The case for developing a cohesive systems approach to research across unhealthy commodity industries.
The case for developing a cohesive systems approach to research across unhealthy commodity industries.
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为研究不健康商品行业制定一个有凝聚力的系统方法的案例。
DOI：
10.1136/bmjgh-2020-003543
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发表时间：
2021-03
影响因子：
8.1
通讯作者：
Weishaar H
中科院分区：
文献类型：
--
作者：
Knai C;Petticrew M;Capewell S;Cassidy R;Collin J;Cummins S;Eastmure E;Fafard P;Fitzgerald N;Gilmore AB;Hawkins B;Jensen JD;Katikireddi SV;Maani N;Mays N;Mwatsama M;Nakkash R;Orford JF;Rutter H;Savona N;van Schalkwyk MCI;Weishaar H
大多数非传染性疾病是可以预防的，主要是由有害产品的消费推动的，如烟、酒、赌博和超加工食品和饮料产品，统称为不健康商品。本文探讨了不健康商品行业(UCI)之间的联系，分析了它们在企业政治战略上的一致性程度，并提出了一个跨UCI研究的凝聚力系统方法。我们就UCI参与公共卫生政策的分析举行了专家咨询，分析了UCI之间的业务联系，并采用企业政治活动分类来比较、比较和说明酒类、超加工食品和饮料产品、烟草和博彩业所采用的战略。UCI在形成证据、使用叙述和框架技术、建立选区和政策替代方面的战略有明显的共同点。也有一致的证据表明UCI之间的商业联系，以及与政府机构的复杂关系，经常允许UCI参与决策论坛。这一知识表明，所有公共卫生机构在公共卫生政策中的作用将受益于共同的分析方法。这使得能够发展一个理论框架，以了解城市信息系统如何影响政策进程。它强调需要更深入和更广泛地了解利益冲突以及如何避免这些冲突；需要更广泛地了解由更广泛的研究类型产生的有力证据的构成要素。UCI采用共同的战略来制定公共卫生政策，保护商业利益，从而促进非传染性疾病的永久存在。需要对整个大学信息系统的研究采取连贯一致的系统方法，以加深对这一复杂和相互关联的领域的共同理解，并提供更有效和一致的应对办法。
Most non-communicable diseases are preventable and largely driven by the consumption of harmful products, such as tobacco, alcohol, gambling and ultra-processed food and drink products, collectively termed unhealthy commodities. This paper explores the links between unhealthy commodity industries (UCIs), analyses the extent of alignment across their corporate political strategies, and proposes a cohesive systems approach to research across UCIs. We held an expert consultation on analysing the involvement of UCIs in public health policy, conducted an analysis of business links across UCIs, and employed taxonomies of corporate political activity to collate, compare and illustrate strategies employed by the alcohol, ultra-processed food and drink products, tobacco and gambling industries. There are clear commonalities across UCIs’ strategies in shaping evidence, employing narratives and framing techniques, constituency building and policy substitution. There is also consistent evidence of business links between UCIs, as well as complex relationships with government agencies, often allowing UCIs to engage in policy-making forums. This knowledge indicates that the role of all UCIs in public health policy would benefit from a common approach to analysis. This enables the development of a theoretical framework for understanding how UCIs influence the policy process. It highlights the need for a deeper and broader understanding of conflicts of interests and how to avoid them; and a broader conception of what constitutes strong evidence generated by a wider range of research types. UCIs employ shared strategies to shape public health policy, protecting business interests, and thereby contributing to the perpetuation of non-communicable diseases. A cohesive systems approach to research across UCIs is required to deepen shared understanding of this complex and interconnected area and also to inform a more effective and coherent response.
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