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All Journal Makara Journal of Health Research Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Torut, Buraskorn
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Health Professions Public Health

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Thai Sugar-Sweetened Beverage Tax: Does It Really Help? Suriya, Sitaporn; Torut, Buraskorn
Kesmas Vol. 20, No. 1
Publisher : UI Scholars Hub

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Abstract

A solution recommended by the World Health Organization to prevent and control noncommunicable diseases is the Sugar-Sweetened Beverage (SSB) tax. This study aimed to evaluate the Thai SSB tax efficiency affecting the change in post-tax individual-level consumption and find causal explanations for the people’s consumption behavior after the SSB tax was implemented. This study used a Productivity Model, and stratified random sampling was conducted by selecting 1,200 people. An in-depth interview was conducted to seek causal explanations for post-SSB tax consumption behavior with 15 key informants. The results revealed the SSB tax’s efficiency in terms of perception and understanding at 6.75% and in terms of awareness and compliance at 2.83%. Several reasons for the failure of such a policy included no price differences for products with and without sugar, lack of coverage in regulatory enforcement, addiction to sweet tastes, insufficient food literacy, and the dangers of artificial sweeteners. Therefore, a careful and comprehensive review and revision of the tax implementation is necessary. The integration of complementary policy instruments alongside the tax is also required.
Health Literacy of Unhealthy Diet Consumption in Thailand Suriya, Sitaporn; Torut, Buraskorn
Makara Journal of Health Research Vol. 28, No. 3
Publisher : UI Scholars Hub

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Background: The burden of noncommunicable diseases (NCDs) is increasing worldwide, including in Thailand. One risk factor for NCDs is an unhealthy diet. Thus, this study aimed to investigate the factors affecting the consumption of an unhealthy diet and determine the proactive policies that support factors inhibiting an unhealthy diet. Methods: We investigated the factors affecting unhealthy diet consumption behavior by multiple linear regression analysis by surveying 970 Thai patients with early-stage NCD. In addition, we investigated appropriate policy proposals by conducting in-depth interviews with 20 key informants. Results: Knowledge (−0.247, 95% confidence interval (CI) −0.285 to −0.210), family and reference person (−0.170, 95% CI −0.275 to −0.065), health awareness (−0.111, 95% CI −0.148 to −0.074), and education (−0.062, 95% CI −0.092 to −0.032) were significantly related to the inhibition of unhealthy diet consumption. Four proactive policies supporting those factors include the following: (1) reforming the national curricula to include scientific knowledge and health literacy, (2) educating social influencers to help advocate accurate information, (3) creating an easily accessible public food database, and (4) designing consumer-friendly front-of-package labels. Conclusions: Although strengthening health literacy involves many factors and requires cooperation from many sectors, it may be a solution for a sustainable fight against NCDs.
Co-Authors Suriya, Sitaporn