Obesity-related health impacts of fuel excise taxation- an evidence review and cost-effectiveness study

• DOI: 10.1186/s12889-017-4271-2
• Publication Date: 2017-04-24T13:19:36Z
• Authors: V. Brown; M. Moodie; L. Cobiac; A. M. Mantilla He...; R. Carter
• Keywords: Biostatistics; Excise; Health Economics

Reducing automobile dependence and improving rates of active transport may reduce the impact obesogenic environments, thereby decreasing population prevalence obesity other diseases where physical inactivity is a risk factor. Increasing relative cost driving by an increase in fuel taxation therefore be promising public health intervention for prevention. A scoping review evidence or activity effect changes price was undertaken. Potential benefits excise Australia were quantified using Markov modelling to simulate obesity, injury related impacts 2010 Australian population. Health adjusted life years (HALYs) gained healthcare savings from averted estimated. Incremental cost-effectiveness ratios (ICERs) reported results tested through sensitivity analysis. Limited on policies such as health-related behaviours currently exists. Only three studies identified reporting associations between whilst nine specifically with activity, walking cycling. Estimates cross elasticity demand respect vary, limited consensus within literature probable range context. Cost-effectiveness AUD0.10 per litre conservative estimate suggests that would cost-effective societal perspective (237 HALYs gained, AUD2.6 M savings), measured against comparator no additional excise. Under "best case" assumptions, more (3181 AUD34.2 savings). Exploratory analysis deliver benefits. Whilst has significant potential cost-effectiveness, equity acceptability need minimised. better understanding effectiveness interventions required order achieve physically environments.