RT Journal Article
SR Electronic
T1 Examining attitudes toward a proposed sugar-sweetened beverage tax among urban Indigenous adults: a qualitative study using a decolonizing lens
JF CMAJ Open
JO CMAJ
FD Canadian Medical Association
SP E922
OP E931
DO 10.9778/cmajo.20230025
VO 11
IS 5
A1 Kisselgoff, Maria
A1 Champagne, Michael Redhead
A1 Dubois, Riel
A1 Turnbull, Lorna
A1 LaPlante, Jeff
A1 Schultz, Annette
A1 Bombak, Andrea
A1 Riediger, Natalie
YR 2023
UL http://www.cmajopen.ca/content/11/5/E922.abstract
AB Background: Sugar-sweetened beverage taxation has been proposed as a public health policy to reduce consumption, and compared with other ethnic or racialized groups in Canada, off-reserve Indigenous populations consume sugar-sweetened beverages at higher frequencies and quantities. We sought to explore the acceptability and anticipated outcomes of a tax on sugar-sweetened beverages among Indigenous adults residing in an inner-city Canadian neighbourhood.Methods: Using a community-based participatory research approach, we conducted semistructured interviews (November 2019–August 2020) with urban Indigenous adults using purposive sampling. Interviews were audio-recorded, transcribed verbatim and analyzed using theoretical thematic analysis.Results: All 20 participants (10 female, 8 male and 2 two-spirit) consumed sugar-sweetened beverages on a regular, daily basis at the time of the interview or at some point in their lives. Most participants were opposed to and concerned about the prospect of sugar-sweetened beverage taxation owing to 3 interconnected themes: government is not trustworthy, taxes are ineffective and lead to inequitable outcomes, and Indigenous self-determination is critical. Participants discussed government’s mismanagement of previous taxes and lack of prioritization of their community’s specific needs. Most participants anticipated that Indigenous people in their community would continue to consume sugar-sweetened beverages, but that a tax would result in fewer resources for other necessities, including foods deemed healthy.Interpretation: Low support for the tax among urban Indigenous people is characterized by distrust regarding the tax, policy-makers and its perceived effectiveness. Findings underscore the importance of self-determination in informing health policies that are equitable and nonstigmatizing.