Arch Intern Med 2008;168(14):1487-1492 11. Malik VS et al. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes. Diabetes Care 2010 33(11):2477-2483 12. The Coca-Cola Company. 2010 Annual Review. Advancing our global momentum. Disponible en: http://www.thecoca-colacompany.com/ourcompany/ar/pdf/TCCC_2010_Annual_Review.pdf 13. Cahuana-Hurtado L, Rubalcava-Peñafiel L y SG Sosa-Rubí. Políticas fiscales como herramienta para la prevención de sobrepeso y obesidad. Cap 14. En: Rivera J et al. Obesidad en México: recomendaciones para una política de Estado. México DF: Universidad Nacional Autónoma de México, 2012. pp: 331-356 14. Singh G, Micha R, Khatibzadeh S, Lim S, Ezzati M and D Mozaffarian. Mortality due to sugar-sweetened beverage consumption: a global, regional and national comparative risk assessment. Poster presentado en el American Heart Association’s Epidemiology and Prevention (EPI) and Nutrition, Physical Activity and Metabolism (NPAM), 2013 Scientific Sessions. Marzo 19, 2013 15. Swinburn et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011; 378: 804–14 16. Rivera JA, Velasco A, Hernández M, Aguilar CA, Vadillo F y C Muruyama. Obesidad en México: recomendaciones para una política de Estado. Trabajo de postura. En: Rivera J et al. Obesidad en México: recomendaciones para una política de Estado. México DF: Universidad Nacional Autónoma de México, 2012. pp 11-44 17. Drewnowski A and SE Specter. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr 2004; 79:6-16 18. Drewnowski A and N Darmon. The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 2005; 82(suppl):265S-73S 19. Hernández-Licona G, Minor E, Aranda R. Determinantes económicos: evolución del costo de las calorías en México. En: Rivera J et al. Obesidad en México: recomendaciones para una política de Estado. México DF: Universidad Nacional Autónoma de México, 2012. 20. Asfaw A. The role of food price policy in determining the prevalence of obesity: evidence from Egypt. Review of Agricultural Economics 2006; 28(3):305-312 21. Powell LM and FJ Chaloupka. Food prices and obesity: evidence and policy implications for taxes and subsidies. The Milbank Quartely 2009; 87(1):229-257 22. Powell L and E Han. Adult obesity and the price and availability of food in the United States. Amer J Agr Econ 2011; 93(2):378-384 23. Barquera S, Campos-Nonato I, Rivera-Dommarco J y A Velasco. Obesidad en México: políticas y programas para su prevención y control. En: Rivera J et al. Obesidad en México: recomendaciones para una política de Estado. México DF: Universidad Nacional Autónoma de México, 2012. pp 291-314 24. Hawkes C. Food policies for healthy populations and healthy economies. BMJ 2012; 344: e2801 25. Thow AM, Jan S, Leeder S and B Swinburn. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bulletin of the World Health Organization 2010;88:609-614 26. Brownell KD, Farley T, Willet WC, Popkin BM, Chaloupka FJ, Thompson JW and DS Ludwig. The public health and economic benefits of taxing sugar-sweetened beverages. N Engl J Med 2009; 361(16):1599-1605 27. Smith TA, Lin BH and JY Lee. Taxing caloric sweetened beverages. Potential effects on beverage consumption, calorie intake, and obesity. ERR-100. US Department of Agriculture. Economic Research Service, 2010 28. Wang YC, Coxson P, Shen YM, Goldman L and K Bibbins-Domingo. A penny per ounce tax on sugar-sweetened beverages would cut health and cost burdens of diabetes. Health Affairs 2012; 31(1):199-207 29. Sandmo A. Pigouvian taxes. The New Palgrave Dictionary of Economics. Second Edition. Eds. Eds SN Durlauf and LE Blume. Palgrave Macmillan, 2008 30. Torres-Peimbert M, Cuevas-Barron G, Romero-Hicks JC, López-Brito FS, Orozco-Sandoval M, Beristain LM et al. Iniciativa de ley o decreto de senadores, con proyecto de decreto, por el que se reforman y adicional diversas disposiciones a la Ley de Impuesto Especial sobre Producción y Servicios. Gaceta Parlamentaria, año XVI: 3666-I. Diciembre 13, 2012 31. Powell LM, Chriqui J and FJ Chaloupka. Associations between state-level soda taxes and adolescent body mass index. Journal of Adolescent Health 2009; 45:S57-S63 32. Fletcher JM, Frisvold D and N Tefft. Taxing soft drinks and restricting access to vending machines to curb child obesity. Health Affairs, 2010; 29(5): 1059-66 33. Mytton O, Clarke D and M Rayner. Taxing unhealthy food and drinks. BMJ 2012; 344: e2932 34. Sáenz de Miera Juárez B. Impuestos al tabaco en México: análisis del periodo 2006-2012. En: Salud pública y tabaquismo, volumen I. Políticas para el control del tabaco en México. Cuernavaca, México: Instituto Nacional de Salud Pública, 2013 35. Aguilar-Estrada AE, Martínez-Damián MA, Santiago-Cruz MJ, Brambila-Paz JJ y F Manzo-Ramos. Impuesto a las aguas saborizadas (refrescos): una alternativa para financiar el combate a la diabetes en México. Agricultura, sociedad y desarrollo, 2011. 8(3):421-432 36. Colchero A, et al. Análisis del potencial efecto del impuesto a refrescos en México como una estrategia de prevención de obesidad. Trabajo presentado en el 15 Congreso de Investigación en Salud Publica. Cuernavaca, Morelos, México. Instituto Nacional de Salud Pública, Marzo 6-8, 2013. 37. Wang YC, Gortmaker SL, Sobol AM and KM Kuntz. Estimating the energy gap among US children: a counterfactual approach. Pediatrics 2006; 118:e1721 38. Wang YC, Orleans T and SL Gortmaker. Reaching the healthy people goals for reducing childhood obesity. Closing the energy gap. Am J Prev Med 2012; 42(5):437-444 39. Rubalcava L y G Teruel. Guía de usuario: Encuesta nacional sobre niveles de vida de los hogares 2005. México DF, 2007. Disponible en: http://www.ennvih-mxfls.org 40. Teruel G, Rubalcava L y A Santana. Escalas de equivalencia para México. Serie: Documentos de Investigación, 23. México DF: Secretaría de Desarrollo Social, 2005 41. Suits DB, Mason A and L Chan. Spline functions fitted by standard regression methods. The review of economics and statistics 1978, 60(1):132-139 42. De la Torre R. Ingreso y gasto en la medición de la pobreza. Serie: Documentos de Investigación, 22. México DF: Secretaría de Desarrollo Social, 2005 43. Cahuana-Hurtado L et al. Understanding the heterogeneous nature of the demand for soft drinks in Mexico: why social determinants also matter. (manuscript) 44. Consejo Nacional de Evaluación de la Política de Desarrollo Social. Metodología para la medición multidimensional de la pobreza en México. México DF: CONEVAL, 2009 45. Cahuana-Hurtado L et al. Cambios en la brecha de energía para la reducción del sobrepeso y obesidad en adultos en México (Manuscrito) 46. Sistema de Cuentas en Salud, Secretaría de Salud. Gasto Público Por Instituciones Según Entidad Federativa. Disponible en: http://www.sinais.salud.gob.mx/recursosfinancieros/gastopublico.html 47. Avila-Burgos L y L Cahuana-Hurtado. Cuentas en diabetes mellitus, enfermedades cardiovasculares y obesidad. México 2006. Cuernavaca: Instituto Nacional de Salud Pública, 2009 48. Sassi F. Obesity and the economics of prevention: fit not fat. Paris: OECD, 2010 49. Kakwani NC. Measurement of tax progressivity: an international comparison. The Economic Journal 1977, 87(345): 71-80 50. Wagstaff A, Paci P and E van Doorslaer. On the measurement of inequalities in health. Soc Sci Med 1991. 33(5):545-557 51. O’Donnell O, van Doorslaer E, Wagstaff A and M Lindelow. Analyzing health equity using household survey data. Washington DC: World Bank, 2008 52. Kakwani N, Wagstaff A and E van Doorslaer. Socioeconomic inequalities in health: measurement, computation and statistical inference. Journal of Econometrics 1997, 77:87-103 53. Van Doorslaer E, Masseria C and the OECD Health Equity Research Group Members. Income-related inequality in the use of medical care in 21 OECD countries. OECD Health working papers, 14. DELSA/ELSA/WD/HEA(2004)5 54. Scott J. Gasto público y desarrollo humano en México. Análisis de incidencia y equidad. Documento de trabajo, Informe sobre Desarrollo Humano México 2011. México DF: PNUD, 2011 55. Almeida G and FM Sarti. Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries. Rev Panam Salud Publica. 2103; 33(2):83-9 56. Barraza-Lloréns M, Panopoulou G y BY Díaz. Income-related inequalities and inequities in health and health care utilization in Mexico, 2000-2006. Rev Panam Salud Publica. 2103; 33(2):122-30 57. Duclos JY. Horizontal and vertical equity. The New Palgrave Dictionary of Economics. Eds SN Durlauf and LE Blume. Palgrave Macmillan, 2008 58. StataCorp Lp. Stata/IC 12.1 for Windows. Revision 18 Jul 2012. 59. Abdelkrim A and JY Duclos. DASP: Distributive Analysis Stata Package. PEP, World Bank, UNDP and Université Laval, 2007. Version 2.2. (01 June 2012) 60. Claro RM, Levy RB, Popkin BM and CA Monteiro. Sugar-sweetened beverage taxes in Brazil. American Journal of Public Health 2012, 102(1):178-183 61. Gustavsen GW and Rickertsen K. The effects of taxes on purchases of sugar-sweetened carbonated soft drinks: a quantile regression approach. Applied Economics 43(6):707-716 62. Armendares PE y LM Reynales. Política fiscal y control del tabaco: una oportunidad única para beneficiar a la salud pública y al erario. Salud Publica Mex 2006; 48 supl I: S167-S172 63. Saloojee Y and E Dagli. Tobacco industry tactics for resisting public policy on health. Bulletin of the World Health Organization, 2000. 78(7): 902-910 |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/61277 |