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Commercial Determinants of Health: Understanding and Addressing Commercial Sector Harms to Public Health and the Environment

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 1071

Special Issue Editor


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Guest Editor
School of Public Health, University of Nevada, Reno, NV 89557, USA
Interests: commercial determinants of health; health policy; global health; tobacco control; nutrition policy; international relations; tranantional corporations; Latin America

Special Issue Information

Dear Colleagues,

In the 21st century, we are currently witnessing a dramatic increase in the prevalence of non-communicable diseases (NCDs) (e.g., cancer, heart disease, diabetes), which account for more than 41 million deaths per year, representing 70% of all annual deaths. Approximately 77% of all NCD deaths occur in low- and middle-income countries (LMICs), and two-thirds of these deaths are related to tobacco use, alcohol misuse, unhealthy eating and physical inactivity. While biological, behavioral, social, political, cultural and environmental elements are all determinants of these NCDs, a new wave of research is beginning to focus on the commercial determinants of health (CDoH). The CDoH are the social, political and economic structures, norms, rules and practices through which business activities designed to generate profits and increase market share influence patterns of health, disease, injury, disability and death within and across populations. While commercial entities can contribute positively to health and society, there is growing evidence that the products and practices of commercial actors, most notably transnational corporations (e.g., tobacco, alcohol, ultra-processed food and drink, pharmaceutical, fossil fuels, etc.), are a key driver of the NCD epidemic and environmental problems. This Special Issue aims to further study and conceptualize the CDoH, as well as identify and analyze the structures, mechanisms, norms, strategies and activities that contribute to our understanding of the impacts of CDoH. In this vein, we invite the submission of articles discussing the following CDoH research areas:

  • Conceptualizing and defining the CDoH;
  • Measuring and analyzing the CDoH;
  • Teaching the CDoH;
  • Solutions to address the CDoH;
  • Corporate political activity;
  • Corporate marketing, advertising, promotion and sponsorship;
  • Civil society activity and strategies to combat the CDoH;
  • CDoH impact on avoidable ill health, planetary damage and social and health inequity;
  • The impact of international trade and investment on public health;
  • Industry document research.

Dr. Eric Crosbie
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • commercial determinants of health
  • transnational corporations
  • civil society
  • non-communicable diseases
  • planetary damage

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Published Papers (1 paper)

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Review

12 pages, 269 KiB  
Review
A Commercial Determinants of Health Perspective on the Food Environments of Public Hospitals for Children and Young People in High-Income Countries: We Need to Re-Prioritize Health
by Elena Neri, Claire Thompson, Caroline Heyes, Nancy Bostock and Wendy Wills
Int. J. Environ. Res. Public Health 2025, 22(4), 601; https://doi.org/10.3390/ijerph22040601 - 11 Apr 2025
Viewed by 364
Abstract
There is growing evidence that public hospitals in high-income countries—in particular, Anglo-Saxon neoliberal countries (USA, UK, Canada, New Zealand, and Australia)—have been engaging with food retailers to attract private capital and maximise their incomes in a drive to reduce costs. Added to which, [...] Read more.
There is growing evidence that public hospitals in high-income countries—in particular, Anglo-Saxon neoliberal countries (USA, UK, Canada, New Zealand, and Australia)—have been engaging with food retailers to attract private capital and maximise their incomes in a drive to reduce costs. Added to which, public hospital food can have a substantial influence on the health of children and young people. However, there is still relatively little research on food for young people in healthcare settings. This is concerning, as an appropriate food intake is vital not only for the prevention of and recovery from diseases, but also for the physical growth and psychological development of young people. This critical narrative review examined the available evidence on hospital food provision, practices, and environments, as well as children’s experiences of hospitalization in high-income countries, drawing on both peer-reviewed articles and the grey literature. Our analytical lens for this review was the Commercial Determinants of Health (CDOH), a framework that necessitates a critical examination of commercial influences on individual, institutional, and policy practices relevant to health. Our findings illustrate the mechanisms through which the CDOH act as a barrier to healthy food and eating for children in hospitals in high-income countries. Firstly, hospital food environments can be characterised as obesogenic. Secondly, there is a lack of culturally inclusive and appropriate foods on offer in healthcare settings and an abundance of processed and convenience foods. Lastly, individualised eating is fostered in healthcare settings at the expense of commensal eating behaviours that tend to be associated with healthier eating. Public hospitals are increasingly facing commercial pressures. It is extremely important to resist these pressures and to protect patients, especially children and adolescents, from the marketing and selling of foods that have been proven to be addictive and harmful. Full article
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