Sunday, September 27, 2009

Taxing Sugar-Sweetened Beverages

I had flagged a release from RWJ a few days ago about the public health and economic benefits of taxing sugar-sweetened beverages. The same topic popped up today with a lively discussion on Slashdot (here) which grew from an article at Slate (here). The paragraph from the NEJM article that really seems to get everyone fired up is this:
No adverse health effects of noncaloric sweeteners have been consistently demonstrated, but there are concerns that diet beverages may increase calorie consumption by justifying consumption of other caloric foods or by promoting a preference for sweet tastes. At present, we do not propose taxing beverages with noncaloric sweeteners, but we recommend close tracking of studies to determine whether taxing might be justified in the future. (Emphasis added.)
I found the conversation on Slashdot to be pretty intriguing, given that's (generally) a pretty sophisticated audience - there's a whole range of issues discussed from the burden that poor eating puts on the entire healthcare system to the concept that taxing sweetened drinks is essentially helping people see/pay the costs of their diet choices.

I find that latter argument to be pretty hard to believe, however. Are people really going to link a tax on Coke to the long-term health implications of drinking pop? One could argue that this has happened as a result of the tax on cigarettes, that more people understand the long-term health implications of smoking. Of course, taxing cigarettes is just one part of that - there's also social marketing, bans on cigarette advertising, public smoking bans, etc.

It seems like there would have to be a lot more going on here to argue that a public tax on sweetened drinks would be a way to teach people about the long-term impact of drinking too much Coke, Pepsi, etc. And it would appear (to me) to be even more unlikely that you could persuade the general public that noncaloric sweeteners also might contribute to overweight/obesity - good luck with that public education campaign.

Anyway, it's an interesting conversation, and I'll be curious to see where it goes and how this might hurt/help the argument for some kind of universal coverage or public option.

Wednesday, September 23, 2009

5th Annual Health Literacy Conference in San Antonio

The San Antonio Health Literacy Initiative is hosting its fifth health literacy conference October 1-2, 2009. I received an e-mail about this from a few different people in the last week or so, and it looks like it's going to be a great event. There are a lot of great health efforts going on in San Antonio - last year I presented at a health conference put on by the Hispanic Chamber of Commerce in San Antonio.

In any event, information about the SAHLI conference, click here.

Sunday, September 20, 2009

Designing e-Health Interventions for Low-Health-Literate Culturally Diverse Parents: Addressing the Obesity Epidemic

I just had a new article come out in the most recent issue of Telemedicine and e-Health. The abstract is:
Child and adolescent obesity is a significant problem contributing to long-term trends in adult obesity. Educating parents about strategies for raising healthy children is complicated by the problem of low health literacy. E-health provides new opportunities to educate lowhealth-literate audiences, and this project was intended as formative research to guide design of interventions for low-health-literate parents. Focus groups were conducted with African American, Hispanic, and white parents (n = 43), 18 years of age or older, and at or below median income for the region. Each focus group included the following: a discussion of parents’ general use of the Internet for health information, the demonstration of a Web site designed specifically for low-health-literate users, and asking participants about ideas under consideration for future interventions. Participants use search engines to look for health information and use heuristics, such as position in search results, to evaluate Web site quality. Some participants avoid information from .edu and .gov domains due to perceived complexity, and there was an almost-universal lack of trust in the government for health information. University researchers, by contrast, were trusted sources as information providers. Content and usability that meet the needs of extremely low-literate audiences may be perceived as slow and lacking depth by more literate and Internet-savvy users. E-health can be used to educate low-health-literate audiences, but interventions designed for these users must be layered in terms of content and usability to meet varying levels of functional and media literacy.
You can get the abstract and full article (if you have access) at http://www.liebertonline.com/doi/abs/10.1089/tmj.2009.0012.

There were all sorts of interesting things that came out of this research project, so it's exciting for the first article reporting results to hit the real world.

Sunday, September 13, 2009

The 26th International Pediatric Association Congress of Pediatrics 2010 (IPA): Call for Abstracts

From the IPA website...
We are pleased to announce that the abstract submission for IPA 2010 is now open. Participants wishing to propose papers for oral or poster presentations are invited to submit their abstracts via the congress website. The deadline for the submission of abstracts is Monday, February 8, 2010.
The call for abstracts is here.