婴幼儿健康的商业决定因素：以雀巢在非洲销售的婴儿食品为重点

Q3 Medicine

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI:10.1016/j.jemep.2025.101186

E.W. Dumbili , J. Bwalya , A. Osborne

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引用次数: 0

摘要

跨国婴儿食品工业（TBFI），在非洲经营，从事积极的营销和部署企业的做法，以实现利润最大化。然而，很少有研究审查tfi的做法对非洲儿童健康的影响和伦理问题。利用健康的商业决定因素（CDoH）框架，我们回顾了Public Eye和国际婴儿食品行动网络（IBFAN）最近对雀巢雀巢在非洲的双重标准做法的调查，并借鉴了其他已发表的文献来讨论其影响。结果雀巢雀巢在非洲推广含有添加糖的商业配方奶粉和其他婴儿食品，而在欧洲同样的产品是无糖的。例如，雀巢在瑞士为6个月以上的婴儿提供的饼干口味的谷物，不含添加糖。尽管如此，在塞内加尔和南非销售的同样口味的Cerelac谷物每份含有6克添加糖。此外，雀巢在德国和英国销售的6个月大婴儿用的Cerelac小麦谷物不含添加糖。然而，在埃塞俄比亚，同样的产品每份含有5.2克。调查进一步表明，在114种雀巢雀巢产品中，93%（106种）含有添加糖。在非洲销售的雀巢1-3岁婴幼儿配方奶粉中，29款中有21款（即72%）含有添加糖。雀巢雀巢也在制造虚假信息，因为尽管其在埃塞俄比亚、尼日利亚和塞内加尔的产品标签上没有提供有关添加糖的信息，但它们“突出强调了维生素、矿物质和其他营养成分……使用理想化的图像”。我们讨论了这一结论的含义，并提出了减轻雀巢损害婴幼儿健康的商业和企业做法的方法。

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Commercial determinants of infant and child health: A focus on Nestlé’s baby food products marketed in Africa

Background

The transnational baby food industry (TBFI), which operates in Africa, engages in aggressive marketing and deploys corporate practices to maximise profits. However, there is a paucity of studies examining the impact and ethical implications of TBFI’s practices on the health of African children. Using the Commercial Determinants of Health (CDoH) framework, we reviewed the recent investigation by Public Eye and the International Baby Food Action Network (IBFAN) on Nestlé’s double-standard practices in Africa, drawing on other published literature to discuss the implications.

Results

Nestlé promotes commercial milk formulas and other baby food products with added sugar in Africa, while the same products in Europe are sugar-free. For example, Nestlé’s biscuit-flavoured cereals for babies 6 months plus, available in Switzerland, contain no added sugar. Still, Cerelac cereals with the same flavour sold in Senegal and South Africa contain 6 g of added sugar per serving. Furthermore, Nestlé’s Cerelac wheat-based cereals for six-month-old babies sold in Germany and the UK contain no added sugar. However, the same product available in Ethiopia contains 5.2 g per serving. The investigation further shows that of 114 Nestlé products examined, 93% (106) contained added sugar. Regarding Nestlé’s commercial milk formula for babies aged 1–3 years sold in Africa, 21 out of 29 (i.e., 72%) contained added sugar. Nestlé also practices misinformation because while its product labels in Ethiopia, Nigeria and Senegal provide no information about the added sugar, they “prominently highlighted the vitamins, minerals and other nutrients… using idealizing imagery”.

Conclusion

We discuss the implications of this, recommending ways to mitigate Nestlé’s commercial and corporate practices that undermine the health of infants and young children.

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来源期刊

Ethics, Medicine and Public Health Medicine-Health Policy

CiteScore

2.20

自引率

0.00%

发文量

107

审稿时长

42 days

期刊介绍： This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.