Business and Health: An Insidious Mix

IF 3.8 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-09-10 DOI:10.1111/jan.16452
Patricia M. Davidson, David C. Currow
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Abstract

Current threats to global health include the escalating burden of the climate emergency and the noncommunicable conditions driven by fossil fuels, deforestation, tobacco and processed foods. These threats translate into premature death, widespread disability and profound loss of productivity. Internationally, the powerful impacts of the social determinants on health are widely recognised yet the impact of commercial determinants of health are often less visible but exert an enormous and lasting impact. Recognising this influence should be a target for not just public health policies but purchasing policies, health information and professional education (Gilmore et al. 2023; Freudenberg et al. 2021).

The commercial determinants of health should be key a focus for nurses working in clinical practice, education, research and policy. To date, many health interventions in the nursing literature focus on the individual but it is important to recognise the complex interactions of factors driving optimal health outcomes. Increasingly, there is recognition of the importance of considering social and ecological factors contributing to health outcomes. Such an approach demonstrates the complex interplay of individual, interpersonal, organisational, community and societal factors that influence health outcomes (de Lacy-Vawdon and Livingstone 2020).

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商业与健康:阴险的混合体
当前全球健康面临的威胁包括气候紧急情况和化石燃料、森林砍伐、烟草和加工食品导致的非传染性疾病造成的日益沉重的负担。这些威胁转化为过早死亡、广泛残疾和生产力的严重损失。在国际上,社会决定因素对健康的强大影响已得到广泛认可,但健康的商业决定因素的影响往往不那么明显,但却产生了巨大而持久的影响。认识到这种影响不仅是公共卫生政策的目标,也是采购政策、健康信息和专业教育的目标(Gilmore 等人,2023 年;Freudenberg 等人,2021 年)。迄今为止,护理文献中的许多健康干预措施都侧重于个人,但重要的是要认识到推动最佳健康结果的各种因素之间复杂的相互作用。人们越来越认识到考虑社会和生态因素对健康结果的重要性。这种方法显示了影响健康结果的个人、人际、组织、社区和社会因素之间复杂的相互作用(de Lacy-Vawdon 和 Livingstone,2020 年)。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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