理解结构和能动性作为健康的商业决定因素 述评“新自由主义如何塑造不健康商品的供应，以及这对非传染性疾病预防意味着什么”。
Understanding Structure and Agency as Commercial Determinants of Health Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention".
机构信息
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
School of Community Health Sciences, University of Nevada, Reno, NV, USA.
出版信息
Int J Health Policy Manag. 2020 Jul 1;9(7):315-318. doi: 10.15171/ijhpm.2019.127.
Abstract
The limited success to date, by the public health community, to address the dramatic rise in non-communicable diseases (NCDs) has prompted growing attention to the commercial determinants of health. This has led to a much needed shift in attention, from metabolic and behavioural risk factors, to the production and consumption of health-harming products by the commercial sector. Building on Lencucha and Thow's analysis of neoliberalism, in shaping the underlying policy environment favouring commercial interests, we argue for fuller engagement with structure and agency interaction when conceptualising, assessing, and identifying public health measures to address the commercial determinants of health.
摘要
迄今为止，公共卫生界在解决非传染性疾病（NCDs）急剧上升方面所取得的有限成功，促使人们越来越关注健康的商业决定因素。这导致人们的注意力从代谢和行为风险因素，急需转向商业部门生产和消费对健康有害的产品。在伦丘卡和索的新自由主义分析的基础上，我们认为，在构思、评估和确定解决健康的商业决定因素的公共卫生措施时，需要更充分地参与结构和机构互动。
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