健康の商業的決定要因の定義と概念化
Anna B Gilmore1, Alice Fabbri1, Fran Baum2
1Department for Health, University of Bath, Bath, UK.
Lancet (London, England)
|March 26, 2023
まとめ
有力な企業に支配される 商業的な健康の決定要因は 病気や環境被害を 悪化させます 企業の影響と市民の福祉を守るため,緊急の政府の行動が必要である.
科学分野:
- 公衆衛生
- 健康政策
- 環境 健康
背景:
- 商業活動,特に多国籍企業と 予防可能な病気,環境破壊,健康上の不平等が 関連している証拠が増えています
- タバコ,超加工食品,化石燃料,アルコールなどの主要な産業は グローバルな死亡率と経済的コストに大きく貢献しています
- 市場原理主義に 影響された現在のシステムは 富と権力を蓄積しながら 商業的なアクターに 害を外部化させる力を与えています
研究 の 目的:
- 健康の商業的決定因子の概念を導入する.
- 商業的なアクターが害を及ぼし,コストを外部化するメカニズムを説明する.
- 力の不均衡と政策の怠慢を強調する.
主な方法:
- 健康の商業的決定因子の概念的分析
- 産業が健康と環境に及ぼす影響に関する証拠の検討
- 企業権力と政策の政治経済を考察する.
主要な成果:
- 商業的アクターが,特に大企業は,ますます健康と環境への悪影響を及ぼしています.
- 世界の死亡の大きな部分は 4つの主要な産業部門に関連しています
- 権力の不均衡は商業的利益に有利で 解決策があるにも関わらず 政策の不動につながります
結論:
- 現在のシステムは 企業の富を増やす一方で 人間や地球の健康を 悪化させています
- 政策の惰性は 商業的な健康の決定要因を緩和する 解決策の実施を妨げています
- 政府が介入して 将来の福祉,開発,経済成長を 商業的な害から守らなければなりません
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