Perspectives of key stakeholders on taxation of sugar-sweetened beverages in Slovenia

Abstract Background Free sugars are considered to be one of the most problematic nutrients in the daily diet, especially when we consume them through the intake of sugar-sweetened beverages (SSBs). Effectively designed tax on SSBs is often highlighted as one of the most successful measures to limit the intake of free sugars. Understanding the national, political, economic and social contexts of SSBs taxation is necessary for its successful implementation. The purpose of the study is to provide additional public health grounds for the introduction of the SSBs tax in Slovenia by examining the views of key stakeholders. Methods We conducted semi-structured interviews with 19 key stakeholders from various sectors relevant to the field of SSBs tax in Slovenia. We analyzed collected data using thematic content approach. Results Stakeholders views show that despite the opposition of some stakeholders, there is a general support for the SSBs tax. Stakeholders recognize the effectiveness of the SSBs tax on sales and consumption, but express some doubts about the long-term effects on health outcomes. Main perceived barriers to adoption of tax are various forms of resistance and lobbying of the industry, current public opposition to interventions targeting dietary habits and the lack of research on the appropriateness and effectiveness of the tax specific to Slovenia. Perceived facilitators include already gathered evidence and a relatively broad consensus among experts, the support of international organizations, the experience of other countries and possible media support. The stakeholders consider a specific excise tax as the most suitable type of tax and also agree on the inclusion of sweeteners, but the opinions differ the most on the issues of the tiered tax and earmarking. Conclusions Stakeholders views revealed the key challenges of the SSBs tax and served as important support in a re-introduction attempt in Slovenia. Key messages • Key stakeholders indicated a general preference for a SSBs tax, while highlighting the key challenges of its introduction (feasibility, effectiveness, tax design, barriers and incentives). • To achieve change SSBs tax can only be one of several systematic, long-term and evidence-based measures and policies that address unhealthy diets, obesity and other diet-related NCDs.