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酒精行业与贸易协定:初步评估

The alcohol industry and trade agreements: a preliminary assessment.

作者信息

Zeigler Donald W

机构信息

Office of Long Range Health Care Trends, American Medical Association, Chicago, IL 60610, USA.

出版信息

Addiction. 2009 Feb;104 Suppl 1:13-26. doi: 10.1111/j.1360-0443.2008.02431.x.

Abstract

AIMS

To review trade agreements, their relation to alcohol control policy and examine the role of the alcohol industry in supporting and attempting to influence trade policy.

METHODS

Review of peer review, public health advocacy literature (both pro and con on free trade), business, press and government documents on trade agreements, assess current and potential challenges by trade agreements to alcohol control policy and investigate the means and extent of industry influence in trade agreements.

FINDINGS

'Free' trade agreements reduce trade barriers, increase competition, lower prices and promote alcohol consumption. However, international treaties, negotiated by free trade experts in close consultation with corporate lobbyists and without significant, if any, public health input, governments and corporations contain significant provisions that will result in increased alcohol consumption and may challenge public health measures of other nations as constraints on trade. Conversely, alcohol control measures seek to reduce access and consumption, raise prices and restrict advertising and product promotion. The prospect is for increased alcohol consumption and concomitant problems throughout the world.

CONCLUSIONS

Trade agreements challenge effective alcohol control policies. The alcohol industry seeks to influence agreements and can be expected to work through trade agreements to reduce tariffs, increase market access and seek to restrict effective domestic regulations. Further research is needed on the impact of trade agreements and the ongoing role of the industry. Advocates must recognize the inherent conflicts between unbridled free trade and public health, work to exclude alcohol from trade agreements, counter industry influence and protect alcohol control policies.

摘要

目的

回顾贸易协定及其与酒精控制政策的关系,并研究酒精行业在支持和试图影响贸易政策方面的作用。

方法

查阅同行评审、公共卫生倡导文献(包括支持和反对自由贸易的文献)、商业、新闻及政府关于贸易协定的文件,评估贸易协定对酒精控制政策当前和潜在的挑战,并调查行业在贸易协定中的影响方式和程度。

研究结果

“自由贸易”协定降低了贸易壁垒,增加了竞争,降低了价格并促进了酒精消费。然而,由自由贸易专家与企业游说者密切协商谈判达成、且几乎没有(如果有的话)公共卫生方面投入的国际条约和政府间协定包含了一些重要条款,这些条款将导致酒精消费增加,并可能将其他国家的公共卫生措施视为贸易限制而提出挑战。相反,酒精控制措施旨在减少获取和消费,提高价格,并限制广告和产品推广。前景是全球酒精消费及其伴随问题的增加。

结论

贸易协定对有效的酒精控制政策构成挑战。酒精行业试图影响协定,并有望通过贸易协定来降低关税、增加市场准入并试图限制有效的国内法规。需要进一步研究贸易协定的影响以及该行业持续发挥的作用。倡导者必须认识到无节制的自由贸易与公共卫生之间的内在冲突,努力将酒精排除在贸易协定之外,对抗行业影响并保护酒精控制政策。

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