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Taxing food: implications for public health nutrition

Published online by Cambridge University Press:  02 January 2007

Martin Caraher*
Affiliation:
Department of Health Management and Food Policy, The Centre for Food Policy, Institute of Health Sciences, City University, Goswell Place, Northampton Square, London EC1 0HB, UK
Gill Cowburn
Affiliation:
BHF Health Promotion Research Group, Department of Public Health, University of Oxford, Old Road Campus, Headington, Oxford OX3 7LF, UK
*
*Corresponding author: Email m.caraher@city.ac.uk
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Abstract

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Aim

To set out a policy analysis of food taxes as a way of influencing food consumption and behaviour.

Design

The study draws on examples of food taxes from the developed world imposed at national and local levels. Studies were identified from a systemised search in six databases with criteria designed to identity articles of policy relevance.

Results

The dominant approach identified from the literature was the imposition of food taxes on food to raise general revenue, such as Value Added Tax in the European Union. Food taxes can be applied in various ways, ranging from attempts to directly influence behaviour to those which collect taxes for identified campaigns on healthy eating through to those applied within closed settings such as schools. There is a case for combining taxes of unhealthy foods with subsidies of healthy foods. The evidence from the literature concerning the use and impact of food taxes on food behaviour is not clear and those cases identified are mainly retrospective descriptions of the process. Many food taxes have been withdrawn after short periods of time due to industry lobbying.

Conclusions for policy

Small taxes with the clear purpose of promoting the health of key groups, e.g. children, are more likely to receive public support. The focus of many tax initiatives is unclear; although they are generally aimed at consumers, another focus could be food manufacturers, using taxes and subsidies to encourage the production of healthier foods, which could have an effect at a population level. Further consideration needs to be given to this aspect of food taxes. Taxing food (and subsidies) can influence food behaviour within closed systems such as schools and the workplace.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1World Health Organization (WHO)/Food and Agricultural Organization. Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series No. 916. Geneva: WHO, 2003.Google Scholar
2Hawkes, C. Marketing Food to Children: The Global Regulatory Environment. Geneva: World Health Organization, 2004.Google Scholar
3The Cabinet Office. Personal Responsibility and Changing Behaviour: The State of Knowledge and Its Implications for Public Policy. London: The Cabinet Office, Prime Minister's Strategy Unit, 2004.Google Scholar
4House of Commons Health Committee. Obesity: Third Report of Session 2003–04. London: The Stationery Office, 2004.Google Scholar
5Halpern, D, Bates, C, Beales, G, Heathfield, A. Personal Responsibility and Changing Behaviour: The State of Knowledge and Its Implications for Public Policy. London: The Cabinet Office, Prime Minister's Strategy Unit, 2004.Google Scholar
6Caraher, M. Food protest and the new activism. In: John, S, Thomson, S, eds. New Activism and the Corporate Response. Basingstoke: Palmgrave, 2003; 185205.Google Scholar
7Thompson, EP. The moral economy of the English crowd in the eighteenth century [Chapter 4]. Customs in Common. Harmondsworth: Penguin Books, 1993.Google Scholar
8Helstosky, C. Garlic and Oil Food and Politics in Italy. Oxford: Berg, 2004.Google Scholar
9Ashton, D. Food advertising and childhood obesity. Journal of the Royal Society of Medicine 2004; 97(2): 51–2.CrossRefGoogle ScholarPubMed
10Lang, T. The public health impact of globalisation of food trade. In: Shetty, P, McPhearson, K, eds. Diet, Nutrition and Chronic Disease: Lessons from Contrasting Worlds.. London: John Wiley and Sons, 1996.Google Scholar
11Hart, C. Doing A Literature Review: Releasing the Social Science Research Imagination, London: Sage, 1998.Google Scholar
12European Commission Directorate-General Taxation and Customs. VAT rates applied in the member states of the European Community [online]. Brussels: European Commission, 2003. Available at http://europa.eu.int/comm/taxation_customs/publications/info_doc/taxation/tva/taux_tva-2003-5-1_en.pdf. Accessed 13 July 2004.Google Scholar
13Leicester, A, Windmeijer, F. The ‘Fat Tax’ Economic Incentives to Reduce Obesity, London: Institute for Fiscal Studies, 2004.Google Scholar
14World Health Organization (WHO). Food and Health in Europe: A New Basis for Action. European Series No. 96. Copenhagen: WHO, 2004.Google Scholar
15Jacobson, M, Brownell, K. Small taxes on soft drinks and snack foods to promote health. American Journal of Public Health 2000; 90(6): 854–7.Google ScholarPubMed
16Morgan, JP. Food Manufacturing: Obesity the Big Issue. London: JP Morgan European Equity Research, 2003.Google Scholar
17Marshall, T. Exploring a fiscal food policy: the case of diet and ischaemic heart disease. British Medical Journal 2000; 320(7230): 301–5.Google Scholar
18French, SA, Jeffery, RW, Story, M, Hannan, P, Snyder, P. A pricing strategy to promote low-fat snack choices through vending machines. American Journal of Public Health 1997; 87(5): 849–51.Google Scholar
19French, SA, Jeffery, RW, Story, M, Breitlow, KK, Baxter, JS, Hannan, P, et al. Pricing and promotion effects on low-fat vending snack purchases: the CHIPS Study. American Journal of Public Health 2001; 91(1): 112–7.Google Scholar
20Brownell, KD, Horgen, KB. Food Fight: The Inside Story of the Food Industry, America's Obesity Crisis, and What We Can Do About It. Chicago, IL: Contemporary Books, 2004.Google Scholar
21Caraher, M. Fat taxes: implications for policy makers and consumers.Paper presented at the 13th Annual European Food Law Conference (The Challenges Ahead: From Obesity to Food Safety)Brussels29–30 June 2004.Google Scholar
22Swedish National Food Administration and National Institute of Public Health. Background Material for the Action Plan Concerning Healthy Dietary Habits and Increased Physical Activity. Uppsala: Swedish National Food Administration, 2005.Google Scholar
23Humphreys, J. Martin rules out tax on junk food. Irish Times, 11 03 2004; 3.Google Scholar
24Kennedy, E, Offutt, S. Alternative nutrition outcomes using a fiscal food policy [Commentary]. British Medical Journal 2000; 320(7230): 305–9.Google Scholar
25Hitchman, C, Christie, I, Harrison, M, Lang, T. Inconvenience Food: The Struggle to Eat Well on a Low Income. London: Demos, 2002.Google Scholar
26Cutler, D, Glaeser, E, Shapiro, J. Why have Americans become More Obese? Research Working Paper 9446 [online]. Cambridge, MA: National Bureau of Economics, 2003. Available at http://www.nber.org/papers/w9446. Accessed 13 July 2004.Google Scholar
27Mintel. After School Snacking: Intelligence Report. London: Mintel, 2003.Google Scholar
28National Statistics. Special Focus in Brief: Children. London: National Statistics, 2002.Google Scholar
29Sodexho. The Sodexho School Meals and Lifestyle Survey 2005. Surrey: Sodexho, 2005.Google Scholar
30Caraher, M, Cowburn, G, Currie, E. Food in School: The Evidence. A Report to the Food in Schools Initiative, Department of Health. London: Department of Health Management and Food Policy, City University. 2003.Google Scholar
31Caraher, M, Coveney, J. Public health nutrition and food policy. Public Health Nutrition 2004; 7(5): 591–8.CrossRefGoogle ScholarPubMed
32Barling, D, Lang, T, Caraher, M. Food, social policy and the environment: towards a new model. Social Policy and Administration 2001; 35(5): 538–58.Google Scholar
33UBS Warburg. Global Equity Research: Absolute Risk of Obesity. London: UBS Warburg, 2002.Google Scholar
34Curry, A, Kelnar, R. Fat is a Strategic Issue. London: Henley Centre, 2004.Google Scholar
35Connor, M, Armitage, CJ. The Social Psychology of Food. Buckingham: Open University Press, 2002.Google Scholar
36McKinlay, JB, Marceau, LD. Upstream health public policy: lessons from the battle of tobacco. International Journal of Health Services 2000; 30(1): 4969.Google Scholar
37Jha, P, Chaloupka, F. Tobacco Control in Developing Countries. Oxford: Oxford University Press, 2000.Google Scholar
38Nestle, M. Food Politics: How the Food Industry Influences Nutrition and Health. Berkeley, CA: California State University Press,2002.Google Scholar