Impact of the North American free trade agreement on high-fructose corn syrup supply in Canada: a natural experiment using synthetic control methods

Pepita Barlow, Martin McKee, Sanjay Basu and David Stuckler

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: BACKGROUND: Critics of free trade agreements have argued that they threaten public health, as they eliminate barriers to trade in potentially harmful products, such as sugar. Here we analyze the North American Free Trade Agreement (NAFTA), testing the hypothesis that lowering tariffs on food and beverage syrups that contain highfructose corn syrup (HFCS) increased its use in foods consumed in Canada. METHODS: We used supply data from the Food and Agriculture Organization of the United Nations to assess changes in supply of caloric sweeteners including HFCS after NAFTA. We estimate the impact of NAFTA on supply of HFCS in Canada using an innovative, quasiexperimental methodology - synthetic control methods - that creates a control group with which to compare Canada's outcomes. Additional robustness tests were performed for sample, control groups and model specification. RESULTS: Tariff reductions in NAFTA coincided with a 41.6 (95% confidence interval 25.1 to 58.2) kilocalorie per capita daily increase in the supply of caloric sweeteners including HFCS. This change was not observed in the control groups, including Australia and the United Kingdom, as well as a composite control of 16 countries. Results were robust to placebo tests and additional sensitivity analyses. INTERPRETATION: NAFTA was strongly associated with a marked rise in HFCS supply and likely consumption in Canada. Our study provides evidence that even a seemingly modest change to product tariffs in free trade agreements can substantially alter population-wide dietary behaviour and exposure to risk factors.

JEL-codes: N0 (search for similar items in EconPapers)
Pages: 7 pages
Date: 2017-07-04
References: View complete reference list from CitEc
Citations: View citations in EconPapers (13)

Published in CMAJ, 4, July, 2017, 189(26), pp. E881-E887. ISSN: 0820-3946

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