Hill Sarah E, Johns Paula, Nakkash Rima T, Collin Jeff
Global Health Policy Unit, University of Edinburgh, Edinburgh, UK.
SPECTRUM Consortium, Edinburgh, UK.
Tob Control. 2022 Mar;31(2):322-327. doi: 10.1136/tobaccocontrol-2021-057136.
Tobacco control has achieved remarkable successes, underpinned by the distinctive norms codified in Article 5.3 of the WHO Framework Convention on Tobacco Control. Tobacco control's experience in managing conflicts of interest is increasingly recognised as relevant for addressing other non-communicable disease epidemics. At the same time, the wider environmental and social harms of tobacco-and other unhealthy commodity industries-underline the potential for enhanced strategic collaboration across health, development and environmental agendas. Such collaboration is increasingly necessary to address key challenges shared across tobacco control and related policy spheres, including the extent to which the harms of tobacco (and other unhealthy commodities) are underpinned by economic and social inequities. Here we demonstrate the relevance of a commercial determinants of health perspective, both for advancing tobacco control and for linking it with health and development more broadly. This perspective is already evident in many areas of research, policy and advocacy, where innovative approaches support the development of closer links with actors in related fields. We draw on the concepts of policy coordination, coherence and integration to show how tobacco control can advance key strategic goals via information sharing, complementary approaches to common problems and collective action with other related movements. Embrace of a commercial determinants perspective will help in building on tobacco control's successes and reorienting strategies in other sectors to more effectively manage health risks and promote sustainable development.
烟草控制已取得显著成效，这得益于《世界卫生组织烟草控制框架公约》第5.3条所编纂的独特规范。烟草控制在管理利益冲突方面的经验越来越被认为与应对其他非传染性疾病流行相关。与此同时，烟草以及其他不健康商品行业对环境和社会造成的更广泛危害凸显了加强卫生、发展和环境议程之间战略协作的潜力。为应对烟草控制及相关政策领域共同面临的关键挑战，包括烟草（及其他不健康商品）危害在多大程度上由经济和社会不平等所支撑，这种协作愈发必要。在此，我们展示了健康的商业决定因素视角的相关性，这既有助于推进烟草控制，也有助于更广泛地将其与健康和发展联系起来。这种视角在许多研究、政策和宣传领域已很明显，在这些领域中，创新方法支持与相关领域行为体建立更紧密联系。我们借鉴政策协调、一致性和整合的概念，以展示烟草控制如何通过信息共享、针对共同问题的互补方法以及与其他相关运动的集体行动来推进关键战略目标。接受商业决定因素视角将有助于巩固烟草控制的成功，并重新调整其他部门的战略，以更有效地管理健康风险并促进可持续发展。
