Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia.
Health Promot Int. 2024 Feb 1;39(1). doi: 10.1093/heapro/daad185.
The commercial determinants of health (CDoH) have a significant impact on the health and well-being of children and young people (subsequently referred to as young people). While most research has focused on the influence of harmful industry marketing on young people, more recent CDoH frameworks have emphasized that a range of commercial systems and practices may influence health and well-being. Focusing on the impact of traditional and digital media, contemporary marketing strategies and corporate production and consumption processes, the following article outlines the impact of the CDoH on the health and wellbeing of young people. The article also provides evidence about how young people conceptualize the impact of corporate actors on health, and their involvement in advocacy strategies to respond. The article recommends that when collaborating with young people to understand the impacts of and responses to the CDoH, we should seek to diversify investigations towards the impact of a range of corporate tactics, systems and structures, rather than simply focusing on the impacts of advertising. This should include considering areas and priorities that young people identify as areas for action and understanding why some young people are more vulnerable to commercial tactics than others. Youth are powerful allies in responding to the CDoH. Public health and health promotion stakeholders could do more to champion the voices of young people and allow them to be active participants in the decisions that are made about harmful commercial practices and health.
商业健康决定因素（CDoH）对儿童和青少年（以下简称年轻人）的健康和福祉有重大影响。虽然大多数研究都集中在有害行业营销对年轻人的影响上，但最近的 CDoH 框架强调，一系列商业系统和实践可能会影响健康和福祉。本文重点关注传统和数字媒体、当代营销策略以及企业生产和消费过程对年轻人健康和福祉的影响。文章还提供了有关年轻人如何理解企业行为者对健康的影响以及他们参与倡导策略以做出回应的证据。文章建议，在与年轻人合作以了解 CDoH 的影响和应对措施时，我们应该寻求将调查多样化，以了解一系列企业策略、系统和结构的影响，而不仅仅是关注广告的影响。这应该包括考虑年轻人确定为行动领域的领域和优先事项，并了解为什么一些年轻人比其他人更容易受到商业策略的影响。年轻人是应对 CDoH 的有力盟友。公共卫生和健康促进利益相关者可以做更多的工作来支持年轻人的声音，并让他们积极参与有关有害商业实践和健康的决策。
