Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK
MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
BMJ Glob Health. 2023 Jan;8(1). doi: 10.1136/bmjgh-2022-010216.
Industries that produce and market potentially harmful commodities or services (eg, tobacco, alcohol, gambling, less healthy foods and beverages) are a major influence on the drivers of behavioural risk factors for non-communicable diseases. The nature and impact of interactions between public bodies and 'harmful commodity industries' (HCIs) has been widely recognised and discussed at national and international levels, but to date little is known about such interactions at local or regional government levels. This study aimed to identify and characterise actual and potential interactions and proposes a typology of interactions between HCIs and English local authorities (LAs).
Five electronic databases covering international literature (PubMed, EBSCO, OVID, Scopus and Web of Science) were searched up to June 2021. We also performed online searches for publicly available, web-based grey literature and documented examples of interactions in an English LA context. We conducted a critical interpretive synthesis of the published and grey literature to integrate and conceptualise the data in the context of English LAs.
We included 47 published papers to provide the frame for the typology, which was refined and contextualised for English LAs through the available grey literature. Three categories were developed, describing the medium through which interactions occur: (1) direct involvement with LAs, (2) involvement through intermediaries and (3) involvement through the local knowledge space. Within these, we grouped interactions into 10 themes defining their nature and identified illustrative examples.
Our typology identifies complex inter-relationships and characterises interactions between HCIs and LAs, with illustrative examples from English LAs. Drawn from well-established theories and frameworks in combination with contextual information on English LAs, this typology explores the LA perspective and could help local decision-makers to maximise population health while minimising negative impacts of HCIs.
CRD42021257311.
生产和销售潜在有害商品或服务的行业（例如烟草、酒精、赌博、不太健康的食品和饮料）是影响非传染性疾病行为风险因素的主要因素。公共机构与“有害商品行业”（HCIs）之间的相互作用的性质和影响在国家和国际层面上得到了广泛的承认和讨论，但迄今为止，对于地方或地区政府层面的此类相互作用知之甚少。本研究旨在确定和描述 HCIs 与英国地方当局（LAs）之间的实际和潜在相互作用，并提出 HCIs 与英国地方当局之间相互作用的分类法。
我们在五个电子数据库中搜索了国际文献（PubMed、EBSCO、OVID、Scopus 和 Web of Science），检索时间截至 2021 年 6 月。我们还在网上搜索了可公开获取的基于网络的灰色文献，并记录了英国地方当局背景下相互作用的实例。我们对已发表和灰色文献进行了批判性解释性综合，以将数据整合到英国地方当局的背景下进行概念化。
我们纳入了 47 篇已发表的论文，为分类法提供了框架，并通过可用的灰色文献对英国地方当局进行了改进和背景化。我们开发了三个类别，描述了相互作用发生的媒介：（1）直接参与地方当局，（2）通过中介参与，（3）通过地方知识空间参与。在这些类别中，我们将相互作用分为 10 个主题，定义了它们的性质，并提供了说明性示例。
我们的分类法确定了 HCIs 与 LAs 之间复杂的相互关系，并以英国 LAs 的说明性示例为特征。该分类法借鉴了成熟的理论和框架，并结合了英国 LAs 的背景信息，探讨了地方当局的视角，有助于地方决策者在最大限度地提高人口健康的同时，最大限度地减少 HCIs 的负面影响。
PROSPERO 注册号：CRD42021257311。
