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两个国家,相似做法:食品行业的政治手段影响危地马拉和巴拿马关键公共卫生营养政策的采纳。

Two countries, similar practices: the political practices of the food industry influencing the adoption of key public health nutrition policies in Guatemala and Panama.

机构信息

INCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala.

Sciensano, Ixelles, Belgium.

出版信息

Public Health Nutr. 2022 Nov;25(11):3252-3264. doi: 10.1017/S1368980022001811. Epub 2022 Aug 22.

Abstract

OBJECTIVE

To identify the corporate political activity (CPA) strategies used by food industry actors during the development of two public health nutrition policies in Central America: Law #570 (taxation of sugar-sweetened beverages) in Panama and Bill #5504 (labelling and food marketing regulations) in Guatemala.

DESIGN

We triangulated data from publicly available information from 2018 to 2020, (e.g. industry and government materials; social media material) with semi-structured interviews with key stakeholders.

SETTING

Guatemala and Panama.

PARTICIPANTS

Government, academia and international organisations workers in health and nutrition.

DESIGN

CPA strategies were categorised according to an existing internationally used taxonomy into action-based, instrumental strategies (coalition management, information management, direct involvement and influence in policy, legal action) and discursive strategies.

RESULTS

Instrumental strategies included the establishment of relationships with policymakers and direct lobbying against the proposed public policies. Discursive strategies were mainly criticising on the unfounded ground that they lacked evidence of effectiveness and will imply negative impacts on the economy. The industry pointed at individuals for making their own food choices, in order to shift the focus away from the role of its products in contributing to ill health.

CONCLUSION

We provide evidence of the political practices used by the food industry to interfere with the development and implementation of public health nutrition policies to improve diets in Central America. Policymakers, public health advocates and the public should be informed about those practices and develop counterstrategies and arguments to protect the public and policies from the vested interests of the food industry.

摘要

目的

确定食品行业参与者在中美洲两项公共卫生营养政策制定过程中所采用的企业政治活动(CPA)策略:巴拿马的第 570 号法律(对含糖饮料征税)和危地马拉的第 5504 号法案(标签和食品营销法规)。

设计

我们对 2018 年至 2020 年公开获取的信息(例如行业和政府材料;社交媒体材料)与对关键利益相关者的半结构化访谈进行了三角分析。

地点

巴拿马和危地马拉。

参与者

政府、学术界和国际组织中从事健康和营养工作的人员。

设计

根据现有的国际上使用的分类法,将 CPA 策略分为基于行动的策略(联盟管理、信息管理、直接参与和影响政策、法律行动)和话语策略,以及工具策略。

结果

工具性策略包括与政策制定者建立关系和直接游说反对拟议的公共政策。话语策略主要是毫无根据地批评这些政策缺乏有效性证据,并将对经济产生负面影响。该行业将个人作为责任方,指责个人做出自己的食物选择,以转移其产品在导致健康不良方面的作用。

结论

我们提供了食品行业为干扰中美洲公共卫生营养政策的制定和实施以改善饮食而采取的政治实践的证据。政策制定者、公共卫生倡导者和公众应该了解这些做法,并制定对策和论点,以保护公众和政策免受食品行业既得利益的影响。

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