Year 2025,
Volume: 10 Issue: 2, 135 - 144, 29.06.2025
Derya Bıçak Ayık
,
Derya Akça Doğan
References
-
P. Phonsuk, V. Vongmongkol, S. Ponguttha, R. Suphanchaimat, N. Rojroongwasinkul, and B. A. Swinburn, ‘Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study’, PLOS ONE, vol. 16, no. 4, p. e0250841, Apr. 2021, doi: 10.1371/journal.pone.0250841.
-
WHO, ‘World Health Organization. Obesity and overweight.’ Accessed: Mar. 01, 2025. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
-
TURKSTAT, ‘Turkish Statistical Institute (TURKSTAT). Elderly Statistics, 2019’. Accessed: May 22, 2023. [Online]. Available: https://data.tuik.gov.tr/Bulten/Index?p=Turkey-Health-Survey-2019-33661
-
The Lancet Public Health, ‘Obesity: the sweet revenge of tax’, Lancet Public Health, vol. 2, no. 1, p. e1, Jan. 2017, doi: 10.1016/S2468-2667(16)30041-X.
-
K. Backholer et al., ‘The impact of a tax on sugar-sweetened beverages according to socio-economic position: a systematic review of the evidence’, Public Health Nutr., vol. 19, no. 17, pp. 3070–3084, Dec. 2016, doi: 10.1017/S136898001600104X.
-
E. Smith, P. Scarborough, M. Rayner, and A. D. M. Briggs, ‘Should we tax unhealthy food and drink?’, Proc. Nutr. Soc., vol. 77, no. 3, pp. 314–320, Aug. 2018, doi: 10.1017/S0029665117004165.
-
Y. Yoshida and E. J. Simoes, ‘Sugar-sweetened beverage, obesity, and type 2 diabetes in children and adolescents: policies, taxation, and programs’, Curr. Diab. Rep., vol. 18, no. 6, p. 31, Jun. 2018, doi: 10.1007/s11892-018-1004-6.
-
World Health Organization, Fiscal policies for diet and prevention of noncommunicable diseases: technical meeting report, 5-6 May 2015, Geneva, Switzerland. Geneva: World Health Organization, 2016. Accessed: Dec. 12, 2022. [Online]. Available: https://apps.who.int/iris/handle/10665/250131
-
A. Itria, S. S. Borges, A. E. M. Rinaldi, L. B. Nucci, and C. C. Enes, ‘Taxing sugar-sweetened beverages as a policy to reduce overweight and obesity in countries of different income classifications: a systematic review’, Public Health Nutr., vol. 24, no. 16, pp. 5550–5560, Nov. 2021, doi: 10.1017/S1368980021002901.
-
A. D. M. Briggs et al., ‘Health impact assessment of the UK soft drinks industry levy: a comparative risk assessment modelling study’, Lancet Public Health, vol. 2, no. 1, pp. e15–e22, Jan. 2017, doi: 10.1016/S2468-2667(16)30037-8.
-
F. Goiana-da-Silva et al., ‘Projected impact of the Portuguese sugar-sweetened beverage tax on obesity incidence across different age groups: A modelling study’, PLOS Med., vol. 17, no. 3, p. e1003036, Mar. 2020, doi: 10.1371/journal.pmed.1003036.
-
İ. Güneş and M. A. Gedik, ‘Obesity as an example of market failure and public solutions’, J. Çukurova Univ. Inst. Soc. Sci., vol. 29, no. 3, pp. 492–506, 2020.
-
H. Park and S. Yu, ‘Policy review: Implication of tax on sugar-sweetened beverages for reducing obesity and improving heart health’, Health Policy Technol., vol. 8, no. 1, pp. 92–95, Mar. 2019, doi: 10.1016/j.hlpt.2018.12.002.
-
N. T. Rogers et al., ‘Associations between trajectories of obesity prevalence in English primary school children and the UK soft drinks industry levy: An interrupted time series analysis of surveillance data’, PLOS Med., vol. 20, no. 1, p. e1004160, Jan. 2023, doi: 10.1371/journal.pmed.1004160.
-
Z. Asilkan and P. Yalçın Balçık, ‘Investigation of opinions towards obesity tax’, J. Selçuk Univ. Soc. Sci. Vocat. Sch., vol. 25, no. 2, pp. 703–718, Nov. 2022, doi: 10.29249/selcuksbmyd.1178246.
-
A. Doğan and M. Kabayel, ‘Applicability of obesity taxes in perspective of world practices’, Kirklareli Univ. J. Fac. Econ. Adm. Sci., vol. 6, no. 5, pp. 64–71, 2017.
-
O. Eroğlu and C. Koyuncu, ‘The increasing food prices and the evaluation of the financial performance of food companies enlisted in Istanbul stock exchange’, J. Ömer Halisdemir Univ. Fac. Econ. Adm. Sci., vol. 11, no. 2, pp. 178–194, Apr. 2018, doi: 10.25287/ohuiibf.392519.
-
E. Özkan and S. Güzel, ‘Availability of special consumption tax in the fight against obesity in Turkey’, J. Soc. Sci. Inst. Ataturk Univ., vol. 22, no. Special Issue, pp. 693–705, 2018.
-
Z. Akbelen, Z. B. Aydın, and H. Reşber, ‘Determination of factors related to the acceptability of obesity tax by logistic regression analysis’, Bus. Econ. Res. J., vol. 13, no. 4, pp. 671–685, Oct. 2022, doi: 10.20409/berj.2022.396.
-
C. Kayacik and M. Cural, ‘A qualitative analysis of obesity tax applicability in Turkey’, Strateg. Public Manag. J., vol. 5, no. 10, pp. 78–99, Dec. 2019, doi: 10.25069/spmj.645439.
-
U. Sandalci and G. Tuncer, ‘Structural equation model analysis for acceptability of fat tax’, J. Turk. Court Acc., no. 113, pp. 71–102, 2019.
-
U. Sandalci and G. Tuncer, ‘An application for analysis of factors determining the acceptability of fat tax’, MANAS J. Soc. Stud., vol. 8, no. 3, pp. 2594–2634, Jul. 2019, doi: 10.33206/mjss.493287.
-
M. Bagheri, A. Heydari, and Z. S. Manzari, ‘Nurse’s experiences of care challenges of admitted patients with obesity: a qualitative content analysis study’, Iran. Red Crescent Med. J., vol. 24, no. 7, p. e1969, Jun. 2022, doi: 10.32592/ircmj.2022.24.7.1969.
-
J. A. Harris and N. G. Castle, ‘Obesity and nursing home care in the United States: a systematic review’, The Gerontologist, vol. 59, no. 3, pp. e196–e206, May 2019, doi: 10.1093/geront/gnx128.
-
Y. Ayyıldız and Y. Demirli, ‘Public opinions in obesity tax: a field research in Turkey’, Bus. Econ. Res. J., vol. 6, no. 2, pp. 59–72, 2015.
-
A. Yeşiltaş and İ. Gül, ‘Society’s views on obesity tax as a health policy implementation’, J. Health Soc., vol. 31, no. 1, pp. 149–158, 2021.
-
Ş. Akkaya and U. Gergerlioğlu, ‘Analysis of the attitudes towards obesity taxes: the case of Istanbul’, Marmara J. Econ., vol. 1, no. 2, pp. 119–154, Nov. 2017, doi: 10.24954/mjecon.2017.7.
-
C. M. D. Passos, E. G. Maia, R. B. Levy, A. P. B. Martins, and R. M. Claro, ‘Association between the price of ultra-processed foods and obesity in Brazil’, Nutr. Metab. Cardiovasc. Dis., vol. 30, no. 4, pp. 589–598, Apr. 2020, doi: 10.1016/j.numecd.2019.12.011.
-
U. Gergerlioğlu, ‘Assessment of the obesity taxes in terms of some OECD countries’, Int. J. Econ. Soc. Res., vol. 12, no. 2, pp. 149–166, 2016.
-
E. Özden, ‘Functionalizing the Turkish tax system in a way to contribute to fight against obesity’, J. Fac. Econ. Adm. Sci., vol. 7, no. 14, pp. 189–220, 2016.
-
H. C. Felix, C. Bradway, E. Miller, A. Heivly, I. Fleshner, and L. S. Powell, ‘Obese nursing home residents: a call to research action: letters to the editor’, J. Am. Geriatr. Soc., vol. 58, no. 6, pp. 1196–1197, Jun. 2010, doi: 10.1111/j.1532-5415.2010.02879.x.
-
M. B. Ewe, C. Hildingh, J. Månsson, and M. Lydell, ‘Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study’, BMC Nurs., vol. 20, no. 1, p. 170, Dec. 2021, doi: 10.1186/s12912-021-00685-1.
ASSESSMENT OF INTENSIVE CARE NURSES' PERCEPTIONS REGARDİNG OBESITY TAX
Year 2025,
Volume: 10 Issue: 2, 135 - 144, 29.06.2025
Derya Bıçak Ayık
,
Derya Akça Doğan
Abstract
Obesity has become an increasingly significant health issue affecting both individuals and societies, leading many countries to implement various strategies to address this threat. One of these strategies is the obesity tax, which is applied to foods with low nutritional value and high fat, sugar, and calorie content. Healthcare professionals, particularly intensive care nurses, face additional challenges when caring for obese patients during this process. This research aims to assess the perceptions of intensive care nurses regarding obesity taxation. The descriptive study involved 92 intensive care nurses. Data were collected using a form to determine nurses' demographic characteristics and the Obesity Tax Perception Scale. A significant 94.6% of the surveyed nurses reported challenges in providing care for obese individuals. Most participants indicated a perception of a high tax burden. The statement "The fight against obesity is one of the main tasks of the state" received the highest support on the scale (3.93±1.13). There was also a strong endorsement of the statement, "The fight against obesity should be through non-tax instruments" (3.77±0.89). Conversely, the statement "Taxes should be the primary tool in the fight against obesity" received the least support, registering a mean of 2.28±1.11 from the participants. The findings indicate that intensive care nurses believe in government intervention in fighting obesity; however, they prefer that this intervention occur through non-taxation measures. These results underscore the importance of considering the perspectives of healthcare professionals in shaping effective policies and strategies against obesity.
Ethical Statement
Before data collection in this study, approval was obtained from Mardin Artuklu University Non-Interventional Clinical Research Ethics Committee (Decision date and number: 08.06.2023, 2023/6-9).
References
-
P. Phonsuk, V. Vongmongkol, S. Ponguttha, R. Suphanchaimat, N. Rojroongwasinkul, and B. A. Swinburn, ‘Impacts of a sugar sweetened beverage tax on body mass index and obesity in Thailand: A modelling study’, PLOS ONE, vol. 16, no. 4, p. e0250841, Apr. 2021, doi: 10.1371/journal.pone.0250841.
-
WHO, ‘World Health Organization. Obesity and overweight.’ Accessed: Mar. 01, 2025. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
-
TURKSTAT, ‘Turkish Statistical Institute (TURKSTAT). Elderly Statistics, 2019’. Accessed: May 22, 2023. [Online]. Available: https://data.tuik.gov.tr/Bulten/Index?p=Turkey-Health-Survey-2019-33661
-
The Lancet Public Health, ‘Obesity: the sweet revenge of tax’, Lancet Public Health, vol. 2, no. 1, p. e1, Jan. 2017, doi: 10.1016/S2468-2667(16)30041-X.
-
K. Backholer et al., ‘The impact of a tax on sugar-sweetened beverages according to socio-economic position: a systematic review of the evidence’, Public Health Nutr., vol. 19, no. 17, pp. 3070–3084, Dec. 2016, doi: 10.1017/S136898001600104X.
-
E. Smith, P. Scarborough, M. Rayner, and A. D. M. Briggs, ‘Should we tax unhealthy food and drink?’, Proc. Nutr. Soc., vol. 77, no. 3, pp. 314–320, Aug. 2018, doi: 10.1017/S0029665117004165.
-
Y. Yoshida and E. J. Simoes, ‘Sugar-sweetened beverage, obesity, and type 2 diabetes in children and adolescents: policies, taxation, and programs’, Curr. Diab. Rep., vol. 18, no. 6, p. 31, Jun. 2018, doi: 10.1007/s11892-018-1004-6.
-
World Health Organization, Fiscal policies for diet and prevention of noncommunicable diseases: technical meeting report, 5-6 May 2015, Geneva, Switzerland. Geneva: World Health Organization, 2016. Accessed: Dec. 12, 2022. [Online]. Available: https://apps.who.int/iris/handle/10665/250131
-
A. Itria, S. S. Borges, A. E. M. Rinaldi, L. B. Nucci, and C. C. Enes, ‘Taxing sugar-sweetened beverages as a policy to reduce overweight and obesity in countries of different income classifications: a systematic review’, Public Health Nutr., vol. 24, no. 16, pp. 5550–5560, Nov. 2021, doi: 10.1017/S1368980021002901.
-
A. D. M. Briggs et al., ‘Health impact assessment of the UK soft drinks industry levy: a comparative risk assessment modelling study’, Lancet Public Health, vol. 2, no. 1, pp. e15–e22, Jan. 2017, doi: 10.1016/S2468-2667(16)30037-8.
-
F. Goiana-da-Silva et al., ‘Projected impact of the Portuguese sugar-sweetened beverage tax on obesity incidence across different age groups: A modelling study’, PLOS Med., vol. 17, no. 3, p. e1003036, Mar. 2020, doi: 10.1371/journal.pmed.1003036.
-
İ. Güneş and M. A. Gedik, ‘Obesity as an example of market failure and public solutions’, J. Çukurova Univ. Inst. Soc. Sci., vol. 29, no. 3, pp. 492–506, 2020.
-
H. Park and S. Yu, ‘Policy review: Implication of tax on sugar-sweetened beverages for reducing obesity and improving heart health’, Health Policy Technol., vol. 8, no. 1, pp. 92–95, Mar. 2019, doi: 10.1016/j.hlpt.2018.12.002.
-
N. T. Rogers et al., ‘Associations between trajectories of obesity prevalence in English primary school children and the UK soft drinks industry levy: An interrupted time series analysis of surveillance data’, PLOS Med., vol. 20, no. 1, p. e1004160, Jan. 2023, doi: 10.1371/journal.pmed.1004160.
-
Z. Asilkan and P. Yalçın Balçık, ‘Investigation of opinions towards obesity tax’, J. Selçuk Univ. Soc. Sci. Vocat. Sch., vol. 25, no. 2, pp. 703–718, Nov. 2022, doi: 10.29249/selcuksbmyd.1178246.
-
A. Doğan and M. Kabayel, ‘Applicability of obesity taxes in perspective of world practices’, Kirklareli Univ. J. Fac. Econ. Adm. Sci., vol. 6, no. 5, pp. 64–71, 2017.
-
O. Eroğlu and C. Koyuncu, ‘The increasing food prices and the evaluation of the financial performance of food companies enlisted in Istanbul stock exchange’, J. Ömer Halisdemir Univ. Fac. Econ. Adm. Sci., vol. 11, no. 2, pp. 178–194, Apr. 2018, doi: 10.25287/ohuiibf.392519.
-
E. Özkan and S. Güzel, ‘Availability of special consumption tax in the fight against obesity in Turkey’, J. Soc. Sci. Inst. Ataturk Univ., vol. 22, no. Special Issue, pp. 693–705, 2018.
-
Z. Akbelen, Z. B. Aydın, and H. Reşber, ‘Determination of factors related to the acceptability of obesity tax by logistic regression analysis’, Bus. Econ. Res. J., vol. 13, no. 4, pp. 671–685, Oct. 2022, doi: 10.20409/berj.2022.396.
-
C. Kayacik and M. Cural, ‘A qualitative analysis of obesity tax applicability in Turkey’, Strateg. Public Manag. J., vol. 5, no. 10, pp. 78–99, Dec. 2019, doi: 10.25069/spmj.645439.
-
U. Sandalci and G. Tuncer, ‘Structural equation model analysis for acceptability of fat tax’, J. Turk. Court Acc., no. 113, pp. 71–102, 2019.
-
U. Sandalci and G. Tuncer, ‘An application for analysis of factors determining the acceptability of fat tax’, MANAS J. Soc. Stud., vol. 8, no. 3, pp. 2594–2634, Jul. 2019, doi: 10.33206/mjss.493287.
-
M. Bagheri, A. Heydari, and Z. S. Manzari, ‘Nurse’s experiences of care challenges of admitted patients with obesity: a qualitative content analysis study’, Iran. Red Crescent Med. J., vol. 24, no. 7, p. e1969, Jun. 2022, doi: 10.32592/ircmj.2022.24.7.1969.
-
J. A. Harris and N. G. Castle, ‘Obesity and nursing home care in the United States: a systematic review’, The Gerontologist, vol. 59, no. 3, pp. e196–e206, May 2019, doi: 10.1093/geront/gnx128.
-
Y. Ayyıldız and Y. Demirli, ‘Public opinions in obesity tax: a field research in Turkey’, Bus. Econ. Res. J., vol. 6, no. 2, pp. 59–72, 2015.
-
A. Yeşiltaş and İ. Gül, ‘Society’s views on obesity tax as a health policy implementation’, J. Health Soc., vol. 31, no. 1, pp. 149–158, 2021.
-
Ş. Akkaya and U. Gergerlioğlu, ‘Analysis of the attitudes towards obesity taxes: the case of Istanbul’, Marmara J. Econ., vol. 1, no. 2, pp. 119–154, Nov. 2017, doi: 10.24954/mjecon.2017.7.
-
C. M. D. Passos, E. G. Maia, R. B. Levy, A. P. B. Martins, and R. M. Claro, ‘Association between the price of ultra-processed foods and obesity in Brazil’, Nutr. Metab. Cardiovasc. Dis., vol. 30, no. 4, pp. 589–598, Apr. 2020, doi: 10.1016/j.numecd.2019.12.011.
-
U. Gergerlioğlu, ‘Assessment of the obesity taxes in terms of some OECD countries’, Int. J. Econ. Soc. Res., vol. 12, no. 2, pp. 149–166, 2016.
-
E. Özden, ‘Functionalizing the Turkish tax system in a way to contribute to fight against obesity’, J. Fac. Econ. Adm. Sci., vol. 7, no. 14, pp. 189–220, 2016.
-
H. C. Felix, C. Bradway, E. Miller, A. Heivly, I. Fleshner, and L. S. Powell, ‘Obese nursing home residents: a call to research action: letters to the editor’, J. Am. Geriatr. Soc., vol. 58, no. 6, pp. 1196–1197, Jun. 2010, doi: 10.1111/j.1532-5415.2010.02879.x.
-
M. B. Ewe, C. Hildingh, J. Månsson, and M. Lydell, ‘Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study’, BMC Nurs., vol. 20, no. 1, p. 170, Dec. 2021, doi: 10.1186/s12912-021-00685-1.