A realist review of voluntary actions by the food and beverage industry and implications for public health and policy in ... View Full Text


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Article Info

DATE

2022-08-01

AUTHORS

Agnes Erzse, Safura Abdool Karim, Louise Foley, Karen Joanne Hofman

ABSTRACT

The increasing availability of unhealthy processed food products is linked to rising rates of non-communicable diseases and obesity in low- and middle-income countries. Voluntary actions (VAs) are often adopted in lieu of regulating the composition, production, marketing and sale of unhealthy commodities, but their effectiveness is unclear. This realist review examines VAs adopted by the food and beverage industry in low- and middle-income countries. We developed a conceptual framework and followed a three-stage search to identify literature and VAs and, adhering to the Realist and Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) guidelines, we produced a synthesized analysis of VAs. VAs, often initiated in response to governments’ efforts to introduce regulations, were difficult to evaluate due to vague language and a lack of enforcement mechanisms. The review found no evidence indicating that VAs are effective in safeguarding public health. Yet their implementation has resulted in weaker responses and policy substitution, and so we suggest that VAs have the potential to negatively influence public health and policy. The United Nations should rescind their endorsement of industry involvement and mandatory measures should be favoured over VAs. More... »

PAGES

650-663

References to SciGraph publications

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  • 2013-01-29. RAMESES publication standards: realist syntheses in BMC MEDICINE
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  • 2020-12-10. Industry strategies in the parliamentary process of adopting a sugar-sweetened beverage tax in South Africa: a systematic mapping in GLOBALIZATION AND HEALTH
  • 2013-01-02. Plasminogen activator inhibitor-1 4G/5G polymorphism and retinopathy risk in type 2 diabetes: a meta-analysis in BMC MEDICINE
  • 2010-03-04. Breakfast cereal industry pledges to self-regulate advertising to youth: Will they improve the marketing landscape? in JOURNAL OF PUBLIC HEALTH POLICY
  • 2013-05-16. Public health strategy against overweight and obesity in Mexico's National Agreement for Nutritional Health in INTERNATIONAL JOURNAL OF OBESITY SUPPLEMENTS
  • 2017-06-15. Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure in GLOBALIZATION AND HEALTH
  • 2018-08-15. Multi-sectoral action in non-communicable disease prevention policy development in five African countries in BMC PUBLIC HEALTH
  • 2018-08-15. Non-communicable disease prevention policy process in five African countries authors in BMC PUBLIC HEALTH
  • 2016-05-10. Analysis of the corporate political activity of major food industry actors in Fiji in GLOBALIZATION AND HEALTH
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    http://scigraph.springernature.com/pub.10.1038/s43016-022-00552-5

    DOI

    http://dx.doi.org/10.1038/s43016-022-00552-5

    DIMENSIONS

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