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Defining the commercial determinants of health: a systematic review.
BMC Public Health. 2020 Jun 29; 20(1):1022.BP

Abstract

BACKGROUND

Despite increasing attention to the social determinants of health in recent decades, globally there is an unprecedented burden from non-communicable diseases (NCDs). Recently, the corporate and commercial conditions associated with these, commercial determinants of health (CDoH), have also begun to receive attention. This research aims to articulate the CDoH as described in the literature, summarize substantive findings, and assess strengths and limitations of current literature.

METHODS

Systematic review of formal (Medline, EMBASE, Scopus, Global Health) and grey literature (database, Google Advanced, targeted website, citation searching). Searching identified 125 texts for full-text review, with 33 included for final review. Data extracted were analyzed thematically.

RESULTS

The dynamics constituting CDoH include broad facilitators such as globalization of trade, corporate structures, and regulatory systems, articulation of social and economic power, neoliberal and capitalist ideologies; additional elements include corporate activities such as marketing, corporate political activities, corporate social responsibility, extensive supply chains, harmful products and production, and issues of accessibility. These contribute significantly to worsened global health outcomes.

CONCLUSIONS

Literature describing effects of macro conditions and corporate activities on health could usefully utilize CDoH terminology. Facilitation via revised, consistent and operational definition of CDoH would assist. Social, political, commercial and economic structures and relations of CDoH are under-theorized. Systematic approaches to identifying, describing, and disrupting these are required to improve global health.

Authors+Show Affiliations

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. charles.livingstone@monash.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32600398

Citation

de Lacy-Vawdon, Cassandra, and Charles Livingstone. "Defining the Commercial Determinants of Health: a Systematic Review." BMC Public Health, vol. 20, no. 1, 2020, p. 1022.
de Lacy-Vawdon C, Livingstone C. Defining the commercial determinants of health: a systematic review. BMC Public Health. 2020;20(1):1022.
de Lacy-Vawdon, C., & Livingstone, C. (2020). Defining the commercial determinants of health: a systematic review. BMC Public Health, 20(1), 1022. https://doi.org/10.1186/s12889-020-09126-1
de Lacy-Vawdon C, Livingstone C. Defining the Commercial Determinants of Health: a Systematic Review. BMC Public Health. 2020 Jun 29;20(1):1022. PubMed PMID: 32600398.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Defining the commercial determinants of health: a systematic review. AU - de Lacy-Vawdon,Cassandra, AU - Livingstone,Charles, Y1 - 2020/06/29/ PY - 2019/07/23/received PY - 2020/06/16/accepted PY - 2020/7/1/entrez PY - 2020/7/1/pubmed PY - 2020/7/1/medline KW - Commercial determinants of health KW - Global health KW - Non-communicable diseases SP - 1022 EP - 1022 JF - BMC public health JO - BMC Public Health VL - 20 IS - 1 N2 - BACKGROUND: Despite increasing attention to the social determinants of health in recent decades, globally there is an unprecedented burden from non-communicable diseases (NCDs). Recently, the corporate and commercial conditions associated with these, commercial determinants of health (CDoH), have also begun to receive attention. This research aims to articulate the CDoH as described in the literature, summarize substantive findings, and assess strengths and limitations of current literature. METHODS: Systematic review of formal (Medline, EMBASE, Scopus, Global Health) and grey literature (database, Google Advanced, targeted website, citation searching). Searching identified 125 texts for full-text review, with 33 included for final review. Data extracted were analyzed thematically. RESULTS: The dynamics constituting CDoH include broad facilitators such as globalization of trade, corporate structures, and regulatory systems, articulation of social and economic power, neoliberal and capitalist ideologies; additional elements include corporate activities such as marketing, corporate political activities, corporate social responsibility, extensive supply chains, harmful products and production, and issues of accessibility. These contribute significantly to worsened global health outcomes. CONCLUSIONS: Literature describing effects of macro conditions and corporate activities on health could usefully utilize CDoH terminology. Facilitation via revised, consistent and operational definition of CDoH would assist. Social, political, commercial and economic structures and relations of CDoH are under-theorized. Systematic approaches to identifying, describing, and disrupting these are required to improve global health. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/32600398/Defining_the_commercial_determinants_of_health:_a_systematic_review L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09126-1 DB - PRIME DP - Unbound Medicine ER -
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