Cited by 518Obesity, Physical Activity, DietEconomics of Agriculture and Food MarketsGlobal Public Health Policies and Epidemiology

Food Prices and Obesity: Evidence and Policy Implications for Taxes and Subsidies

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POWELL, LISA M., CHALOUPKA, FRANK J.·2009·The Milbank Quarterly

Abstract

Context:Pricing policies have been posited as potential policy instruments to address the increasing prevalence of obesity. This article examines whether altering the cost of unhealthy, energy‐dense foods, compared with healthy, less‐dense foods through the use of fiscal pricing (tax or subsidy) policy instruments would, in fact, change food consumption patterns and overall diet enough to significantly reduce individuals' weight outcomes. Methods:This article examined empirical evidence regarding the food and restaurant price sensitivity of weight outcomes based on a literature search to identify peer‐reviewed English‐language articles published between 1990 and 2008. Studies were identified from the Medline, PubMed, Econlit, and PAIS databases. The fifteen search combinations used the terms obesity,body mass index, and BMI each in combination with the terms price,prices,tax,taxation, and subsidy. Findings:The studies reviewed showed that when statistically significant associations were found between food and restaurant prices (taxes) and weight outcomes, the effects were generally small in magnitude, although in some cases they were larger for low–socioeconomic status (SES) populations and for those at risk for overweight or obesity. Conclusions:The limited existing evidence suggests that small taxes or subsidies are not likely to produce significant changes in BMI or obesity prevalence but that nontrivial pricing interventions may have some measurable effects on Americans' weight outcomes, particularly for children and adolescents, low‐SES populations, and those most at risk for overweight. Additional research is needed to be able to draw strong policy conclusions regarding the effectiveness of fiscal‐pricing interventions aimed at reducing obesity.

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Research works printed but not linked: 3

  1. Binkley, J.K., J. Eales, and M. Jekanowski. 2000. The Relation be- tween Dietary Change and Rising US Obesity. International Journal of Obesity 24(8):1032-39.
  2. Chaloupka, F. In press. State and Local Policies. In Lighting a Fuse for Public Health: Lessons Learned from the Success of the Tobacco Control Move- ment, edited by L. Haviland. Washington, D.C.: American Legacy Foundation.
  3. Marshall, T. 2000. Exploring a Fiscal Food Policy: The Case of Diet and Ischaemic Heart Disease. British Medical Journal 320(7230):301-5.

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Authors
POWELL, L. M., & CHALOUPKA, F. J.
Affiliations
University of Illinois Chicago (US)
Corresponding author
POWELL, LISA M.
Venue
The Milbank Quarterly
Publisher
Wiley
Published
2009-03
Volume
87
Issue
1
Pages
229-257
ISSN
  • 0887-378X (ISSN-L)
  • 1468-0009
OpenAlex
W2152560334
Cited by
518
References
91
Citations by year
2026: 4 · 2025: 4 · 2024: 17 · 2023: 23 · 2022: 12 · 2021: 27 · 2020: 28 · 2019: 62 · 2018: 19 · 2017: 33 · 2016: 35 · 2015: 36 · 2014: 53 · 2013: 48 · 2012: 41
FWCI
5.22
Type
journal article
Language
en
Open access
Locations
  • Milbank Quarterly (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Robert Wood Johnson Foundation
  • Tamkeen
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economics of Agriculture and Food Markets
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
Keywords
obesity, food prices, food taxation, food subsidies, price sensitivity, body mass index, energy-dense foods, restaurant prices, low socioeconomic status, children and adolescents, overweight prevention, dietary intake
MeSH terms
Food, Government Programs, Health Promotion, Humans, Obesity, Public Health, Taxes, United States, Body Mass Index, Nutrition Policy, Social Marketing

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