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August 16, 2026Public HealthOpen Access

Governance and planning gaps in sugar-sweetened beverage taxation: A systems-based public health analysis

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Authors

MDMaría José Ferreira DíazFRFélix Rubial-Bernárdez

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Overview

Narrative review reveals structural governance gaps in global soda taxation policies, suggesting fiscal measures must integrate into broader prevention systems to curb chronic disease.

Key Points

  • To examine sugar-sweetened beverage taxation through a health planning and governance lens, identifying structural gaps in fiscal design, policy integration, and chronic disease prevention.
  • Conducted a structured narrative review following the Scale for the Assessment of Narrative Review Articles (SANRA) guidelines.
  • Searched PubMed, Scopus, Web of Science, and international policy documents, including the 2025 World Health Organization Global Report on Sugar-Sweetened Beverage Taxes.
  • Synthesized findings using a systems-based conceptual framework integrating fiscal policy design, governance arrangements, food environments, and evidence-based prevention models.
  • SSB tax policies frequently exhibit low and heterogeneous tax rates, limited adoption of sugar-content thresholds, an absence of inflation adjustments, and weak revenue earmarking.
  • Governance fragmentation causes SSB taxes to operate as isolated fiscal interventions rather than coordinated components of comprehensive food environment and chronic disease prevention strategies.

Cite This Study

Díaz et al. (2026) studied this question.

synapsesocial.com/papers/6a8179bcf2fb91fc834acfbfhttps://doi.org/10.1016/j.puhe.2026.106448
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  5. 5Examining the Sustainable Impact of the Relationship Among the Variables Influencing Sugar-Sweetened Beverage Intake on Sugar Tax2025