从补充营养援助计划中排除含糖饮料的成本效益和健康公平性改善
Aviva A Musicus1, Jessica L Barrett2, Stephanie M McCulloch2
1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
American journal of preventive medicine
|September 10, 2025
概括
从补充营养援助计划中排除含糖饮料可以节省数十亿美元的医疗保健费用,并显著降低肥胖率,特别是在低收入和少数群体中.
科学领域:
- 公共卫生干预措施 公共卫生干预措施
- 卫生经济学 卫生经济学
- 营养政策 营养政策
背景情况:
- 建议政策:从补充营养援助计划 (SNAP) 购买中排除含糖饮料 (SSB).
- 目标:改善SNAP人口的饮食质量和健康结果.
- 焦点:拟议的SSB排除的成本效益和健康公平影响.
研究的目的:
- 估计从SNAP中排除SSB的成本效益.
- 评估对肥胖患病率和健康公平的潜在影响.
- 项目成果在10年的时间里 (2023-2032年).
主要方法:
- 使用了儿童肥胖干预成本效益研究微观模拟模型.
- 纳入系统审查过程 (2024年进行).
- 估计的健康结果,成本和肥胖患病率因社会经济和人口因素而发生变化.
主要成果:
- 预计该政策将节省成本,防止279,000例肥胖病例,并在10年内获得115,000个QALY.
- 估计医疗保健成本节省了27.5亿美元,每美元用于实施,节省了3.35美元.
- 预计低收入人群的肥胖率降低将是低收入人群的3.5倍,非西班牙裔黑人和西班牙裔人群的3至3.5倍.
结论:
- 从SNAP中排除SSB是一种节省成本的策略,以改善人口健康.
- 该政策有可能在收入,种族和族裔群体之间显著推进健康公平.
- 建议美国农业部进行试点研究,以评估SSB排除在SNAP中的实际有效性.
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