Consumption of Sugary Beverages by Adults Prior to Sugary Drink Tax in Colombia: An Analysis of the National Nutrition Survey 2015

TL;DR

This study analyzed sugary beverage consumption in Colombia before a sugar tax was implemented, finding high intake across the adult population.

Contribution

The study provides baseline data on sugary beverage consumption in Colombia ahead of a tax policy, highlighting disparities by gender and beverage type.

Findings

84% of adults consumed taxed sugary beverages, averaging 209 kcal per capita.

Males consumed more taxed beverages (255 kcal) than females (174 kcal).

Untaxed beverages contributed 109 kcal per capita, mainly from dairy and milk substitutes.

Abstract

Background/Objectives: Colombia has implemented a tiered tax on sugar-sweetened beverages (SSBs), reaching 20% for high-sugar products by 2025. To inform evaluations of this policy, we estimated taxed and untaxed beverage intake prior to implementation and examined differences across sociodemographic groups. Methods: We analyzed 24 h dietary recall data from the 2015 National Survey of the Nutritional Situation of Colombia (ENSIN; n = 11,877 adults aged 18–64), which uses a stratified, multistage cluster sampling design covering all regions of the country. Beverages were categorized by 2025 tax thresholds: untaxed (<5 g added sugar/100 mL), taxed (≥5 g), and high-sugar taxed (≥9 g). Intake (mL, kcal) was estimated per capita and per consumer using survey-weighted two-part models, adjusting for sociodemographic characteristics. Results: Eighty-four percent of adults consumed taxed beverages, with per capita intake of 209 kcal (95% CI: 203–216) and 481 mL (95% CI: 464–497). Sixty-three percent consumed high-sugar taxed beverages, with intake of 134 kcal (95% CI: 130–139) and 292 mL (95% CI: 282–303) per capita. Untaxed beverages accounted for 109 kcal (95% CI: 106–112) and 837 mL (95% CI: 793–882) per capita. Across categories, the highest per capita kcal intakes were from untaxed dairy/milk substitutes (67 kcal, 95% CI: 64–69), any taxed fruit/vegetable juices (61 kcal, 95% CI: 55–66), and any taxed sodas/carbonated beverages (47 kcal, 95% CI: 44–50). Males consumed more taxed beverages of any type (255 kcal, 95% CI: 247–264) than females (174 kcal, 95% CI: 165–182). Conclusions: Prior to its SSB tax, Colombians had a high consumption of SSBs that would be subject to the tax. Future research should assess how consumption changed in response to the tax.

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