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商业行为体如何利用不同类型的权力影响限制食品营销的政策:泰国政策行为体的定性研究。

How commercial actors used different types of power to influence policy on restricting food marketing: a qualitative study with policy actors in Thailand.

机构信息

Institute for Population and Social Research, Mahidol University, Salaya, Thailand

Global Health Policy Unit, School of Social and Political Science, University of Edinburgh, Edinburgh, UK.

出版信息

BMJ Open. 2022 Oct 13;12(10):e063539. doi: 10.1136/bmjopen-2022-063539.

Abstract

OBJECTIVES

There is limited research focused explicitly on understanding how commercial actors use different forms of power to influence policy decision making in Thailand. This study aimed to identify how the food industry has used structural, instrumental and discursive power to influence policy on restricting food marketing in Thailand.

STUDY DESIGN

Qualitative study using in-depth semistructured interviews SETTINGS: Thailand.

PARTICIPANTS

The interviews were conducted with 20 participants (of a total of 29 invited actors) from government, civil society, technical experts, international organisation and the food and advertising industry. Interview data were identified in the transcripts and analysed using abductive methods.

RESULTS

Non-commercial actors perceived the commercial actors' structural power (its economic influence and structurally privileged position) as central to understanding the government having not implemented policy to restrict food marketing. The commercial actors' instrumental power was observed through sponsorship, campaign and lobbying activities. Discursive power was used by the industry to shift responsibility away from the food companies and onto their customers, by focusing their messaging on freedom of consumer choice and consumer health literacy.

CONCLUSIONS

This study examined different types of power that commercial actors were perceived to use to influence policy to restrict food marketing in Thailand. The study showed arguments and institutional processes used to enhance commercial actors' ability to shape the policy decision for nutrition, public opinion and the broader regulatory environment. The findings help governments and other stakeholders to anticipate industry efforts to counter policy. The findings also suggest the need for governance structures that counter industry power, including comprehensive monitoring and enforcement in policy implementation.

摘要

目的

针对商业行为者如何利用不同形式的权力影响泰国政策决策过程,目前相关研究较为有限。本研究旨在明确食品行业如何利用结构性权力、工具性权力和话语权来影响限制泰国食品营销的政策。

研究设计

采用深度半结构化访谈的定性研究

设置

泰国

参与者

共邀请了 29 名相关方参与,实际访谈了 20 名(来自政府、民间社会、技术专家、国际组织以及食品和广告行业)。从访谈记录中识别出访谈数据,并采用溯因法进行分析。

结果

非商业行为者认为商业行为者的结构性权力(其经济影响力和结构性优势地位)是政府未实施限制食品营销政策的核心原因。商业行为者的工具性权力通过赞助、宣传和游说活动表现出来。行业还利用话语权将责任从食品公司转移到消费者身上,将其信息传递重点放在消费者选择自由和消费者健康素养上。

结论

本研究考察了商业行为者被认为用来影响限制泰国食品营销政策的不同类型的权力。研究表明,为了增强商业行为者对营养、公众意见和更广泛监管环境的政策决策塑造能力,需要利用各种论点和制度流程。研究结果有助于政府和其他利益攸关方预测行业为抵制政策而采取的行动。研究结果还表明,需要建立治理结构来制衡行业权力,包括在政策执行中进行全面监测和执法。

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