Associations between state-level soda taxes and adolescent body mass index.
OBJECTIVE
Soft drink consumption has been linked with higher energy intake, obesity, and poorer health. Fiscal pricing policies such as soda taxes may lower soda consumption and, in turn, reduce weight among U.S. adolescents.


METHODS
This study used multivariate linear regression analyses to examine the associations between state-level grocery store and vending machine soda taxes and adolescent body mass index (BMI). We used repeated cross-sections of individual-level data on adolescents drawn from the Monitoring the Future surveys combined with state-level tax data and local area contextual measures for the years 1997 through 2006.


RESULTS
The results showed no statistically significant associations between state-level soda taxes and adolescent BMI. Only a weak economic and statistically significant effect was found between vending machine soda tax rates and BMI among teens at risk for overweight.


CONCLUSIONS
Current state-level tax rates are not found to be significantly associated with adolescent weight outcomes. It is likely that taxes would need to be raised substantially to detect significant associations between taxes and adolescent weight.
Powell
Lisa M
LM
Department of Economics and Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois 60608, USA. powelll@uic.edu
Chriqui
Jamie
J
Chaloupka
Frank J
FJ
D000293:Adolescent; D000294:Adolescent Behavior; D015992:Body Mass Index; D002253:Carbonated Beverages / Q000191:economics*; D002149:Energy Intake / Q000502:physiology; D005247:Feeding Behavior; D005260:Female; D005509:Food Dispensers, Automatic / Q000191:economics / Q000331:legislation & jurisprudence; D006291:Health Policy; D006801:Humans; D016014:Linear Models; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control; D013219:State Government; D013660:Taxes; D014481:United States / Q000453:epidemiology; D055815:Young Adult