BACKGROUND Diet-related fiscal policies are effective interventions to address non-communicable disease. However, despite these being economic policy instruments, there is little public health attention given to the evidence of macroeconomic impacts. This review aims to assess the global evidence for the macroeconomic impact of diet-related fiscal policies for non-communicable disease prevention on industry revenue, government revenue and employment. METHODS For this systematic review we comprehensively searched the bibliographic databases MEDLINE, OvidSP, EMBASE, Global Health, SCOPUS, CINAHL and ECONLIT, and Google Scholar for English peer-reviewed studies or grey literature, with no date cut-off. Global interventions with a focus on diet-related fiscal strategies were assessed for the outcomes of industry revenue, gross domestic product, government revenue and employment. We excluded non-English papers. FINDINGS Eleven studies met the inclusion criteria. All studies were on sugar sweetened beverage taxation and one also included an energy-dense food tax. Nine were modelling studies and two used interrupted time series analysis based on empirical evidence. One study found potential employment increases because of taxation; two found no significant job losses and eight found reduced employment. Taxes reduced sales volume and revenue within the sugar/beverage industry. Government revenue generation was positive in all studies. One study considered redistribution of consumer and government spending to other goods and services; INTERPRETATION: We found no robust evidence for negative macroeconomic impacts of diet-related fiscal policies, likely a reflection of the limited methodology used in the analyses. This review suggests that there is a need for more high-quality research into the macroeconomic impacts of diet related fiscal measures and similar to tobacco taxation, government should consider directing revenue generated towards complementary measures to generate employment and/or provide livelihood training for those affected.

中文翻译：

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与饮食有关的财政政策对非传染性疾病预防的宏观经济影响：系统评价。

背景技术与饮食有关的财政政策是解决非传染性疾病的有效干预措施。然而，尽管这些是经济政策手段，但公共卫生很少关注宏观经济影响的证据。这篇综述旨在评估全球饮食证据，表明与饮食有关的非传染病预防财政政策对行业收入，政府收入和就业的宏观经济影响。方法对于本系统评价，我们全面检索了MEDLINE，OvidSP，EMBASE，Global Health，SCOPUS，CINAHL和ECONLIT的书目数据库，以及Google学术搜索以进行英语同行评审研究或灰色文献，没有截止日期。针对行业收入，国内生产总值，政府收入和就业。我们排除了非英语论文。结果11项研究符合纳入标准。所有的研究都是关于含糖饮料税的，其中还包括高能量食品税。九项是建模研究，两项基于经验证据进行了中断时间序列分析。一项研究发现，由于税收，潜在的就业机会增加。2人未发现重大失业，8人发现就业减少。税收减少了制糖/饮料行业的销售量和收入。在所有研究中，政府创收都是积极的。一项研究考虑了消费者和政府支出向其他商品和服务的重新分配；解释：我们没有发现有力的证据表明与饮食相关的财政政策会对宏观经济产生负面影响，可能反映了分析中使用的有限方法。这项审查表明，需要对与饮食相关的财政措施的宏观经济影响进行更多高质量的研究，并且类似于烟草税，政府应考虑将产生的收入用于补充性措施，以创造就业机会和/或为受影响者提供生计培训。