Type 2 & other diabetes

The Effect of City-Level Sugar-Sweetened Beverage Taxes on Longitudinal HbA1c and Incident Diabetes in Adults With Prediabetes

Diabetes CarePublished Matched cohort study

Main finding · Longitudinal mean HbA1cResult — go to the resultAdjusted difference 0.007 % 95% CI 0.002–0.011

Authors' conclusion

We found no clinically significant association between SSB taxes and either longitudinal mean HbA1c or incident diabetes among adults with prediabetes in the 4 years following SSB tax implementation.

Study context

Population
Adults with prediabetes, Kaiser Permanente in California; outcomes 6 years prior and 4 years following SSB tax implementationmatched cohort
Participants
68,658 adults
Exposure
Living in SSB excise tax cities vs control cities
Outcome
Mean HbA1c levels and rates of incident diabetes
Follow-up
4 years following SSB tax implementation
Methodological detailslongitudinal, multivariable linear mixed effects models, discrete-time survival models
  • Longitudinal
  • Multivariable linear mixed effects models
  • Discrete-time survival models

Main finding

Longitudinal mean HbA1c

Adjusted difference

0.007 %

95% CI 0.002–0.011

Tax citiesvs Control
adjusted difference 0.007 % (95% CI 0.002–0.011)

As reported in the abstract

Observational data: associations, not effects.

Further findings

No significant difference in risk of incident diabetes between tax and control cities

Original publication

The Effect of City-Level Sugar-Sweetened Beverage Taxes on Longitudinal HbA1c and Incident Diabetes in Adults With Prediabetes. Diabetes Care. Published 16 May 2024. doi:10.2337/dc24-0228

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