Changing the prices of seven foods, including fruits, vegetables and sugar-sweetened beverages, could reduce deaths due to stroke, diabetes and cardiovascular disease and address health disparities in the United States, finds a study led by researchers from Tufts University.
In the study, published today in BMC Medicine, the team of researchers estimate the potential effects of price subsidies on healthy foods, such as fruits, vegetables, whole grains, and nuts and seeds.
They also examined taxes on processed and unprocessed red meats and sugary drinks, on the number of annual deaths from cardiometabolic diseases in the United States.
The researchers found that if the prices of all seven dietary items were altered 10 percent each, an estimated 23,000 deaths per year could be prevented; this corresponds to 3.4 percent of all cardiometabolic disease deaths in the United States.
A 30 percent price change almost tripled that approximation with an estimation of 63,000 deaths prevented per year, or 9.2 percent of all cardiometabolic disease deaths.
When the researchers looked at factors such as educational attainment and socioeconomic status, they found that larger proportions of deaths would be prevented among Americans with less than high school or high school education, compared with college graduates.
Additionally, under low and high gradients of price responsiveness, subsidies and taxes would reduce disparities in all cardiometabolic disease outcomes. Diabetes would be significantly reduced by any of the scenarios.
The largest proportional reduction in cardiometabolic disease outcome was observed for stroke, followed by diabetes.
Diabetes deaths were most influenced by taxes on sugar-sweetened beverages, while stroke deaths were most influenced by subsidies for fruits and vegetables.
The researchers acknowledge that the efficacy of taxation will depend on what products consumers chose as an alternative. Therefore, this is the most likely average effect of price changes.
The researchers defined the seven dietary elements based on evidence of their associations with cardiometabolic diseases, including stroke, diabetes and overall cardiovascular disease, and policy interest.
From there, the researchers investigated the price responsiveness of each food item to price change and how each price intervention could prevent deaths and disparities from cardiometabolic diseases using different price responsiveness scenarios.
The team used nationally-representative data from 2012 on the consumption of selected food items by age, gender and socioeconomic status; estimates of etiological effects of these foods on cardiometabolic disease by age; observed national cardiometabolic disease deaths by age, gender and socioeconomic status; and estimated the impact of pricing changes on dietary habits by socioeconomic status.