Cost-Effectiveness Of The Sugar-Sweetened Beverage Excise Tax In Mexico

An excise tax of 1 peso per liter on sugar-sweetened beverages was implemented in Mexico in 2014. We estimated the cost-effectiveness of this tax and an alternative tax scenario of 2 pesos per liter. We developed a cohort simulation model calibrated for Mexico to project the impact of the tax over t...

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Bibliographic Details
Published in:Health Affairs 2019-11, Vol.38 (11), p.1824-1831
Main Authors: Basto-Abreu, Ana, Barrientos-Gutiérrez, Tonatiuh, Vidaña-Pérez, Dèsirée, Colchero, M. Arantxa, Hernández-F., Mauricio, Hernández-Ávila, Mauricio, Ward, Zachary J., Long, Michael W., Gortmaker, Steven L.
Format: Article
Language:English
Subjects:
Beverages
Body mass index
Childhood obesity
Computer simulation
Cost analysis
Cost control
Diabetes
Diabetes mellitus
Disability
Discount rates
Drinks
Excise taxes
Health care expenditures
Mortality
Obesity
Simulation
Sugar
Taxation
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Summary:An excise tax of 1 peso per liter on sugar-sweetened beverages was implemented in Mexico in 2014. We estimated the cost-effectiveness of this tax and an alternative tax scenario of 2 pesos per liter. We developed a cohort simulation model calibrated for Mexico to project the impact of the tax over ten years. The current tax is projected to prevent 239,900 cases of obesity, 39 percent of which would be among children. It could also prevent 61,340 cases of diabetes, lead to gains of 55,300 quality-adjusted life-years, and avert 5,840 disability-adjusted life-years. The tax is estimated to save $3.98 per dollar spent on its implementation. Doubling the tax to 2 pesos per liter would nearly double the cost savings and health impact. Countries with comparable conditions could benefit from implementing a similar tax.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2018.05469