Sugar-Sweetened Beverage Reduction Policies: Progress and Promise

Annu Rev Public Health. 2021 Apr 1:42:439-461. doi: 10.1146/annurev-publhealth-090419-103005. Epub 2021 Nov 30.

Abstract

Evidence showing the effectiveness of policies to reduce the consumption of sugar-sweetened beverages (SSBs) is growing. SSBs are one of the largest sources of added sugar in the diet and are linked to multiple adverse health conditions. This review presents a framework illustrating the various types of policies that have been used to reduce SSB exposure and consumption; policies are organized into four categories (financial, information, defaults, and availability) and take into consideration crosscutting policy considerations (feasibility, impact, and equity). Next, for each category, we describe a specific example and provide evidence of impact. Finally, we discuss crosscutting policy considerations, the challenge of choosing among the various policy options, and important areas for future research. Notably, no single policy will reduce SSB consumption to healthy levels, so an integrated policy approach that adapts to changing market and consumption trends; evolving social, political, and public health needs; and emerging science is critical.

Keywords: SSB; feasibility; health equity; impact; policies; sugar-sweetened beverages; sugary drinks.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Feasibility Studies
  • Global Health
  • Humans
  • Policy*
  • Randomized Controlled Trials as Topic
  • Sugar-Sweetened Beverages* / adverse effects