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含糖饮料征税与儿童肥胖的循证研究
引用本文:缐孟瑶,徐海泉,孙君茂,《儿童肥胖预防与控制指南》修订委员会. 含糖饮料征税与儿童肥胖的循证研究[J]. 中国学校卫生, 2021, 42(11): 1616-1619. DOI: 10.16835/j.cnki.1000-9817.2021.11.005
作者姓名:缐孟瑶  徐海泉  孙君茂  《儿童肥胖预防与控制指南》修订委员会
作者单位:1.农业农村部食物与营养发展研究所,北京 100089
基金项目:中国农业科学院科技创新工程ASTIP2021中央级公益性科研院所基本科研业务费项目161042202002中央级公益性科研院所基本科研业务费项目161042202007
摘    要:  目的  通过检索国内外已有研究文献,综合分析评价含糖饮料征税对儿童肥胖发生的影响,为中国儿童肥胖防控政策的制定提供证据支持。  方法  采用系统评价方法,检索中国知网(CNKI)、维普网(VIP)、万方数据知识服务平台(Wanfang Data)、PubMed、Medline、SpringerLink、Web of Science、Science Direct等8个中外文献数据库检索至2020年11月30日国内外公开发表的相关研究文献,2016年及之后的高质量系统评价研究文献直接采纳,2016年之前的高质量系统评价文献与之后的相关文献进行合并后分析。  结果  共纳入文献12篇,包括5项系统评价或Meta分析研究、1项队列研究和6项横断面研究。综合分析表明,若对含糖饮料征税低于5%,对儿童肥胖预防效果较小甚至没有效果;若对含糖饮料征税增加至20%,对儿童肥胖的发生具有一定预防作用。从成本效益分析来看,采取含糖饮料税收政策,具有一定净效益。  结论  对含糖饮料征税有利于降低儿童肥胖的发生风险。

关 键 词:肥胖症   儿童   循证医学   饮料   税款
收稿时间:2021-02-09

Evidence-based systematic review on the association between sugar-sweetened beverages tax and childhood obesity
Affiliation:1.Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs, Beijing(100089), China
Abstract:  Objective  To evaluate the impact of sugar-sweetened beverages (SSBs) tax on childhood obesity by literatures reveiew, and to provide evidence support for childhood obesity prevention and control strategies in China.  Methods  A systematic review method was used to search relevant literatures published to November 30, 2020 from 8 databases including CNKI, VIP, Wanfang Data, PubMed, Medline, SpringerLink, Web of Science, and Science Direct. The high-quality system reviews published since 2016 were included directly, and those published before 2016 were rereviewed before combined with other literatures.  Results  Twelve studies including 5 systematic reviews (or Meta-analysis), 1 cohort study and 6 cross-sectional studies were included. Comprehensive analysis showed that the prevention effect on childhood obesity was small or even ineffective if the tax on SSBs lower than 5%, a certain protective effect on childhood obesity could be shown if the tax on SSBs increased to 20%. From the perspective of cost-benefit analysis, the implementation of SSBs tax showed certain net benefits.  Conclusion  SSBs tax can help reduce the risk of childhood obesity.
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