Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2020 Jul 1;9(7):315-318.
doi: 10.15171/ijhpm.2019.127.

Understanding Structure and Agency as Commercial Determinants of Health Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention"

Kelley Lee  1 , Eric Crosbie  2
Affiliations
Comment

Understanding Structure and Agency as Commercial Determinants of Health Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention"

Kelley Lee et al. Int J Health Policy Manag. .

Abstract

The limited success to date, by the public health community, to address the dramatic rise in non-communicable diseases (NCDs) has prompted growing attention to the commercial determinants of health. This has led to a much needed shift in attention, from metabolic and behavioural risk factors, to the production and consumption of health-harming products by the commercial sector. Building on Lencucha and Thow's analysis of neoliberalism, in shaping the underlying policy environment favouring commercial interests, we argue for fuller engagement with structure and agency interaction when conceptualising, assessing, and identifying public health measures to address the commercial determinants of health.

Keywords: Commercial Determinants of Health; Corporations; Non-communicable Diseases; Risk Factors; Structure-Agency.

PubMed Disclaimer

Comment in

Comment on

References

    1. World Health Organization. Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed November 25, 2019.
    1. Mercer AJ. Updating the epidemiological transition model. Epidemiol Infect. 2019;146:680–687. doi: 10.1017/S0950268818000572. - DOI - PMC - PubMed
    1. Horton R. Offline: NCDs-why are we failing? Lancet. 2017;390(10092):346. doi: 10.1016/S0140-6736(17)31919-0. - DOI - PubMed
    1. Kickbusch I, Allen L, Franz C. The commercial determinants of health. Lancet Glob Health. 2016;4(12):e895–e896. doi: 10.1016/S2214-109X(16)30217-0. - DOI - PubMed
    1. McKee M, Stuckler D. Revisiting the corporate and commercial determinants of health. Am J Public Health. 2018;108(9):1167–1170. doi: 10.2105/AJPH.2018.304510. - DOI - PMC - PubMed

LinkOut - more resources