Conceptualising commercial entities in public health: beyond unhealthy commodities and transnational corporations

Lacy-Nichols, Jennifer; Nandi, Sulakshana; Mialon, Mélissa; McCambridge, Jim; Lee, Kelley; Jones, Alexandra; Gilmore, Anna; Galea, Sandro; Lacy-Vawdon, Cassandra de; Carvalho, Camila Maranha Paes de; Baum, Fran; Moodie, Rob

doi:10.1016/s0140-6736(23)00012-0

Cited by 45 publications

(22 citation statements)

References 82 publications

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“…Many of the commercial sector activities we identified intersect with public sector policies (e.g. procurement and contracting), echoing calls for a nuanced understanding of commercial entities in CDoH research [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Making Big Business Everybody’s Business: Aboriginal leaders’ perspectives on commercial activities influencing Aboriginal health in Victoria, Australia

Crocetti,

Walker,

Mitchell

et al. 2024

Global Health

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Background The commercial determinants of health is a rapidly expanding field of research; however Indigenous perspectives remain notably underrepresented. For Indigenous peoples the intersection of globalisation, colonialism and capitalism may amplify commercially-driven health inequities. This study aimed to explore the perspectives of Aboriginal leaders regarding the influence of commercial activities on Aboriginal health and wellbeing in Victoria, Australia. Methods Semi-structured interviews with 23 Aboriginal leaders from across five sectors (n = 15 urban, n = 8 rural/regional) were analysed through reflexive thematic analysis. Results Three overarching themes were identified encompassing (i) harmful commercial practices and processes, (ii) improving corporate engagement and (iii) opportunities for self-determination through business. Participants expressed concern over aggressive marketing by the gambling industry, commercial exploitation of Aboriginal culture, the privatisation of public services, and lack of oversignt of corporate social responsibility strategies. Simultaneously, Aboriginal-led businesses were viewed as opportunities for cultural connection, and financial empowerment and self-determination. Conclusion Numerous commercial entities and activities are perceived to influence Aboriginal health and wellbeing. This study highlights the need for stronger policy and regulation to mitigate harmful industry practices while incentivising the potential positive impacts of the commercial activities on Aboriginal health and wellbeing.

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Section: Discussionmentioning

confidence: 99%

Making Big Business Everybody’s Business: Aboriginal leaders’ perspectives on commercial activities influencing Aboriginal health in Victoria, Australia

Crocetti,

Walker,

Mitchell

et al. 2024

Global Health

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“…Thus, violence is the second leading cause of death in men aged 15–29 years with many more cases of ill-health and disability also resulting from violence [ 3 ]. Work on the commercial determinants of health encourages the adaptation of frameworks to understand opportunities for better well-being [ 4 ]. Despite the pervasive natures of violence and commerce, links between them are often obscured.…”

Section: Introductionmentioning

confidence: 99%

The Commercial Determinants of Violence: Identifying Opportunities for Violence Prevention through a Public Health-Based Framework Analysis

Bellis,

McManus,

Hughes

et al. 2024

IJERPH

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Violence has immediate and long-term repercussions for the health of individuals and communities. Recent increases in the understanding of public health approaches to violence prevention have focused on the policies and practices of government, health, and other public sector agencies. However, the roles of commercial bodies in fostering and preventing violence remain largely unaddressed. The wealth and influence of some companies now exceeds that of many countries. Consequently, it is timely to explore the roles of commercial processes in violence. Using a conceptual framework for the commercial determinants of health, we examine seven practices: political; scientific; marketing; supply chain and waste; labor and employment; financial; and reputational management. We include areas directly linked with violence (e.g., firearms) and those that indirectly impact violence through the following: design and promotion of products; employment practices; and impacts on environment, poverty, and local resources. A range of avoidable commercial behaviors are found to increase levels of violence including the following: lobbying practices; distortion of scientific processes; polluting manufacture and supply lines; poor employee protections; financial investment in organizations and regimes associated with violence; and misleading communications and marketing. We conclude commercial actors can take action to ensure their workers, clients, suppliers, and distributors help prevent, not promote, violence. New technologies such as artificial intelligence are transforming corporate processes and products and offer opportunities to implement violence prevention through commercial developments (e.g., monitoring online content). International regulation of commercial behaviors is needed to prevent interpersonal and interstate conflict and harms to health and trade.

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“…Firstly, multinational and national transport sector organisations need to be framed as a complex commercial determinant of health and health equity 12. We need to use recent frameworks and methods already common in alcohol and tobacco research to understand how the transport sector is influencing population and planetary health and health equity 13. This is a heterogeneous group of actors, but we need to better understand their practices and how these might be holding the current system in place, while identifying and managing conflicts of interest.…”

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confidence: 99%

Overcoming resistance and rebalancing power: shifting gears for cross sectoral collaboration on transport and climate change

Shaw,

Macmillan

2023

BMJ

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Conceptualising commercial entities in public health: beyond unhealthy commodities and transnational corporations

Cited by 45 publications

References 82 publications

Making Big Business Everybody’s Business: Aboriginal leaders’ perspectives on commercial activities influencing Aboriginal health in Victoria, Australia

Making Big Business Everybody’s Business: Aboriginal leaders’ perspectives on commercial activities influencing Aboriginal health in Victoria, Australia

The Commercial Determinants of Violence: Identifying Opportunities for Violence Prevention through a Public Health-Based Framework Analysis

Overcoming resistance and rebalancing power: shifting gears for cross sectoral collaboration on transport and climate change

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