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健康的商业决定因素:研究英国食品公司与食品慈善机构之间关系的新框架。

Commercial determinants of health: A new framework for studying relationships between food corporations and food charities in the UK.

作者信息

Lambie-Mumford Hannah, Kennedy Kelli

机构信息

Department of Politics and International Relations, University of Sheffield, Sheffield, UK.

Department of Health Sciences, University of York, York, UK.

出版信息

Soc Sci Med. 2025 Feb;366:117590. doi: 10.1016/j.socscimed.2024.117590. Epub 2024 Dec 3.

Abstract

Relationships between food charities and commercial partners have been extensively critiqued by food charity scholars, particularly those that involve food corporations supporting charitable hunger relief whilst at the same time holding power over key drivers of food insecurity. This has important implications for health-related research on food charity that involves input from corporate donors. This paper argues that there is an opportunity to expand the field of health research on food insecurity and food charity by engaging with the Commercial Determinants of Health (CDoH) framework, to provide a new way of theoretically and analytically framing evidence and critiques on food charity with corporate involvement. The paper puts the CDoH framework into practice through an empirical study of food charity - food corporation relationships in the UK. Through the CDoH analysis, the findings reveal the different corporate practices that are employed in these relationships, and the disparity between these and the practices corporations could be using to address food insecurity. The framework provides important new avenues for research to further evidence and explore the deep ironies and inequalities embedded in these relationships, and the ways in which corporations leverage charitable efforts to improve their image, whilst holding significant power over key drivers of the very food insecurity that these charities seek to relieve.By applying the CDoH framework, research on food insecurity, food charity and the role of corporations can play an active part in the wider moves in public health towards understanding the impact of corporate entities and interests on health and equity.

摘要

食品慈善机构与商业伙伴之间的关系受到了食品慈善学者的广泛批评,尤其是那些涉及食品公司支持慈善饥饿救济,同时又对粮食不安全的关键驱动因素拥有控制权的关系。这对涉及企业捐赠者投入的食品慈善健康相关研究具有重要意义。本文认为,通过采用健康的商业决定因素(CDoH)框架,有机会扩大粮食不安全和食品慈善健康研究领域,从而提供一种在理论和分析上构建有关企业参与的食品慈善证据和批评的新方法。本文通过对英国食品慈善机构与食品公司关系的实证研究,将CDoH框架付诸实践。通过CDoH分析,研究结果揭示了这些关系中采用的不同企业行为,以及这些行为与企业可用于解决粮食不安全问题的行为之间的差距。该框架为研究提供了重要的新途径,以进一步证明和探索这些关系中所蕴含的深刻讽刺和不平等现象,以及企业如何利用慈善努力来改善自身形象,同时又对这些慈善机构试图缓解的粮食不安全的关键驱动因素拥有重大控制权。通过应用CDoH框架,关于粮食不安全、食品慈善机构以及企业作用的研究可以在公共卫生领域更广泛的行动中发挥积极作用,这些行动旨在理解企业实体和利益对健康和公平的影响。

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