Abstract

BackgroundThe obesity epidemic is spreading rapidly in Guatemala, a low/middle income country still struggling with undernutrition. Sugar sweetened beverages (SSBs) consumption is strongly associated with overweight, obesity, and non-communicable diseases. In Guatemala, SSBs are readily available and consumption is high, particularly among adolescents. SSB taxes have been proposed as a cost-effective way to reduce consumption and generate revenues for public health, as has been demonstrated in several countries around the world.ObjectiveTo estimate the price, expenditure, quality, and cross-price elasticity of beverage demand using household survey data.MethodWe conducted a secondary analysis on the 2014 Guatemala Living Conditions National Survey that includes national representative household data on expenditure. Own price, expenditure, quality, and cross-price elasticities of milk, soft drinks, packaged juices, and bottled water were estimated using Deaton’s Almost Ideal Demand System (AIDS), controlling for goods’ quality. Household characteristics and beverage expenditure are summarized for urban and rural locations using descriptive statistics.ResultsPositive expenditure on soft drinks was highest (50.9% of households). Positive expenditure on bottled water was next for urban households (43.8%) and lowest for rural households (10.8%). Own-price elasticities for all beverages are negative and statistically significant. Own-price elasticity of soft drinks is -1.39, suggesting that with a 10% increase in price, consumption would decrease by 13.9%. Expenditure elasticity for soft drinks (0.99) suggests that a 10% household expenditure increase would result in a 9.9% increase in demand. Milk (0.07) and soft drinks (0.07) have positive quality elasticity implying that, as household total expenditure increases, the quality of these beverages, measured by their unit values, also increases.ConclusionSoft drink demand is highly sensitive to changes in prices, suggesting that SSB taxes could significantly reduce consumption, which, in turn, could contribute to curbing the overweight/obesity epidemic.

Highlights

  • IntroductionA lower-middle income country (LMIC), is currently struggling with the double burden of disease [1]

  • Guatemala, a lower-middle income country (LMIC), is currently struggling with the double burden of disease [1]

  • Data Availability Statement: The data underlying the results presented in the study are from a thirdparty and are available from the Instituto Nacional de Estadistica, Guatemala: https://www.ine.gob.gt/ index.php/encuestas-de-hogares-y-personas/ condiciones-de-vida

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Summary

Introduction

A lower-middle income country (LMIC), is currently struggling with the double burden of disease [1]. Childhood stunting is one of the highest in the world (49%), while overweight and obesity, and the non-communicable diseases (NCDs) related to these conditions, are rapidly rising [2]. Sugar-sweetened beverage (SSB) consumption, is a key contributor to the obesity and NCDs epidemic [3]. There is a clear association between SSB consumption, overweight/obesity, and NCDs [3]. Between 2002 and 2016, total consumption of soft drinks increased 72% and per capita consumption increased by 27% [11] Among carbonated beverages, those that are sugar-sweetened represent at least 68% of total consumption (soft drinks represent 77% of total beverage consumption, excluding water). The obesity epidemic is spreading rapidly in Guatemala, a low/middle income country still struggling with undernutrition. Sugar sweetened beverages (SSBs) consumption is strongly associated with overweight, obesity, and non-communicable diseases. SSB taxes have been proposed as a cost-effective way to reduce consumption and generate revenues for public health, as has been demonstrated in several countries around the world

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