Tobacco Control Research Group (TCRG), Department for Health, University of Bath, Bath, UK.
School of Social and Political Science, University of Edinburgh, Edinburgh, UK.
Int J Health Policy Manag. 2023;12:7292. doi: 10.34172/ijhpm.2023.7292. Epub 2023 Jun 6.
Non-communicable diseases (NCDs) kill 41 million people a year. The products and services of unhealthy commodity industries (UCIs) such as tobacco, alcohol, ultra-processed foods and beverages and gambling are responsible for much of this health burden. While effective public health policies are available to address this, UCIs have consistently sought to stop governments and global organisations adopting such policies through what is known as corporate political activity (CPA). We aimed to contribute to the study of CPA and development of effective counter-measures by formulating a model and evidence-informed taxonomies of UCI political activity.
We used five complementary methods: critical interpretive synthesis of the conceptual CPA literature; brief interviews; expert co-author knowledge; stakeholder workshops; testing against the literature.
We found 11 original conceptualisations of CPA; four had been used by other researchers and reported in 24 additional review papers. Combining an interpretive synthesis of all these papers and feedback from users, we developed two taxonomies - one on framing strategies and one on action strategies. The former identified three frames (policy actors, problem, and solutions) and the latter six strategies (access and influence policy-making, use the law, manufacture support for industry, shape evidence to manufacture doubt, displace, and usurp public health, manage reputations to industry's advantage). We also offer an analysis of the strengths and weaknesses of UCI strategies and a model that situates industry CPA in the wider social, political, and economic context.
Our work confirms the similarity of CPA across UCIs and demonstrates its extensive and multi-faceted nature, the disproportionate power of corporations in policy spaces and the unacceptable conflicts of interest that characterise their engagement with policy-making. We suggest that industry CPA is recognised as a corruption of democracy, not an element of participatory democracy. Our taxonomies and model provide a starting point for developing effective solutions.
非传染性疾病(NCDs)每年导致 4100 万人死亡。不健康商品产业(UCI)的产品和服务,如烟草、酒精、超加工食品和饮料以及赌博,是造成这一健康负担的主要原因。尽管有有效的公共卫生政策可以解决这个问题,但 UCI 一直试图通过所谓的企业政治活动(CPA)阻止政府和全球组织采取这些政策。我们旨在通过制定一个模型和基于证据的 UCI 政治活动分类法,为 CPA 的研究和制定有效的对策做出贡献。
我们使用了五种互补的方法:对概念性 CPA 文献的批判性解释性综合;简短的访谈;专家合著者的知识;利益相关者研讨会;与文献进行测试。
我们发现了 11 种原始的 CPA 概念化;其中 4 种已被其他研究人员使用,并在 24 篇额外的综述论文中报告。结合对所有这些论文的解释性综合以及用户的反馈,我们制定了两个分类法 - 一个关于框架策略,另一个关于行动策略。前者确定了三个框架(政策参与者、问题和解决方案),后者确定了六个策略(进入和影响决策制定、利用法律、为行业制造支持、塑造证据以制造怀疑、转移和篡夺公共卫生、管理行业利益的声誉)。我们还对 UCI 策略的优缺点以及将行业 CPA 置于更广泛的社会、政治和经济背景下的模型进行了分析。
我们的工作证实了 UCI 之间的 CPA 具有相似性,并展示了其广泛而多方面的性质、公司在政策领域中的不成比例的权力以及其参与决策制定所带来的不可接受的利益冲突。我们认为,行业 CPA 被视为民主的腐败,而不是参与式民主的一部分。我们的分类法和模型为制定有效的解决方案提供了一个起点。