PDF(Pubmed)
Abstract：
Increasing concerns about the health impacts of sugar consumption has led to the proposition of a sugar-sweetened beverage (SSB) tax in Canada. However, competing concerns related to stigma and equity remain and have not been explored in a Canadian context. As part of a broader study examining the perspectives of various populations on SSB tax acceptability, we examined how residents of an upper-middle class neighborhood conceptualize SSB tax acceptability, and we explored the discourses that inform their discussion. We conducted and analyzed qualitative, semi-structured interviews with residents of an upper-middle class neighborhood in Winnipeg, Manitoba, Canada. Recruitment criteria were residence, adults, and English speaking. Critical discourse analysis methodology was used, and healthism (health moralism) and tax psychology informed the analysis. Eighteen participants volunteered: 15 females and 3 males; all self-identified as white, and all spoke about (grand)parenting. Healthist discourse was utilized in supportive discussion of SSB taxation. With the mobilization of healthism, ideal citizens and parents were described as \"health conscious\" and those who might be likely to reduce SSB intake because of taxation. Healthism also contributed to their identification of beverages targeted by a tax, versus those they deemed as having redeeming nutritional qualities. Limits to SSB tax support were expressed as fairness concerns, with a focus on the procedural justice of the tax. Participants supported SSB taxation and the discourses they employed suggested support for the tax was perceived as contributing to their construction of the kind of ideal, health-valuing citizens they hoped to embody. However, participants were also concerned about the fairness of implementation, although this did not outweigh the prioritization of good health.
摘要：
对食糖消费对健康影响的担忧日益增加，导致加拿大提出了加糖饮料（SSB）税的提议。然而,与污名和公平相关的相互竞争的担忧仍然存在，在加拿大的背景下还没有探讨过。作为一项更广泛的研究的一部分，研究了各种人群对SSB税收可接受性的看法，我们研究了中上阶层社区的居民如何概念化SSB税收可接受性，我们探索了指导他们讨论的话语。我们进行了定性和分析，对温尼伯中产阶级社区居民的半结构化访谈，曼尼托巴省,加拿大。招聘标准是居住地，成年人,和说英语。使用了批判性语篇分析方法，健康主义(健康道德主义)和税收心理学为分析提供了依据。18名参与者自愿参加：15名女性和3名男性;所有自我识别为白人，所有人都谈到了（盛大的）育儿。在对SSB税收的支持性讨论中，使用了健康主义话语。随着健康主义的动员，理想的公民和父母被描述为“健康意识”，以及那些可能因为税收而减少SSB摄入量的人。健康主义也有助于他们识别税收目标饮料，与他们认为具有救赎营养品质的人相比。对SSB税收支持的限制被表达为公平关切，关注税收的程序正义。参与者支持SSB税收，他们所采用的话语建议对税收的支持被认为有助于他们构建理想，他们希望体现的重视健康的公民。然而,与会者还担心执行的公平性，尽管这并没有超过健康的优先考虑。
