Taking on the Commercial Determinants of Health at the level of actors, practices and systems.

Tackling the Commercial Determinants of Health (CDoH) is necessary for progress on health equity and will determine whether or not the health-related targets of the SDGs are met. We present a simple visual heuristic of three core aspects of CDoH: commercial actors, commercial practices, and system-level dynamics (which commercial actors influence and perpetuate). We use this heuristic to highlight key research gaps, in particular the need for more voices and evidence on CDoH from the Global South, particularly on what works to curb harmful impacts. We also propose an agenda to address CDoH and actions for different stakeholders. While efforts to curb specific commercial practices are important, far more attention and effort are needed at the systems level, as they can fundamentally shift the way power is distributed in society to improve health equity.

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Copyright © 2023 Lacy-Nichols, Jones and Buse.

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JL-N is the recipient of a fellowship from the Victorian Health Promotion Foundation and has received funding from the George Institute for Global Health and the University of Melbourne Future Food Hallmark Research Initiative. AJ is a recipient of a fellowship and research grants from the Australian Government's National Health and Medical Research Council, and has received grants or contracts from WHO, UNICEF, the Global Alliance for Improved Nutrition, and the Victorian Health Promotion Foundation. KB has received grants or contracts from WHO and the Bill and Melinda Gates Foundation.