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Association of the Sugary Drink Excise Tax Policy and diabetes and associated cardiometabolic risk biomarkers in primary care patients (ASPIRE)

Award Number: R01DK146877
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/01/2026
PERIOD OF PERFORMANCE END DATE: 02/28/2031

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Association of the Sugary Drink Excise Tax Policy and diabetes and associated cardiometabolic risk biomarkers in primary care patients (ASPIRE) - PROJECT SUMMARY Sugar-sweetened beverage (SSB) consumption is a key contributor to obesity, diabetes, and cardiovascular disease (CVD) in the U.S. Seven U.S. municipalities have implemented SSB excise taxes to reduce consumption, yet the downstream impact of these taxes on diabetes and cardiometabolic health remains unknown. This study will leverage longitudinal electronic health record (EHR) data from the OCHIN network—a large, multi-state consortium of community health centers (CHCs)—to evaluate whether SSB excise tax implementation is associated with improvements in commonly assessed diabetes and cardiovascular risk biomarkers in real-world primary care settings. Using a quasi-experimental difference-in-differences design, we will compare changes in biomarker outcomes from pre- to post-tax periods in taxed versus matched non-taxed municipalities. We will also examine whether these effects differ across key individual-level subgroups, including by age, income, language preference, and food insecurity status. This work addresses a critical evidence gap regarding the health impacts of SSB taxation among low-income populations and will inform local, state, and national policy efforts, including proposals to restrict SSB purchases through SNAP. By evaluating clinical outcomes in the context of real-world tax implementation, this study will provide actionable insights into how policy interventions may influence diabetes and cardiometabolic health at scale.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $780,813 )
2026	2026	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	1	6/12/2026	NEW	$0
2026	2026	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	5/29/2026	NEW	$780,813
														Subtotal = $780,813

Grand Total All Awards = $780,813

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Association of the Sugary Drink Excise Tax Policy and diabetes and associated cardiometabolic risk biomarkers in primary care patients (ASPIRE)

Award Number: R01DK146877

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/01/2026

PERIOD OF PERFORMANCE END DATE: 02/28/2031

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