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Food prices, taxes, and obesity in Canada and its implications for food taxation

Abstract

An important health financing issue facing Canada and other OECD countries are the health consequences of obesity. Food group prices can be used to estimate the model if one is interested in a reduced form model of the determinants of obesity and nutrient prices should be used if one is interested in estimating a structural model of obesity that is more amenable to interpretation for policy purposes. The goal of the study is to introduce new nutrient price model and shows its superiority of food group model based on Canadian data Using available data from the Canadian Community Health Survey, food group prices, and constructed nutrient indexes, we confirm the superior performance of variations in nutrient prices compared to variations in food group prices to explain variations in the body mass index (BMI) of Canadians. Results for nutrients indicate that taxing fat and carbohydrates and subsidizing protein would reduce BMI. The implicit tax on fat from dairy supply management is one of the only nutrient-targeted taxes in Canada. In the alternate model, few food group price coefficients are statistically significant. We find that a tax on away-from-home food would reduce the BMI of Canadians. Currently, expenditure on restaurant meals is taxed at the federal level and at the provincial level in all provinces except Alberta and Saskatchewan. The proposed model may be also used for future discussion of the food taxation in other countries where food taxation is not used and the special taxation of restaurant food is not introduced.

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Food prices, taxes, and obesity in Canada and its implications for food taxation

Author: Clark, Stephen J.
Publisher: Technická Univerzita v Liberci
Year: 2019
Source: https://dspace.tul.cz/bitstreams/7ca7e7c4-9309-46fd-9839-a4c74b892b3b/download
22 2019, XXII, 1
Economics
DOI: 10.15240/ ul/001/2019-1-002
In oduc ion
An impo an heal h i nancing issue acing
Canada and o he OECD coun ies (OECD,
2017) a e he heal h consequences o obesi y.
S a is ics Canada (2014) epo s ha 51.6%
o adul Canadians we e o e weigh o obese
in 2009 compa ed o 53.6% in 2013. The
p opo ion o Canadians who a e o e weigh
di e s by sex, wi h 59.2% o Canadian males
o e weigh in 2009 compa ed o 62% in 2013
and 43.9% o emales o e weigh in 2009
compa ed o 45.1% in 2013. These inc eases
ha e led o calls o policies o con ol obesi y
(see Cla k e al., 2014).
These a es o obesi y a e based on he
body mass index (BMI) which is he a io
o weigh (in kilog ams) o he squa e o heigh
(in me e s). C an i eld (2007) uses he Canadian
Communi y Hea h Su ey (CCHS) o examine
he de e minan s o he body mass index
(BMI) o Canadians. Un o una ely, he e is
insu i cien in o ma ion in he CCHS da a on
he die a y beha iou o esponden s so ha
he way in which die s in l uence BMI canno
be di ec ly s udied using ha da ase . This lack
o in o ma ion on die a y choices is a common
ea u e o s udies ha measu e he BMI
o indi iduals. Fo example, he BMI da a used
by Goldman, Lakdawalla, and Zheng (2009)
also does no include obse a ions o he die s
o indi iduals.
One solu ion o his p oblem is o include he
p ices o die a y elemen s in place o quan i ies
since, while quan i ies may no ha e been
obse ed, p ices ypically a e. Nu ien p ices
a e included in he BMI s udies o Goldman,
Lakdawalla and Zheng (2009) and Cla k e al.
(2014) whe eas ood g oup p ices a e included
in s udies by Chou, G ossman and Sa e
(2004), Boizo -Szan ai and Fab ice (2005) and
S um and Da a (2005) and (2008). In his
s udy we discuss some conside a ions o he
de e mina ion o he app op ia e se o p ices
o use wi hin a s udy o obesi y. We compa e
he use o ood-g oup-p ices o nu ien -p ices.
By a he mos popula app oach in his a ea
o esea ch is he use o ood g oup p ices
(e.g., Chou, G ossman, & Sa e , 2004; Boizo -
Szan ai & Fab ice, 2005; S um & Da a , 2005;
2008; along wi h Bea y & LaF ance, 2005;
Chouina d e al., 2005; Smed, Jensen, &
Den e , 2007; Allais, Be ail, & Nichele, 2010).
Fewe s udies use nu ien p ices (Goldman,
Lakdawala, & Zheng, 2009; Cla k e al., 2014).
A heo e ical model de eloped by Chen e
al. (2004) explo es he ela ionship be ween
nu ien s and hype ension. Thei model clea ly
demons a es ha i nu ien s a e a de e minan
o a speci i c heal h ou come (hype ension,
in hei case) hen nu ien p ices a e he
mos app op ia e se o p ices o use. In hei
empi ical model hey do no use nu ien p ices
bu ood g oup p ices, p oposing ha hei
es ima ed model is a “ educed o m” model.
We asse ha Chen e al. (2004) a e co ec
in hei in e p e a ion o hei model and ha
ood g oup p ices included in obesi y s udies
lead o es ima es o a educed o m model and
nu ien p ices lead o es ima es o a “s uc u al”
model. Gi en his in e p e a ion, ood g oup
p ices can be used o es ima e he model i one
is in e es ed in a educed o m model o he
de e minan s o obesi y and nu ien p ices
should be used i one is in e es ed in es ima ing
a s uc u al model o obesi y ha is mo e
amenable o in e p e a ion o policy pu poses.
The dis inc ion is c i ical since educed o m
models allow o he es ima ion o o he non-
p ice a iables in he sys em o make su e he e
is no an “omi ed” a iable p oblem bu hey
a e less use ul o policy pu poses unless some
addi ional app oach is g a ed on o he s udy
o he pu pose o unco e ing he s uc u al
pa ame e s. Pa ame e es ima es om he use
FOOD PRICES, TAXES, AND OBESITY
IN CANADA AND ITS IMPLICATIONS
FOR FOOD TAXATION
S ephen J. Cla k, Ludwig O. Di ich, S ephen M. Law,
Dana S a á, Mi osla Ba ák
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23
1, XXII, 2019
Economics
o ood g oup p ices should no be used o make
judgemen s conce ning he heal h impac s o
axes on consump ion o oods om many o
he ood g oups because oo many ac o s a e
con ounded in he educed o m model ela ing
hose ood g oup p ices o he unde lying
nu ien s. We p o ide some examples o his
sho coming o he ood g oup app oach below.
The use o nu ien p ices is a mo e
p omising line o esea ch in his a ea since
his app oach cap u es he p ices o he speci i c
nu ien s hough o be causing undesi ed
heal h isks by nu i ionis s. The di i cul y wi h
nu ien p ices is ha hey a e no ypically
collec ed by s a is ical epo ing ins i u ions and
a e no di ec ly obse able. Nu ien p ices need
o be cons uc ed om exis ing da a bases and
linked o he obse a ions on expendi u es and
BMI. The goal o he s udy is o in oduce new
nu ien p ice model and shows i s supe io i y
o ood g oup model based on Canadian da a.
This s udy is o ganized as ollows. The
nex sec ion e iews ood policy in Canada,
speci i cally supply managemen egimes
and he axa ion o ood, and he ways in
which he s uc u e o hese policies e l ec s
conside a ion o heal h ou comes, i a all.
The ollowing sec ion e iews he li e a u e on
p ices o ood and nu ien s in s udies o obesi y
and o he heal h ou comes. This is ollowed
by a discussion o he da a and me hods. The
penul ima e sec ion discusses he esul s and
he i nal sec ion p o ides a discussion o policy
implica ions, ele ance o nu ien axa ion
model o o he coun ies and conclusions.
1. Food P ice and Tax Policies
in Canada and Thei Rela ionship
o Obesi y
While he e a e no ood policies in Canada
ha explici ly a ge obesi y in Canada, he e
a e se e al policies in place ha in l uence
he ela i e p ices o a ious oods in ela ion
o o he oods. T adi ionally, P o incial and
Fede al HST and GST axes in Canada ha e
exemp ed many oods. Howe e , he e a e
h ee majo a eas o ood axes ha a e
common o many p o incial and ede al axes
in Canada ha may in l uence obesi y: (1) Taxes
on es au an ood; (2) Taxes on con enience
ood; and (3) “Taxes” on ood ela ed o supply-
managed ood indus ies.
1.1 Taxes on Res au an Food
Res au an ood has been subjec o ede al
axes (GST) and p o incial axes (PST o he
p o incial componen o HST) in Canada.
In he obesi y li e a u e, hese axes a e oughly
compa able o axes on “ as ood” in he
li e a u e. The e o e, in as much as “ es au an ”
ood lines up o a ood g oup called “ as ood”,
Canada has had an obesi y ax o a long ime.
1.2 Taxes on Con enience Foods
Ano he obesi y ax ha is o en ad oca ed
in ela ed li e a u e is a ax on “junk” ood,
high a o high calo ic ood ha is hough
o con ibu e o obesi y. While he e a e no
ood axes in Canada ha explici ly a ge
“junk” ood o axing, HST o PST and GST
a e applied o u he -p ocessed oods, o
“con enience” oods. These axes a e une enly
and inconsis en ly applied i hey a e iewed
om he pe spec i e o axes whose pu pose
is o con ol obesi y. While his ca ego y does
co espond o se e al oods ha a e commonly
conside ed o be “junk” oods (e.g., po a o
chips), o he high a , high suga oods a e
un axed (e.g., ice c eam) and oods which a e
in ended o be obesi y- educing (such as Weigh
Wa che s® ozen ood dinne s) a e also axed.
Fu he mo e, he con enience ood axes a e
inconsis en ly applied o speci i c oods. Fo
example, indi idual cookies a e axed, whe eas
cookies pu chased in bags in quan i ies g ea e
han six cookies a e no (as long as hey a e no
indi idually w apped).
1.3 Supply Managemen Indus y Taxes
The i nal ca ego y o ood p ice inc eases (o
“ axes”) in Canada a e hose imposed on
consume s by he supply managed indus ies.
These include dai y, poul y, and egg p oduc s.
Fo a discussion o he ela i e size o hese
implici axes, see Ca dwell, Lawley and Xiang
(2015). In he case o poul y and egg p oduc s,
i is deba able whe he inc easing hei p ice
will dec ease obesi y, since hese p oduc s a e
o en singled ou as p oduc s ha con ibu e
o a heal hie die by nu i ionis s, especially
poul y p oduc s. To he ex en ha poul y and
eggs a e “good” oods, he implici axes om
supply managemen in hese indus ies migh be
conside ed obesogenic a he han lep ogenic.
P ice inc eases om supply managemen in he
dai y sec o a e a unique case om he poin o
iew o obesi y axes. Dai y supply managemen
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24 2019, XXII, 1
Economics
has wo impac s on consume s. The i s is he
usual ax on consume s om aising he e ail
p ice o dai y p oduc s o consume s. Fo hese
axes, since many dai y p oduc s a e high a
and he e o e lead o an obese ou come, dai y
axes p omo e a less obese socie y. The second
is he peculia way dai y quo a is alloca ed
on he basis o he a con en o milk. This
alloca ion sys em lowe s he amoun o dai y a
ha en e s he sys em. None o hese axes a e
explici ly imposed o p omo e heal hy ea ing on
he pa o consume s. The e o e, hey do no
necessa ily a ge he nu ien s esponsible o
causing obesi y in Canada. Cla k and Di ich
(2010) a gue ha nu ien axes (e.g., axes on
he a con en o ood) be e a ge he p oblem
han do ood g oup axes (i.e., axes on ood
composi es) and he e o e nu ien axes a e
mo e e ec i e as a means o p omo e less
obesi y. All o he axes in Canada, wi h he
excep ion o he alloca ion o milk quo as by a
con en , a e ood g oup axes. The p oblem o
wha p ices a e app op ia e o obesi y s udies
is discussed in he nex sec ion.
Tab. 1 summa izes ood axes on
con enience oods and es au an oods by
p o ince in Canada oge he wi h he a e age
BMI by p o ince. The able sugges s ha
he e is no consis en s o y ha can be old
ha ela es he le el o he sales axes on
con enience oods and es au an oods in
Canada o obesi y. Fo example, Albe a has
he lowes a e o axes on con enience and
es au an oods in Canada and Albe ans
ha e he lowes a e age BMI in he coun y,
while A lan ic Canada has he highes axes on
es au an and con enience oods and A lan ic
Canadians a e among he highes a e age BMI
in he coun y. This indica es ha he e could be
conside able con ounding om simul aneous
posi i e and nega i e e ec s appea ing in he
aw co ela ions o es au an and con enience
ood axes wi h he BMI o Canadians. In On a io
es au an s meals a e exemp om p o incial
ax i expendi u e a e less han 4 CND.
2. P ices in Obesi y S udies
The empi ical li e a u e in his a ea is p ima ily
composed o s udies which ha e concen a ed
on es ima ing he educed o m ela ionship
be ween ood g oup p ices and an obesogenic
( ha is, “obesi y-inc easing”) nu ien o die a y
elemen , such as a , ca bohyd a es, o calo ies.
The mos common app oach (Huang, 1996;
Bea y & LaF ance, 2005; Chouina d e al.,
2005; Smed, Jensen, & Den e , 2007; Allais,
Be ail, & Nichele, 2010) is o ela e he educed
o he obesogenic nu ien o o e all demand
o he ood g oup p oduc by combining
he a e age nu ien con en o ood in i xed
p opo ions wi h he o e all quan i y demanded
o he ood g oup o p oceed om a educed
o m model o ood demand o a s uc u al
model o nu ien demand.
P o ince P o incial Tax Fede al Tax Combined Tax A e age BMI
in 2010
Albe a n.a. 5% 5% 25.987
Saska chewan n.a. 5% 5% 26.862
B i ish Columbia 7% 5% 12% 27.411
Mani oba 8% 5% 13% 27.361
New B unswick 8% 5% 13% 27.657
New oundland &Lab ado 8% 5% 13% 27.839
On a io 8% 5% 13% 26.746
P ince Edwa d Island 9% 5% 14% 26.984
Quebec 9.975% 5% 14.975% 26.001
No a Sco ia 10% 5% 15% 27.238
Sou ce: own calcula ion based on S a is ics Canada
Tab. 1: A e age BMI (2010) and ax a es o es au an meals and con enience oods
in Canada (as o May 2015)
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25
1, XXII, 2019
Economics
This app oach has h ee ad an ages.
Fi s , demand elas ici ies om ood demand
sys ems can be used o de i e he esponse
o consump ion o he obesogenic nu ien o
changes in ood g oup p ices. Second, gi en
he i xed p opo ions assump ion, a demand
elas ici y o he obesogenic (o combina ions
o obesogenic) nu ien p ices can also be
es ablished. The i xed p opo ions assump ion
allows an analysis o ei he he e ec o
changes o a ood g oup p ice o nu ien p ice
on consump ion, while empi ically using only
ood g oup p ices o es ima e he ood demand
sys em. Thi d, es ima es o ela ionships
can be es ablished using exis ing demand
sys em es ima es which ha e been in ensi ely
s udied and so excellen es ima es o demand
elas ici ies a e a ailable.
The e a e h ee p oblems wi h his app oach.
Fi s , he assump ion o i xed p opo ions be ween
he o e all elas ici y and he obesogenic nu ien
ha allows o he cons uc ion o a s uc u al
elas ici y om a educed o m o a s uc u al
elas ici y is a main ained hypo hesis ha may
no be alid. This app oach allows o ac oss-
g oup subs i u ions o obesogenic nu ien s bu
does no allow o wi hin-g oup subs i u ions o
nu ien s. Cla k and Di ich (2010) obse e ha
ood g oups ha e a la ge numbe o elemen a y
goods and ha wi h changes in p ice subs i u ions
o nu ien s wi hin g oups commonly ake place.
Second, he ood demand sys ems
ypically es ima ed a e based on a -home
ood expendi u e da a. This means a la ge
ca ego y o ood expendi u es ha may a ec
obesi y is no cap u ed in he analysis. This
ca ego y comp ises 50% o ood expendi u es
in he US in 2014 (Uni ed S a es Depa men o
Ag icul u e). The assump ion ha an a -home
dai y elas ici y adequa ely cap u es he away-
om-home dai y elas ici y seems dubious a
bes since he die a y habi s o consume s wi h
espec o a -home and away- om-home ood
a e p obably much di e en . Fo example, ood
away- om-home may be conside ed a “ ea ”
whe e ypical a -home ules o die a y discipline
do no apply. Also, consume s ha e less
con ol o nu ien in ake om away- om-home
ood han a -home ood. Fu he mo e, e en i
a ca ego y in ood demand sys ems es ima ed
an away- om-home ood demand elas ici y,
his could no be combined wi h nu ien da a,
since nu ien da a a e de eloped using a -
home ood g oups and no away- om-home
ood g oups. Fo example, while he e a e da a
on agg ega e a le els in he ood g oup “dai y”
o a -home consump ion, he e a e no da a on
a p opo ions in he co esponding away- om-
home ood g oup.
Thi d, ood demand sys ems in o m us
abou he ood pu chases by consume s, bu
hey may no ell us e y much abou wha
is ac ually ea en and his is wha ul ima ely
in e es s us o a s udy o obesi y. In o he s
wo ds, es ima ing elas ici ies o nu ien s
pu chased by consume s, which is wha hese
s udies ac ually do, may ell us li le abou
obesi y. Kan o e al. (1997) es ima e ha
26% o ood pu chased by Ame icans is no
consumed bu en e s he economy as ood
was e. Encou aging consume s o ea mo e
esh ui s and ege ables as a way o educe
obesi y may no be as e ec i e as hypo hesized
i 32% o pu chased esh ui s and ege ables
a e no consumed bu was ed (Kan o e al.,
1997). Fu he mo e, ood was e o esh ui s
and ege ables may be much highe a he
ma gin. The e o e, combining an a -home ui s
and ege ables elas ici y o demand in i xed
p opo ions wi h he a e age nu ien con en
in ui s and ege ables p obably o e es ima es
he impac on obesi y o a pa icula nu ien .
Cla k and Le edahl (2006) and Xu (2010)
show how he p oblem o i xed p opo ions
can be o e come empi ically by eg essing
nu ien s on ood g oup p ices. These
es ima ions gene a e a se o elas ici ies o
nu ien esponse o ood g oup p ices. Va iable
p opo ions allows o wi hin-g oup subs i u ions
o nu ien s and he model does no use ood
expendi u e da a o gene a e elas ici ies o
nu ien s o ood g oup p ices and so nu ien
quan i ies include bo h ood a -home and away-
om-home ood g oups.
While he a iable p opo ions app oach
seems p omising, i has no pe o med
pa icula ly well empi ically in ea lie s udies.
Fo example, Xu (2010) does no i nd subs an ial
s a is ical signi i cance om es ima ing a ,
ca bohyd a e, and calo ie elas ici y es ima es
om ood g oup p ices using US da a. While
Cla k and Le edahl (2006) do i nd a s a is ically
signi i can ela ionship be ween a and mea
p ices, he mea g oup is no pa icula ly s iking
as a majo sou ce o a causing obesi y. Nei he
o hese s udies includes nu ien p ices in he
analysis. Also, hese es ima es only include
elas ici ies o ood disappea ance o nu ien s
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26 2019, XXII, 1
Economics
o p ices, and no es ima es o nu ien s ea en,
and he e o e was e is no conside ed. Bea y
(2007) uses an en opy app oach o gene a e
shadow p ices o nu ien s bu he es ima es
a e s ill based on only ood a -home demand
elas ici ies.
Ano he popula app oach is o measu e he
heal h ou come di ec ly a he han indi ec ly
h ough changes in some obesogenic nu ien ,
such as a om ood pu chased o a -home
consump ion. Fo example, he e a e se e al
s udies ha ela e he BMI o popula ions o
a ious socio-economic a iables including
p ices o ele an goods (e.g., Chou e al.,
2004; Boizo -Szan ai, & Fab ice, 2005; S um
& Da a , 2005; 2008; Auld & Powell, 2009;
Goldman, Lakdawalla, & Zheng, 2009; Cla k,
e al., 2014). Chen e al. (2002) use simila
me hods o examine blood p essu e.
A common ea u e o he BMI da a used
in hese s udies is ha in o ma ion on nu ien
in ake is una ailable, and so p ices a e included
in place o quan i ies. A basic ques ion o hese
s udies, and seldom discussed, is wha p ices
ough o be included in BMI s udies? Two ypes
o p ices a e examined in his s udy: nu ien
p ices and ood g oup p ices. Chen e al. (2002)
demons a e ha he use o ood g oup p ices
esul s in es ima ion o he educed o m model
and nu ien p ices es ima e he s uc u al
model. Which p ices bes cap u e nu ien s
in die s as hey ela e o obesi y is discussed
in Cla k and Di ich (2010) who a gue ha
nu ien p ices be e cap u e he e ec s o
axes o con ol obesi y han ood g oup p ices.
Bea y (2007) implies ha he app op ia e
p ice is a nu ien p ice in his s udy o de elop
shadow alues o nu ien s. Chen e al. (2002)
de elop a heo e ical model in which blood
p essu e is he heal h ou come and conclude
ha nu ien p ices a e app op ia e o es ima e
he s uc u al model which in u n iden i i es
pa ame e s ha can be used om a policy
pe spec i e. The ood p ice model is a educed
o m model om which he coe i cien es ima es
a e subjec o con ounding o nu ien e ec s
wi hin and ac oss ood g oups. Chen e al.
(2002) call nu ien p ices “implici ” p ices in
hei model, and his e m highligh s he ac
ha nu ien p ices a e no eadily a ailable.
This could be one eason why hey es ima e
a model including ood g oup p ices a he han
a model including nu ien p ices. Goldman,
Lakdawalla and Zheng (2009) show how da a
on ood expendi u es, p ices o ood g oups,
and ood disappea ance o nu ien s can be
used o gene a e nu ien p ices ( o a -home
ood consump ion). In his s udy we es ima e
wo models, one including nu ien p ices
and he o he including ood g oup p ices, o
compa e he empi ical pe o mance o he wo
app oaches.
3. Me hods and Da a
The me hodology is based on he p e ious wo k
o Cla k e al. (2014). Da a on BMI o Canadian
adul s (eigh een yea s o age o olde ),
socio-economic da a and o he da a ela ed
o indi idual heal h s a us o indi iduals is
a ailable om he pe sonal cha ac e is ics da a
ha comes om Canadian Communi y Heal h
Su ey (CCHS) (S a is ics Canada, 2012b) and
he pe sonal heal h indica o s o Canadians
(S a is ics Canada, 2012c). The CCHS is
an annual su ey con aining in o ma ion on
heal h s a us, heal h ca e u iliza ion and heal h
de e minan s o he Canadian popula ion
g ea e han wel e yea s old. The a iables
included in his s udy om he CCHS su ey
included BMI, income, educa ion, age, gende ,
household size and a a ie y o heal h s a us
indica o s (see Cla k e al., 2014, pp. 252-253).
Cla k e al. (2014) a e ci ing Goldman,
Lakdawalla and Zheng (2009) who de elop
a o mula ha shows how ood disappea ance
da a on nu ien in ake can be combined wi h
ood expendi u e da a o de elop a p oxy o
a nu ien p ice. Speci i cally, hei o mula is
(1)
whe e NPli is nu ien p ice o he l h nu ien
( a , ca bohyd a es, p o ein) o he i h p o ince,
(New oundland, P ince Edwa d Island, No a
Sco ia, New B unswick, Quebec, On a io,
Mani oba, Saska chewan, Albe a, B i ish
Columbia and he e i o ies – Nuna u , Yukon
and he No hwes Te i o y – included in
a “p o ince” called No h Canada), Sij is he
expendi u e sha e o he j h ood g oup (milk;
cheese; eggs; ui ; ce eals; ege ables; bee ;
po k; poul y; i sh; suga and swee ene s;
a s and oils; and co ee and ea) in he i h
P o ince, expendi u e sha e is expendi u e
sha e o ood g oup j in P o ince i pe capi a
pe day (S a is ics Canada, 2012d; 2012e), Nl
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27
1, XXII, 2019
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is nu ien ood disappea ance o he l h nu ien
pe capi a pe day (S a is ics Canada, 2012c)
and CPIij is consume p ice index o ood g oup
j in P o ince i (S a is ics Canada, 2012 ). In he
ood g oup p ice model, he CPIij o P o ince j
o he ollowing ood g oups a e used: dai y,
eggs, ui s and ege ables, eggs, ce eals, ed
mea s, poul y, i sh, suga and swee ene s, a s
and oils and es au an ood (S a is ics Canada,
2012 ). (see Cla k e al., 2014, p. 252).
No e ha a -home ood g oup expendi u e
sha e da a a e used o gene a e nu ien p ices.
This means ha p ices a e gene a ed o he
a -home ca ego y o nu ien p ices and do no
include he away- om-home sha e o he
nu ien in ood. This means ha measu es o
nu ien p ices used in his s udy a e dependen
upon he ood py amid agg ega ion sys em.
All o he da a a e o he yea o 2010,
excep he da a on nu ien ood disappea ance
(S a is ics Canada, 2012c), which is no
a ailable o 2010. We use he 2009 nu ien
ood disappea ance da a in Canada as a p oxy
o 2010. While i is no possible o know how
closely he 2009 da a p oxies o 2010 da a,
da a om The Cen e o Nu i ion and Public
Policy in he US indica e ha nu ien ood
disappea ance pe capi a changes e y slowly.
A e dele ing he obse a ions ha we e
eco ded as unknown, no applicable, e used
o answe o no s a ed, he sample consis s
o esponses om 39,805 Canadians eigh een
yea s o olde (see Cla k e al., 2014).
Food expendi u e da a and CPI da a we e
no a ailable o he No h egion, and so we use
a popula ion-weigh ed p ice o de e mine he
CPI in No h Canada and ega d he a e age
Canada expendi u e sha e as he expendi u e
sha e in No h Canada. Since so ew o he
esponde s o he CCHS we e om he No h
egion, he esul s did no change app eciably
when No he n egion’s esponses we e
excluded om conside a ion. These esul s
a e no shown, bu a ailable on eques . The
da a on p ices gene a ed om equa ion (1) a e
combined wi h BMI and o he socio-economic
and heal h s a us da a o es ima e he BMI
equa ions (see Cla k e al., 2014, p. 252). The
empi ical model es ima ed is:
(2)
whe e BMIki is body mass index o indi idual
k in P o ince i (S a is ics Canada, 2012b),
PCki is a ec o o pe sonal cha ac e is ics
da a o indi idual k in P o ince i, Pi is a ec o
o nu ien p ices o a ec o o ood g oup
p ices in P o ince i and β and γ a e ec o s o
pa ame e s o be es ima ed (Cla k e al., 2014).
4. Resul s and Obesi y Tax
Assessmen
The model is es ima ed in linea na u al
loga i hm o m, meaning ha pa ame e
es ima es a e elas ici ies. Tab. 2 p esen s
O dina y Leas Squa e (OLS) es ima es o he
educed o m ood g oup p ice model (elas ici y
es ima es in he 2nd column and - alues in he
3 d column) and he s uc u al nu ien p ice
model (elas ici y es ima es in he ou h column
and - alues in he i h column) esul ing
om es ima ing he OLS es ima es o he BMI
o Canadians in 2010. Obesogenic nu ien
p ices and ood g oup p ices ha e nega i e
coe i cien s and indica e ha a ax will lowe he
BMI o Canadians and lep ogenic nu ien p ices
and ood g oup p ices ha e posi i e coe i cien s
and indica e ha a subsidy will lowe he BMI o
Canadians.
As app op ia e de ices o ensu ing
o he pa ame e es ima es in he model a e
no biased, bo h models gi e simila esul s.
The elas ici y es ima es o all o he a iables
included in each model excep o p ice
a iables a e qui e simila , excep pe haps he
household size coe i cien , which is insigni i can
in bo h models.
The a ge ing p oblem discussed in he
p e ious sec ion is bo ne ou in he esul s
when we compa e he es ima ed elas ici ies o
he p ice coe i cien s be ween he wo models:
nu ien p ices a ge he sou ce o he nu ien
impac on BMI be e han do ood g oup p ices.
Based on s a is ical signi i cance, he nu ien
p ice model is supe io o he ood g oup p ice
model, since he p ice o ca bohyd a es, he
p ice o p o ein and he p ice o a a e highly
s a is ically signi i can . This is in con as o he
ood g oup p ice model whe e, o he nine ood
g oup p ices included in he model, only h ee,
he p ice o eggs, he p ice o a s and oils and
he p ice o es au an ood a e s a is ically
signi i can .
The esul s poin ou he dange s o
using g oup p ice elas ici ies in he place o
nu ien elas ici ies when making judgemen s
conce ning he e ec o public policies on ood
ou comes. Fo example, G ay e al. (2005) use
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28 2019, XXII, 1
Economics
Food G oup P ice
Model Nu ien P ice Model
Reg esso Es ima e - alue Es ima e - alue Reg esso *
In e cep 2.736 33.902 2.782 79.792
Age 0.039 10.831 0.038 10.475
Gende (Male = 1) 0.042 23.002 0.041 22.834
Ma ied (Yes = 1) 0.018 6.048 0.020 6.481
Common Law (Yes = 1) 0.015 4.387 0.014 4.064
Di o ced (Yes = 1) 0.003 0.816 0.003 0.918
Household Size 0.000 0.177 0.001 0.271
Educa ion -0.021 -3.846 -0.023 -4.363
Has Job 0.027 11.201 0.027 11.414
Income 0.006 3.550 0.006 3.459
Sel pe . heal h (5 = e y unheal hy) 0.064 30.078 0.064 30.160
Has As hma (Yes = 1) 0.030 9.500 0.030 9.433
Has A h i is (Yes = 1) 0.027 10.696 0.028 11.104
Has High Blood P essu e (Yes = 1) 0.070 28.357 0.071 28.549
Has Diabe es (Yes = 1) 0.087 24.094 0.087 24.190
Has Hea Disease (Yes = 1) -0.015 -3.598 -0.015 -3.541
Has Cance (Yes = 1) -0.028 -4.597 -0.028 -4.626
Dai y P ice -2.207 -1.004 -0.369 -11.923 Fa P ice
F ui s & Vege ables P ice -0.136 -0.337 -0.214 -10.359 Ca b. P ice
Red Mea s P ice 0.412 0.634 0.608 12.339 P o ein P ice
Egg P ice -2.262 -4.320
Ce eals P ice -0.464 -1.290
Poul y P ice -2.567 -1.782
Fish P ice 0.243 0.483
Suga & Swee ene s P ice -0.521 -1.775
Fa s & Oils P ice 1.629 2.359
Res au an Food P ice -0.647 -2.845
R20.143 0.140
F-S a is ic 255.100 339.800
Sou ce: own calcula ion based on S a is ics Canada
No e: *I di e en han ood g oup p ice model.
Tab. 2: OLS Es ima es o double log speci i ca ion o he BMI o Canadians, 2010
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29
1, XXII, 2019
Economics
an a -home ood expendi u e elas ici y o bu e ,
which is a de eloped om a sub-u ili y analysis
o he a s and oils ca ego y aken om Godda d
and Amuah (1989), in place o a a elas ici y
o dai y a o analyze he impac he Canadian
Milk Ma ke ing Boa d on he incidence o
hea disease on Canadians. The Godda d
and Amuah (1989) s udy did no conside he
kinds o c oss ood g oup subs i u ions he
consume s can make when hey buy ood om
supe ma ke s, anspo i o hei homes and
combine i wi h o he oods o p oduce meals
and ood was e. I he heal h ou come we e
obesi y a he han hea disease, he closes
elas ici y p esen ed in Tab. 2 o ha used by
G ay e al. (2005) would be o use ha elas ici y
on a s and oils p ice (1.629) in place o he
a p ice elas ici y (-0.369) o public policy
pu poses. One can see ha he wo bea no
esemblance o one ano he . In addi ion, hese
elas ici ies only conside a -home consump ion
o a s and oils, and no away- om-home
consump ion o a s and oils.
While he a s and oils elas ici y es ima e
seems nonsensical (since i is posi i e and
would imply a hin subsidy be placed on his
ood g oup), i may no be so absu d when
one conside s wha his elas ici y ac ually
measu es. The “ a s and oils” ca ego y includes
p oduc s like ege able oils used in salads.
Lowe ing he p ice o a s and oils could
po en ially lead o an inc ease in he pu chases
o ege ables as consume s ea mo e salads,
leading o a educ ion in BMI. This would mean
ha calo ic in ake, which inc eases wi h he
educ ion in he a s and oils p ice, is mo e han
o se by a educ ion in calo ic in ake wi h he
inc ease he consump ion o salads, especially
i he inc ease in he consump ion o salads
dec eases he consump ion o , say, F ench
ies.
The ambigui y and con ounded na u e
o nu ien s associa ed wi h he use o ood
g oup p ices in he educed o m model is
demons a ed in he 2nd and 3 d columns o
Tab. 2. Nega i e coe i cien s a e indica ed o
p ices o dai y, ui s and ege ables, ce eals,
eggs, suga and swee ene s, and es au an
ood. Howe e , only he eggs and es au an
p ice coe i cien s a e s a is ically signi i can .
A nega i e coe i cien indica es ha a ax on
he ood g oup should be e ec i e in educing
BMI and his esul seems coun e in ui i e
o ui s and ege ables, ce eals and poul y.
The BMI-dai y p ice ela ionship is elas ic
wi h an es ima e o -2.20, bu no s a is ically
signi i can . The nega i e coe i cien on
poul y p ice is unexpec ed, gi en ha many
nu i ionis s ha e sugges ed ha whi e mea s
a e supe io o ed mea s in p omo ing lowe
BMI. Taxing eggs would appea o be an
e ec i e way o educe he BMI o Canadians,
wi h an elas ici y es ima e o -2.26 and his
esul also seems coun e in ui i e gi en ha
eggs ha e been iden i i ed as a good sou ce o
p o ein. The coe i cien on suga & swee ene s
sugges s inelas ici y and a s a is ically
insigni i can impac on he BMI o Canadians,
indica ing a ax on his ood g oup would ha e
a small o negligible impac on educing he BMI
o Canadians. The es au an p ice coe i cien
is inelas ic and s a is ically signi i can indica ing
a ax on away- om-home ood would educe
he BMI o Canadians.
Food g oup p ice coe i cien s wi h a posi i e
coe i cien include ed mea s, i sh and a s and
oils, wi h a s and oils ha e he only s a is ically
signi i can coe i cien o 1.629. This conclusion
seems un easonable bu is a good example o
why es ima es coming om ood g oup p ice as
he basis o imposing axes o subsidies may
no be a good guide o public policy.
Elas ici y es ima es and - alues o nu ien
p ices a e p esen ed in columns 3 and 4 o
Tab. 2 espec i ely. Two obesogenic ( a and
ca bohyd a es) and one lep ogenic (p o ein)
nu ien a e included in he model. Bo h a
and ca bohyd a es elas ici ies a e nega i e
and s a is ically signi i can , indica ing hey a e
obesogenic nu ien s. P o ein is posi i e and
s a is ically signi i can , indica ing a lep ogenic
nu ien . These esul s a e consis en wi h
a p io i expec a ions. These esul s a e also
consis en wi h he model o Chen e al. (2002)
who ound ha nu ien p ices mo e accu a ely
e l ec he p ice o nu ien s in he die s o
consume s as hey ela e o obesi y han
do ood g oup p ices.
5. Discussion and Policy
Implica ions o Ac ual
and Po en ial Food Taxes
The esul s highligh he p oblem wi h using
ood g oup p ice elas ici y es ima es coming
om a educed o m model o obesi y. Many o
he ood g oup p ice coe i cien s a e s a is ically
insigni i can . The esul s a e consis en wi h
a small bu g owing empi ical li e a u e ha
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30 2019, XXII, 1
Economics
s udies he e ec o p ices on obesi y: nu ien
p ices a ge he unde lying nu i ional ac o s
he a ec he BMI o Canadians mo e accu a ely
han do ood g oup p ices.
The esul s o he nu ien p ice model
a e a mo e plausible o assess public policy
on obesi y axes. Ei he a ax on he a o
ca bohyd a e con en o ood o a subsidy on he
p o ein con en o ood would educe he obesi y
o Canadians; howe e , he elas ici y es ima es
a e small. The nu ien p ice in o ma ion could
also be used o impose a nu ien index ax on
ood, wi h he weigh s o his ax being 0.607 on
a , 0.352 on ca bohyd a es and -1 on p o ein
(no malizing by he p o ein elas ici y).
The esul s indica e ha axes on es au an
ood would educe he BMI o Canadians.
Gi en ha es au an ood is subjec o sales
axes, he esul s indica e ha exis ing axes
a e an e ec i e means o educe he BMI o
Canadians. Inasmuch as he p ice o es au an
ood is a good p oxy o “ as ood” hese esul s
suppo hose who ad oca e a “ a ” ax on as
ood as an e ec i e me hod o educe obesi y in
Canadians. Howe e , he es ima e is inelas ic,
indica ing ha his e ec is small and he e
could be subs an ial nu i ional con ounding
unde lying he es ima e ha make i an
un eliable as a guide o policy wi hou some
u he elabo a ion conce ning he nu i ional
link be ween which oods ha a e “ as ” a e
obesogenic and no lep ogenic.
The coe i cien s on he egg p ice, poul y
p ice, and dai y p ice se e as a guide o he
impac o implici ood axes om supply-
managed indus ies. The able indica es
ha axes on eggs a e an e ec i e means
o educing he BMI o Canadians and he
e ec is bo h s a is ically signi i can and
elas ic. This esul is also ue o he implici
ax on poul y om supply managemen
al hough his esul is s a is ically insigni i can .
Bo h o hese esul s a e con a y o popula
pe cep ion, whe e egg consump ion is o en
encou aged due o i s high p o ein con en and
poul y consump ion is encou aged due o i s
low a con en ela i e o o he mea s. This is
a case o con ounding which a ises in he use
o measu es o elemen a y ood consump ion
ins ead o meal consump ion (o , e en be e ,
nu ien consump ion). Fo example, i could
be ha eggs a e almos always cooked using
a high a me hod and consumed wi h o he high
calo ic oods such as b ead, po a oes, and ed
mea s. One could hink o simila con ounding
o poul y-mea based meals e l ec ed in he
es ima ed poul y p ice elas ici y.
The peculia na u e in which dai y supply
managemen ope a es implies ha he esul s
o bo h he ood g oup p ice and he nu ien
p ice model can be used o assess he implici
axes o he dai y supply managemen sys em.
Dai y supply managemen alloca es quo a
(and hus es ic s supply) on he basis o he
a con en o milk. This aspec o dai y supply
managemen es ic s he supply o a in he
sys em and inc eases he p ice o a in ood.
The BMI-elas ici y o a p ice o -0.369 is he
ele an elas ici y o his policy: a a ax is BMI-
educing. The dai y supply managemen sys em
also inc eases he p ice o dai y p oduc s o
consume s. This would lead o a educ ion
o a -home dai y p oduc s pu chased and
he es ima ed elas ici y o -2.207 o dai y
p ice would sugges ha his, oo, would lead
o a lowe BMI o Canadians. Howe e , he
es ima ed dai y ood g oup p ice elas ici y is no
s a is ically di e en om ze o.
Recommenda ions ela ed o heal hy
ea ing, o example, o ea mo e esh ui s and
ege ables and less a s and oils, a e e l ec ed
in changing ela i e p ices in he ood g oup
p ice. While his may be e ec i e in he a -home
ca ego y o ood o in l uence die a y choices, i
may no be e ec i e o he away- om-home
ood ca ego y and his ca ego y is a ising
p opo ion o consume expendi u es on ood.
The shi in consume p e e ences owa ds ood
away- om-home means ha he ade-o s in
ood ca ego ies ep esen ed by ood py amid
p ices may no help in he unde s anding o
he ise in obesi y which may be d i en mo e
by inc eased consump ion in he away- om-
home ca ego y compa ed o he a -home ood
ca ego y.
On he o he hand, he use o nu ien axes
and subsidies would p esumably a ec bo h
he a -home and away- om-home ca ego ies
o ood pu chase beha io o consume s and
he beha io o p oduce s as well, when hey
adjus p opo ions o nu ien s in ood when
ela i e nu ien p ices change. The p e e ence
o he use o nu ien p ices in s udies and
nu ien axes in p ac ice e l ec s a desi e o be
able o mo e ully unde s and and in l uence he
choice o ood a -home e sus ood away- om-
home as well as he choice be ween aw and
u he -p ocessed ood a supe ma ke s which
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