The crowding-out effect of sugar-sweetened beverages (SSBs) on household expenditure patterns in Bangladesh

© 2023. The Author(s)..

BACKGROUND: Consumption of sugar-sweetened beverages (SSBs) or sugary drinks may reduce or even eliminate the household income allocation for other essential commodities. Reducing expenditure for consumption of other household commodities is known as the crowding-out effect of SSB. We aimed to determine the crowding-out effect of SSB expenditure on other household commodities. In addition, we also identified the factors influencing the household's decision to purchase of SSBs.

METHODS: We used the logistic regression (logit and multinomial logit models) and the Seemingly Unrelated Regression (SUR) models. In order to find the probability of a given change in the socio-demographic variables, we also estimated the average marginal effects from the logistic regression. In addition, we regressed the SUR model by gender differences. We used Household Income and Expenditure Survey (HIES) 2016 data to estimate our chosen econometric models. HIES is nationally representative data on the household level across the country and is conducted using a multistage random sampling method by covering 46,075 households.

RESULTS: The findings from the logit model describe that the greater proportion of male members, larger household size, household heads with higher education, profession, having a refrigerator, members living outside of the house, and households with higher income positively affect the decision of purchasing SSB. However, the determinants vary with the various types of SSB. The unadjusted crowding out effect shows that expenditure on SSB or sugar-added drinks crowds out the household expenditure on food, clothing, housing, and energy items. On the other hand, the adjusted crowding out effect crowds out the spending on housing, education, transportation, and social and state responsibilities.

CONCLUSION: Although the household expenditure on beverages and sugar-added drinks is still moderate (around 2% of monthly household expenditure), the increased spending on beverages and sugar-added drinks is a concern due to the displacement of household expenditure for basic commodities such as food, clothing, housing, education, and energy. Therefore, evidence-based policies to regulate the sale and consumption of SSB are required for a healthy nation.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

BMC public health - 23(2023), 1 vom: 22. Juli, Seite 1411

Sprache:

Englisch

Beteiligte Personen:

Azad, Abul Kalam [VerfasserIn]
Huque, Rumana [VerfasserIn]

Links:

Volltext

Themen:

Bangladesh
Crowding-out
Journal Article
Logit and multinomial logit model
Research Support, Non-U.S. Gov't
SSB
SUR model
Sugars

Anmerkungen:

Date Completed 24.07.2023

Date Revised 25.07.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12889-023-16290-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359817858