National Public Health Surveillance of Corporations in Key Unhealthy Commodity Industries - A Scoping Review and Framework Synthesis.

National Public Health Surveillance of Corporations in Key Unhealthy Commodity Industries - A Scoping Review and Framework Synthesis.
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DOI:
10.34172/ijhpm.2023.6876
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发表时间:
2023
影响因子:
3.5
通讯作者:
Moodie AR
Moodie AR
中科院分区:
医学4区
文献类型:
--
作者:
Bennett E;Topp SM;Moodie AR

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背景:不健康商品行业 (UCI) 的企业通过增加不健康产品消费的做法,对国民健康产生越来越大的影响。使用政府主导的公共卫生监测是更好地了解任何新出现的公共卫生威胁的最佳做法。然而,关于 UCI 企业实践的范围及其影响,由各国政府生成和监测的系统证据很少。本研究旨在综合现有的框架,以识别和监测 UCI 对健康的影响,以突出企业部署的实践范围,并为关键 UCI 未来的监测工作提供信息。 方法:检索了七个生物医学、商业和科学数据库,以识别关注影响人类健康的企业实践的文献以及监测或评估 UCI 影响健康方式的框架。内容分析分为三个阶段,包括(1)识别文献中的框架文件并从框架中提取所有企业实践; (2) 最初的归纳分组和综合,然后使用利马和加莱亚的“权力车辆”作为启发式进行演绎综合; (3) 确定与每个企业实践相关的潜在指标并制定综合框架。 结果:确定了 14 个框架,其中包含 37 个单独的企业实践,根据利马和加莱亚“企业实践与健康”框架,这些框架被编码为五个不同的主题。我们提出了一个概要框架,为 UCI 的公共卫生监测提供信息,其中概述了应考虑的关键参与者、企业实践和结果。拟议的框架借鉴了卫生政策三角框架,并综合了现有框架的主要特征。 结论:对 UCI 实践的系统监控可能使政府能够减轻企业实践对健康的负面影响。拟议的综合框架强调了企业在国家政府层面为公共卫生监测所采取的一系列做法。我们认为,对这些做法进行监测有重要的先例和巨大的需求,UCI 监测系统的运作应该成为未来研究的目标。
Background: Corporations in unhealthy commodity industries (UCIs) have growing influence on the health of national populations through practices that lead to increased consumption of unhealthy products. The use of government-led public health surveillance is best practice to better understand any emerging public health threat. However, there is minimal systematic evidence, generated and monitored by national governments, regarding the scope of UCI corporate practices and their impacts. This study aims to synthesise current frameworks that exist to identify and monitor UCI influence on health to highlight the range of practices deployed by corporations and inform future surveillance efforts in key UCIs. Methods: Seven biomedical, business and scientific databases were searched to identify literature focused on corporate practices that impact human health and frameworks for monitoring or assessment of the way UCIs impact health. Content analysis occurred in three phases, involving (1) the identification of framework documents in the literature and extraction of all corporate practices from the frameworks; (2) initial inductive grouping and synthesis followed by deductive synthesis using Lima and Galea’s ‘vehicles of power’ as a heuristic; and (3) scoping for potential indicators linked to each corporate practice and development of an integrated framework. Results: Fourteen frameworks were identified with 37 individual corporate practices which were coded into five different themes according the Lima and Galea ‘Corporate Practices and Health’ framework. We proposed a summary framework to inform the public health surveillance of UCIs which outlines key actors, corporate practices and outcomes that should be considered. The proposed framework draws from the health policy triangle framework and synthesises key features of existing frameworks. Conclusion: Systematic monitoring of the practices of UCIs is likely to enable governments to mitigate the negative health impacts of corporate practices. The proposed synthesised framework highlights the range of practices deployed by corporations for public health surveillance at a national government level. We argue there is significant precedent and great need for monitoring of these practices and the operationalisation of a UCI monitoring system should be the object of future research.
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