PreprintCited by 83Global Public Health Policies and EpidemiologyPublic Policy and GovernancePublic Health Policies and Education

The Political Economy of Sugar-Sweetened Beverages Taxation in Latin America: Lessons from Mexico, Chile and Colombia

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Carriedo, Angela, Koon, Adam, Encarnación, Luis Manuel, Lee, Kelley, Smith, Richard, Walls, Helen·2020·Globalization and Health

Abstract

Background: In Latin America, diet-related non-communicable diseases and sales of sugar-sweetened beverages continue to rise at an alarming rate. Calls for action suggest "multi-sector" and "multi-stakeholder" approaches involving civil society and the private sector, including transnational corporations. While the focus has often been on forming “partnerships” of public and private sectors, ensuring the primacy of public health goals remains a significant governance challenge. This paper analyses this governance challenge using the experiences of Chile, Mexico and Colombia in the adoption of taxation of sugar-sweetened beverages. The three countries offer useful comparisons given their similar political and economic systems, institutional arrangements and regulatory instruments. We conducted a qualitative synthesis of the existing empirical evidence applying a political economy analysis to identify successes and failures during the policy process to adopt and implement the tax.Results: The findings suggest that a major constraint was the political influence of transnational corporations in the policy process and on stakeholders. Intergovernmental support was critical to frame the sugary drinks beverages (SSBs) tax aims, mechanisms and its benefits, and for countries to adopt the measures. Coalitions for and against the tax were critical for the policy debates, and a lack of transparency throughout the agenda setting was diluted by powerful TNCs presences in the countries studied.Conclusion: Governance arrangements involving partnerships with private sector actors should recognize the asymmetry of power among them and address it. Such arrangements should adopt clear mechanisms to ensure transparency and accountability of all partners, and avoid the undue influence of unhealthy commodity industries. Support of several governmental entities simultaneously, grassroots groups, and civil society groups in NCD prevention policies is also needed.

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Authors
Carriedo, A., Koon, A., Encarnación, L. M., Lee, K., Smith, R., & Walls, H.
Affiliations
  • World Public Health Nutrition Association
  • Johns Hopkins University (US)
  • NCD Alliance
  • Simon Fraser University (CA)
  • University of Exeter (GB)
  • London School of Hygiene & Tropical Medicine (GB)
Venue
Globalization and Health
Published
2020-06-30
Volume
17
Issue
1
Pages
5-5
ISSN
1744-8603 (ISSN-L)
OpenAlex
W3120551747
Cited by
83
References
60
Citations by year
2026: 7 · 2025: 13 · 2024: 12 · 2023: 25 · 2022: 13 · 2021: 9 · 2020: 2
FWCI
14.31
Type
journal article
Language
en
Open access
Locations
  • Globalization and Health (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion, cc-by-nc-sa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
  • Greater South Information System
Funders
Canadian Institutes of Health Research (398188)
Topics
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Social Sciences › Political Science and International Relations › Public Policy and Governance
  • Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords
sugar-sweetened beverage tax, political economy, policy coalitions, multinational corporations, industry influence, public health governance, non-communicable diseases, added sugars, civil society organizations, transparency and accountability, Mexico, Chile, Colombia, Latin America
MeSH terms
Sugar-Sweetened Beverages, Chile, Colombia, Humans, Latin America, Mexico, Taxes

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