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贸易政策与公共卫生。

Trade policy and public health.

机构信息

Regulatory Institutions Network.

出版信息

Annu Rev Public Health. 2015 Mar 18;36:325-44. doi: 10.1146/annurev-publhealth-031914-122739. Epub 2014 Dec 10.

Abstract

Twenty-first-century trade policy is complex and affects society and population health in direct and indirect ways. Without doubt, trade policy influences the distribution of power, money, and resources between and within countries, which in turn affects the natural environment; people's daily living conditions; and the local availability, quality, affordability, and desirability of products (e.g., food, tobacco, alcohol, and health care); it also affects individuals' enjoyment of the highest attainable standard of health. In this article, we provide an overview of the modern global trade environment, illustrate the pathways between trade and health, and explore the emerging twenty-first-century trade policy landscape and its implications for health and health equity. We conclude with a call for more interdisciplinary research that embraces complexity theory and systems science as well as the political economy of health and that includes monitoring and evaluation of the impact of trade agreements on health.

摘要

21 世纪的贸易政策复杂多样,以直接和间接的方式影响着社会和人口健康。毫无疑问,贸易政策影响着国家之间和国家内部的权力、资金和资源分配,进而影响自然环境、人们的日常生活条件,以及产品(例如食品、烟草、酒精和医疗保健)的可获得性、质量、可负担性和吸引力;它还影响个人享有能达到的最高健康标准的程度。本文概述了现代全球贸易环境,阐述了贸易与健康之间的关联途径,并探讨了新兴的 21 世纪贸易政策格局及其对健康和健康公平的影响。最后我们呼吁开展更多跨学科研究,将复杂性理论和系统科学纳入卫生的政治经济学中,并对贸易协定对健康的影响进行监测和评估。

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