Defining Priorities for Action and Research on the Commercial Determinants of Health: A Conceptual Review

2021 ◽  
Vol 111 (12) ◽  
pp. 2202-2211
Author(s):  
Nicholas Freudenberg ◽  
Kelley Lee ◽  
Kent Buse ◽  
Jeff Collin ◽  
Eric Crosbie ◽  
...  

In recent years, the concept of commercial determinants of health (CDoH) has attracted scholarly, public policy, and activist interest. To date, however, this new attention has failed to yield a clear and consistent definition, well-defined metrics for quantifying its impact, or coherent directions for research and intervention. By tracing the origins of this concept over 2 centuries of interactions between market forces and public health action and research, we propose an expanded framework and definition of CDoH. This conceptualization enables public health professionals and researchers to more fully realize the potential of the CDoH concept to yield insights that can be used to improve global and national health and reduce the stark health inequities within and between nations. It also widens the utility of CDoH from its main current use to study noncommunicable diseases to other health conditions such as infectious diseases, mental health conditions, injuries, and exposure to environmental threats. We suggest specific actions that public health professionals can take to transform the burgeoning interest in CDoH into meaningful improvements in health. (Am J Public Health. 2021;111(12):2202–2211. https://doi.org/10.2105/AJPH.2021.306491 )

Author(s):  
Anna L. Bailey

In the mid-2000s a new small but influential anti-alcohol movement emerged: an alliance of key members of a civil society elite including the Russian Orthodox Church, Public Chamber and public health professionals. Chapter 11 shows how this new elite was able to seize cultural authority over the definition of the “alcohol problem”, and thus set the anti-alcohol agenda where previous attempts by public health lobbyists had failed.


2021 ◽  
pp. 179-186
Author(s):  
Emily F. Rothman

Human trafficking is an insidious public health problem that may be worsened by the constant demand for new pornography, but sex workers’ rights—including the rights of pornography performers—are not always served by anti-trafficking efforts. This chapter provides a definition of human trafficking, reviews three main arguments about how pornography may influence human trafficking, and encourages public health professionals to value anecdotal information from both sex workers’ rights advocates and human trafficking survivors to move toward better science and evidence-informed decision-making.


2018 ◽  
Vol 5 (4) ◽  
pp. 233-240
Author(s):  
Yesenia Merino

Objective. The purpose of this study was to understand how schools of public health (SPHs) define and operationalize diversity and inclusion. Methods. Data were collected in February 2017 from publicly available websites for each of the 59 Council on Education in Public Health–accredited SPHs, including mission/vision, goals/strategic plans, and diversity statements. Mentions of diversity were quantified to generate the proportion of SPHs that explicitly address diversity or inclusion. As a related secondary point, mentions of equity were also considered. Results. One third of SPHs do not mention diversity, inclusion, or equity as central tenets of the school. Twenty percent do not mention strategic plans or goals related to diversity, inclusion, or equity. Only 12 of the 59 schools define what they mean by diversity. Conclusions. Recently released Council on Education in Public Health accreditation competencies point to a need for increased attention by SPHs to inclusion and equity. Currently, however, most SPHs do not have a clear definition of how they define diversity. Implications. Additional research is needed into how SPHs will evolve their conceptualizations of diversity, inclusion, and equity to meet the training needs of the next generation of public health professionals.


Public health is fundamentally concerned with promoting the health of populations through the prevention of disease and injury. It is, at its core, a moral endeavor, because the end it seeks is the advancement of human well-being. Vexing ethics issues are inherent in all aspects of public health practice and policy. They exist in top-of-the-news stories like infectious disease outbreaks and vaccine hesitancy, health disparities, and in more routine assessments of population health needs, data collection, program evaluation, and policy development. They may be distinctive or shared across diverse fields, such as environmental health, nutrition programs and policy, injury prevention, communicable and noncommunicable diseases, and reproductive health. This volume represents the first comprehensive examination of public health ethics in the United States and globally. The volume editors recruited top public health professionals, policy experts, and scholars in public health and ethics fields to offer varied perspectives on the diversity of the issues that define public health ethics. The volume begins with two sections examining the crosscutting conceptual foundations, ethical tensions, and ethical frameworks of and for public health and how public health does its work. It then proceeds topically, with thirteen sections analyzing the application of public health ethics considerations and approaches across the broad range of subject areas. While the fifteen sections can serve to orient the reader within a specific field, each of the more than seventy chapters is designed to serve as a stand-alone contribution. The approach makes the book, its sections, and individual chapters useful as part of course materials, as well as a seminal reference for students, scholars, and public health professionals.


2002 ◽  
Vol 6 (30) ◽  
Author(s):  
B Twisselmann

Between 1998 and 2000 the number of cases of infectious syphilis in England more than doubled, largely driven by several localised outbreaks. These outbreaks suggest a resurgence of unsafe sexual behaviour among both heterosexual and homosexual people in England. They also emphasise the importance of sustained multidisciplinary public health action in this area, according to an article published in last week’s BMJ (1). The general public, certain groups at risk, and relevant health professionals should be aware of the risks of acquiring syphilis and of the symptoms and signs of acute infection.


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