Food industry degrowth as a public health strategy: the case of ultra processed baked goods.

IF 6.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Norah Campbell, Sarah Browne, Marius Claudy, Kathryn Reilly, Francis M Finucane
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Abstract

Evidence associates ultra-processed food and beverage (UPF) diets to diverse non-communicable diseases, including obesity, diabetes, cardiovascular disease and mental health disorders. Efforts to reformulate by reducing salt, sugar and unhealthy fats in such foods, have not changed the fact that UPFs are an increasing proportion of population diets. The UPF industry is rooted in growth – a fundamental logic at the heart of publicly traded and for-profit private corporations. Our longitudinal analysis of supermarket trade journals from the US and UK spanning 30 years finds that growth in this sector is not demand-led, but industry driven. Our analysis uncovers four dynamics of this growth paradigm, which we call combatition., swotification, the fashion spiral, and demand-pumping. Our findings show that, while public health policies result in individual products becoming more ‘healthy’, these benefits are likely to dwarfed by the aggregate (overall) growth of the UPF category itself. We propose a powerful counter paradigm: de-growth. While having gained recognition in ecological economics, we demonstrate its potential for public health, especially its concepts of decoupling and overproduction. While many public health interventions exist within a growth paradigm, a degrowth perspective proposes that the UPF industry cannot innovate its way out of health harms, and that the production of the entire category must decrease.

作为公共卫生战略的食品工业减速:以超加工烘焙食品为例。
有证据表明,超加工食品和饮料饮食与多种非传染性疾病有关,包括肥胖、糖尿病、心血管疾病和精神健康障碍。通过减少这类食品中的盐、糖和不健康脂肪来调整配方的努力并没有改变这样一个事实,即UPFs在人口饮食中所占的比例越来越大。UPF行业植根于增长,这是上市和营利性私营公司的核心基本逻辑。我们对美国和英国超市行业期刊长达30年的纵向分析发现,该行业的增长并非由需求驱动,而是由行业驱动。我们的分析揭示了这种增长模式的四个动力,我们称之为对抗。时尚螺旋式上升,需求激增。我们的研究结果表明,虽然公共卫生政策导致个别产品变得更加“健康”,但这些好处可能与UPF类别本身的总体(整体)增长相比相形见绌。我们提出了一个强有力的反范式:去增长。在获得生态经济学认可的同时,我们展示了其对公共卫生的潜力,特别是其脱钩和生产过剩的概念。虽然许多公共卫生干预措施存在于增长范式中,但从去增长的角度来看,UPF行业无法通过创新摆脱健康危害,整个类别的生产必须减少。
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来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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