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Most public health research on the commercial determinants of health (CDOH) to date
has focused on a narrow segment of commercial actors. These actors are generally the
transnational corporations producing so-called unhealthy commodities such as tobacco,
alcohol, and ultra-processed foods. Furthermore, as public health researchers, we
often discuss the CDOH using sweeping terms such as private sector, industry, or business
that lump together diverse entities whose only shared characteristic is their engagement
in commerce.
ParisFrance-generalFranceCapewellWestern-australiaAustraliaChinaColombiaHyderabadAndhra-pradeshIndiaManchesterDespite being globally pervasive, racism, xenophobia, and discrimination are not universally
recognised determinants of health. We challenge widespread beliefs related to the
inevitability of increased mortality and morbidity associated with particular ethnicities
and minoritised groups. In refuting that racial categories have a genetic basis and
acknowledging that socioeconomic factors offer incomplete explanations in understanding
these health disparities, we examine the pathways by which discrimination based on
caste, ethnicity, Indigeneity, migratory status, race, religion, and skin colour affect
health.
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