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我们如何对危害健康的企业进行监测和监督,政府能被信任来做这件事吗?评《关键不健康商品行业企业的国家公共卫生监测——范围审查与框架综合》

How Could We Establish Monitoring and Surveillance of Health-Harming Corporations and Can Governments Be Trusted to Do It? Comment on "National Public Health Surveillance of Corporations in Key Unhealthy Commodity Industries - A Scoping Review and Framework Synthesis".

作者信息

Gilmore Anna B, Alebshehy Raouf, Bialous Stella

机构信息

Tobacco Control Research Group, Department for Health, Faculty of Humanities and Social Sciences, University of Bath, Bath, UK.

Centre for 21st Century Public Health, University of Bath, Bath, UK.

出版信息

Int J Health Policy Manag. 2024;13:8621. doi: 10.34172/ijhpm.8621. Epub 2024 Oct 2.

Abstract

In the context of growing interest in the commercial determinants of health (CDOH) which has been defined as "the systems, practices, and pathways through which commercial actors drive health and equity," Bennett et al propose that governments implement monitoring of unhealthy commodity industries (UCIs) (including tobacco, alcohol, and ultra-processed foods) as part of their routine public health surveillance. We explore the evidence underpinning that suggestion and provide details on how corporate monitoring might be practically implemented drawing on lessons from tobacco industry monitoring which has been an established part of tobacco control. While governments should actively support such an approach as part of efforts to address commercially driven health harms, we urge caution in governments undertaking monitoring and identify significant barriers to implementation, while also suggesting ways in which those barriers might be overcome.

摘要

在对健康的商业决定因素(CDOH)的兴趣日益浓厚的背景下,健康的商业决定因素被定义为“商业行为体推动健康和公平的系统、实践和途径”,贝内特等人提议政府将对不健康商品行业(包括烟草、酒精和超加工食品)的监测作为其常规公共卫生监测的一部分来实施。我们探究了支撑该建议的证据,并借鉴烟草行业监测的经验(烟草行业监测已成为烟草控制的既定组成部分),详细介绍了如何切实开展企业监测。虽然政府应积极支持这一方法,将其作为应对商业驱动的健康危害的努力的一部分,但我们敦促政府在进行监测时要谨慎,并指出实施过程中的重大障碍,同时也提出了克服这些障碍的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea42/11549563/bd9292bc9237/ijhpm-13-8621-g001.jpg

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