The Philadelphia Story: Attacking Behavioral and Social Determinants of Health
Authors: Cheryl Bettigole, Thomas A. Farley
Journal: Annals of Internal Medicine (2016)

Ideas and Opinions18 October 2016The Philadelphia Story: Attacking Behavioral and Social Determinants of HealthCheryl Bettigole, MD, MPH and Thomas A. Farley, MD, MPHCheryl Bettigole, MD, MPHFrom the Philadelphia Department of Public Health, Philadelphia, Pennsylvania.Search for more papers by this author and Thomas A. Farley, MD, MPHFrom the Philadelphia Department of Public Health, Philadelphia, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M16-1570 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail I don't want to beat anybody. What I want to do is beat poverty.—Mayor Jim Kenney, 22 June 2016On 16 June 2016, thirteen of Philadelphia's 17 City Council members voted “yes” on the city's sweetened drinks tax, making it the first large city to pass such a measure. Philadelphia's previous mayor had tried twice before, in 2010 and 2011, with campaigns that focused on the need to address the city's burgeoning rates of diabetes and obesity. Each time, the effort fell short in the face of the millions of dollars of opposition by the soda industry. Since then, numerous ...References1. Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in Obesity Among Adults in the United States, 2005 to 2014. JAMA. 2016;315:2284-91. [PMID: 27272580] doi:10.1001/jama.2016.6458 CrossrefMedlineGoogle Scholar2. CDC Division of Diabetes Translation. Long-Term Trends in Diabetes, April 2016. Accessed at www.cdc.gov/diabetes/statistics/slides/long_term_trends.pdf on 6 July 2016. Google Scholar3. Gregg EW, Zhuo X, Cheng YJ, Albright AL, Narayan KM, Thompson TJ. Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985-2011: a modelling study. Lancet Diabetes Endocrinol. 2014;2:867-74. [PMID: 25128274] doi:10.1016/S2213-8587(14)70161-5 CrossrefMedlineGoogle Scholar4. Gortmaker SL, Long MW, Resch SC, Ward ZJ, Cradock AL, Barrett JL, et al. Cost Effectiveness of childhood obesity interventions: evidence and methods for CHOICES. Am J Prev Med. 2015;49:102-11. [PMID: 26094231] doi:10.1016/j.amepre.2015.03.032 CrossrefMedlineGoogle Scholar5. U.S. Department of Agriculture Economic Research Service. Report from the Food Availability (Per Capita) Data System. Accessed at www.ers.usda.gov/data-products/food-availability-(per-capita)-data-system.aspx on 6 July 2016. Google Scholar6. Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. 2010;33:2477-83. [PMID: 20693348] doi:10.2337/dc10-1079 CrossrefMedlineGoogle Scholar7. de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men. Circulation. 2012;125:1735-41, S1. [PMID: 22412070] doi:10.1161/CIRCULATIONAHA.111.067017 CrossrefMedlineGoogle Scholar8. Gortmaker SL, Long MW, Ward ZJ, Giles CM, Barrett JL, Resch SC, et al. Brief: Cost Effectiveness of a Sugar-Sweetened Beverage Excise Tax in Philadelphia, PA. Prepared by the CHOICES project at the Harvard T.H. Chan School of Public Health. Accessed at http://choicesproject.org/brief-cost-effectiveness-of-a-sugar-sweetened-beverage-excise-tax-in-philadelphia-pa/ on 26 June 2016. Google Scholar9. Karoly LA, Kilburn MR, Cannon JS. Proven Benefits of Early Childhood Interventions. Santa Monica, CA: RAND Corporation, 2005. Accessed at www.rand.org/pubs/research_briefs/RB9145.html on 6 July 2016. Google Scholar Author, Article, and Disclosure InformationAffiliations: From the Philadelphia Department of Public Health, Philadelphia, Pennsylvania.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-1570.Corresponding Author: Thomas A. Farley, MD, MPH, Philadelphia Department of Public Health, 1401 JFK Boulevard, Room 600, Philadelphia, PA 19102.Current Author Addresses: Dr. Bettigole: Philadelphia Department of Public Health, 1101 Market Street, 9th Floor, Philadelphia, PA 19107.Dr. Farley: Philadelphia Department of Public Health, 1401 JFK Boulevard, Room 600, Philadelphia, PA 19102.This article was published at www.annals.org on 19 July 2016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byExploring attitudes toward taxation of sugar-sweetened beverages in rural MichiganA Case Study of the Philadelphia Sugar-Sweetened Beverage Tax Policymaking Process: Implications for Policy Development and AdvocacyFunding quality pre-kindergarten slots with Philadelphia’s new ‘sugary drink tax’: simulating effects of using an excise tax to address a social determinant of health 18 October 2016Volume 165, Issue 8Page: 593-594KeywordsBeveragesChild healthChildrenDisclosureLibrariesMedical dialysisObesityPrevention, policy, and public healthTaxesUlcers ePublished: 19 July 2016 Issue Published: 18 October 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...