Trend in basic oral treatment needs in relation to taxation of sweets, ice cream, and sugar-sweetened beverages in Finland: a registry-based study
DOI:
https://doi.org/10.2340/aos.v83.40335Keywords:
sugar, sugar-sweetened beverages, taxation, costs, treatment needAbstract
Objective: The aims were to explore the trend in basic oral treatment needs and total operating cost of public dental services (PDS) in relation to total excise tax revenue generated from sugary products during 2011–2020 and to evaluate the impact of tax policy in excise tax revenue of sugary products and average sugar consumption.
Methods: The study comprised longitudinal data retrieved from Finnish registries during the years 2011–2020. Basic oral treatment needs, and total operating cost of PDS, total excise tax revenue generated from sugary products and average sugar consumed (kg per capita) during the years 2011–2020 were obtained. Simplified panel analyses and sensitivity analyses were used to evaluate the effects of explanatory variables on outcomes.
Results: An approximate one EUR 1,000,000 increase in total excise tax revenue generated from sugary products corresponds to a 0.4% increase in total operating cost of PDS. There was a significant positive trend in total operating cost of PDS in Finland over the study period. Similarly, an approximate one EUR 1,000,000 rise in total excise tax revenue corresponds to a 0.2% increase in basic oral treatment needs. Additionally, there was a statistically significant difference in the average excise tax revenue for sugary products between the periods before and after 2017.
Conclusion: No change in average sugar consumption was observed despite implementing the new sugar policy. Therefore, it may be worthwhile to reconsider the excise tax on sweets and ice cream as it will significantly increase the total national revenues.
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References
World Health Organization. Guideline: sugars intake for adults and children. 2015. [cited 2022 Dec 22]. Available from: https://apps.who.int/iris/handle/10665/149782
Bernabé E, Vehkalahti MM, Sheiham A, et al. The shape of the dose-response relationship between sugars and caries in adults. J Dent Res. 2016;95(2):167–72. https://doi.org/10.1177/0022034515616572 DOI: https://doi.org/10.1177/0022034515616572
Bernabé E, Vehkalahti MM, Sheiham A, et al. Sugar-sweetened beverages and dental caries in adults: a 4-year prospective study. J Dent. 2014;42(8):952–8. https://doi.org/10.1016/j.jdent.2014.04.011 DOI: https://doi.org/10.1016/j.jdent.2014.04.011
Kusama T, Nakazawa N, Takeuchi K, et al. Free sugar intake and periodontal diseases: a systematic review. Nutrients. 2022;14(21):4444. https://doi.org/10.3390/nu14214444 DOI: https://doi.org/10.3390/nu14214444
Laajala A, Pesonen P, Anttonen V, et al. Association of enamel caries lesions with oral hygiene and DMFT among adults. Caries Res. 2019;53(4):475–81. https://doi.org/10.1159/000497358 DOI: https://doi.org/10.1159/000497358
Suominen AL, Varsio S, Helminen S, et al. Dental and periodontal health in Finnish adults in 2000 and 2011. Acta Odontol Scand. 2018;76(5):305–13. https://doi.org/10.1080/00016357.2018.1451653 DOI: https://doi.org/10.1080/00016357.2018.1451653
Tanner T, Kämppi A, Päkkilä J, et al. Prevalence and polarization of dental caries among young, healthy adults: cross-sectional epidemiological study. Acta Odontol Scand. 2013;71(6):1436–42. https://doi.org/10.3109/00016357.2013.767932 DOI: https://doi.org/10.3109/00016357.2013.767932
Mattila PT, Niskanen MC, Vehkalahti MM, et al. Prevalence and simultaneous occurrence of periodontitis and dental caries. J Clin Periodontol. 2010;37(11):962–7. https://doi.org/10.1111/j.1600-051X.2010.01620.x DOI: https://doi.org/10.1111/j.1600-051X.2010.01620.x
Niiranen T, Widström E, Niskanen T. Oral Health Care Reform in Finland – aiming to reduce inequity in care provision. BMC Oral Health. 2020 Apr 21;20(1):121. https://doi.org/10.1186/1472-6831-8-3 DOI: https://doi.org/10.1186/1472-6831-8-3
Suominen AL, Helminen S, Lahti S, et al. Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys. BMC Oral Health. 2017;17(1):78. https://doi.org/10.1186/s12903-017-0364-7 DOI: https://doi.org/10.1186/s12903-017-0364-7
Finlex. Law on student health care for university students 2019. [cited 2023 Oct 24]. Available from: https://www.finlex.fi/fi/laki/alkup/2019/20190695
Finlex. Law on soft drink tax 2010. [cited 2021 Feb 10]. Available from: https://www.finlex.fi/fi/laki/ajantasa/2010/20101127
Finlex. Law on soft drink tax 2023. [cited 2023 Oct 23]. Available from: https://www.finlex.fi/fi/laki/alkup/2023/20230651
Natural Resources Institute Finland. Balance sheet for food commodities. [cited 2021 Oct 9]. Available from: http://statdb.luke.fi/PXWeb/pxweb/fi/LUKE/LUKE__02%20Maatalous__08%20Muut__02%20Ravintotase/01_Elintarvikkeiden_kulutus.px/table/tableViewLayout2/?rxid=dc711a9e-de6d-454b-82c2-74ff79a3a5e0
Brewery and Soft Drink Industry Association. Domestic sales statistics. [cited 2022 Dec 16]. Available from: https://panimoliitto.fi/tilastot/myyntitilastot/
Heinonen M. The Finnish excise tax on sugar-sweetened beverages and its effect on prices and demand. 2018. Master thesis. University of Jyväskylä.
Bíró A. Did the junk food tax make the Hungarians eat healthier? Food Policy. 2015;54:107–15. https://doi.org/10.1016/j.foodpol.2015.05.00 DOI: https://doi.org/10.1016/j.foodpol.2015.05.003
Schwendicke F, Thomson WM, Broadbent JM, et al. Effects of taxing sugar-sweetened beverages on caries and treatment costs. J Dent Res. 2016;95(12):1327–32. DOI: https://doi.org/10.1177/0022034516660278
Sowa PM, Keller E, Stormon N, et al. The impact of a sugar-sweetened beverages tax on oral health and costs of dental care in Australia. Eur J Public Health. 2019;29(1):173–7. https://doi.org/10.1093/eurpub/cky087 DOI: https://doi.org/10.1093/eurpub/cky087
Jevdjevic M, Trescher AL, Rovers M, et al. The caries-related cost and effects of a tax on sugar-sweetened beverages. Public Health. 2019;169:125–32. https://doi.org/10.1016/j.puhe.2019.02.010 DOI: https://doi.org/10.1016/j.puhe.2019.02.010
Finnish Institute for Health and Welfare. Statistical information on welfare and health in Finland. [cited 2021 Feb 10]. Available from: https://sotkanet.fi/sotkanet/en/index
Statistics Finland. StatFin Databases. [cited 2022 Jan 1]. Available from: https://www.stat.fi/tup/statfin/index_en.html
Finlex. Decree of Ministry of Social Affairs and Health from patient documents. [cited 2022 Dec 22]. Available from: https://www.finlex.fi/fi/laki/alkup/2022/20220094
Hausen H, Kärkkäinen S, Seppä L. Caries data collected from public health records compared with data based on examinations by trained examiners. Caries Res. 2001;35(5):360–5. https://doi.org/10.1159/000047475 DOI: https://doi.org/10.1159/000047475
Finlex. Health Care Act. [cited 2023 Oct 24]. Available from: https://www.finlex.fi/en/laki/kaannokset/2010/en20101326
Reeves A, Gourtsoyannis Y, Basu S, McCoy D, McKee M, Stuckler D. Financing universal health coverage – effects of alternative tax structures on public health systems: cross-national modelling in 89 low-income and middle-income countries. Lancet. 2015;386(9990):274–80. https://doi.org/10.1016/S0140-6736(15)60574-8 DOI: https://doi.org/10.1016/S0140-6736(15)60574-8
Keskimaki I, Tynkkynen LK, Reissell E, et al. Finland: health system review. Health Syst Transit. 2019;21(2):1–166.
Linden J, Widström E, Sinkkonen J. Adults’ dental treatment in 2001-2013 in Finnish public dental service. BMC Oral Health. 2008 Jan 28;8:3. https://doi.org/10.1186/s12903-020-01091-w DOI: https://doi.org/10.1186/s12903-020-01091-w
Raittio E, Suominen AL. Effects of universal oral healthcare coverage in an adult population: a long-term nationwide natural experiment. Community Dent Oral Epidemiol. 2023;51(5):908–17. https://doi.org/10.1111/cdoe.12785 DOI: https://doi.org/10.1111/cdoe.12785
Malik VS, Li Y, Pan A, et al. Long-term consumption of sugar-sweetened and artificially sweetened beverages and risk of mortality in US adults. Circulation. 2019;139(18):2113–25. https://doi.org/10.1161/CIRCULATIONAHA.118.037401 DOI: https://doi.org/10.1161/CIRCULATIONAHA.118.037401
European Observatory on Health Systems and Policies. Finland: country health profile 2021. State of Health in the EU. Paris: OECD Publishing; 2021 [cited 2022 Dec 22]. Available from: https://doi.org/10.1787/2e74e317-en DOI: https://doi.org/10.1787/2e74e317-en
Leung C W, Wolfson JA, Hsu R, et al. Warning labels reduce sugar-sweetened beverage intake among college students. J Nutr. 2021;151(1):179–185. https://doi.org/10.1093/jn/nxaa305 DOI: https://doi.org/10.1093/jn/nxaa305
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Copyright (c) 2024 Jesse Jokirinta, Jari Päkkilä, Evangelos Mourelatos, Sakari Sipola, Marja-Liisa Laitala, Saujanya Karki
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
