Global Health Policy Unit, University of Edinburgh, Edinburgh EH8 9LD, UK.
Menzies Centre for Health Governance, School of Regulation and Global Governance (RegNet), Australian National University, Canberra ACT0200, Australia.
Int J Environ Res Public Health. 2020 Oct 29;17(21):7902. doi: 10.3390/ijerph17217902.
Scholarship on the commercial determinants of health (CDoH) has sought to understand the multiple ways corporate policies, practices and products affect population health. At the same time, gender is recognised as a key determinant of health and an important axis of health inequalities. To date, there has been limited attention paid to the ways in which the CDoH engage with and impact on gender inequalities and health. This review seeks to address this gap by examining evidence on the practices and strategies of two industries-tobacco and alcohol-and their interaction with gender, with a particular focus on women. We first describe the practices by which these industries engage with women in their marketing and corporate social responsibility activities, reinforcing problematic gender norms and stereotypes that harm women and girls. We then examine how tobacco and alcohol companies contribute to gender inequalities through a range of strategies intended to protect their market freedoms and privileged position in society. By reinforcing gender inequalities at multiple levels, CDoH undermine the health of women and girls and exacerbate global health inequalities.
商业健康决定因素(CDoH)方面的学术研究旨在了解企业政策、实践和产品影响人口健康的多种方式。同时,性别被认为是健康的一个关键决定因素,也是健康不平等的一个重要方面。迄今为止,人们对 CDoH 如何参与和影响性别不平等和健康的问题关注有限。本综述旨在通过审查烟草和酒精这两个行业的实践和策略及其与性别(特别是女性)的相互作用来填补这一空白。我们首先描述了这些行业在营销和企业社会责任活动中与女性接触的方式,强化了有害的性别规范和刻板印象,这些规范和刻板印象伤害了妇女和女孩。然后,我们研究了烟草和酒精公司如何通过一系列旨在保护其市场自由和在社会中特权地位的策略来促成性别不平等。CDoH 通过在多个层面加剧性别不平等,破坏了妇女和女孩的健康,并加剧了全球健康不平等。