NCD Alliance Scotland. (2024) NCD prevention: a commercial determinants of health approach. A 10-year vision for a healthier Scotland. NCD Alliance Scotland.
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Non-communicable diseases (NCDs) are the leading cause of death and ill health in Scotland, responsible for over four in five deaths. They significantly impact people’s ability to live a healthy life, especially in our most deprived communities. Many of these deaths are preventable; around one in five could be prevented by reducing the consumption of alcohol, tobacco and related products, and unhealthy food and drinks. Since 2020, NCD Alliance Scotland, a coalition of 24 leading health organisations, has campaigned for action on these health-harming products. Collaborating with colleagues across academic, public health, and advocacy sectors, we have built the case for a new approach to improving public health. This report is the result of that collaboration: a 10-year vision to address the commercial determinants of health, a key driver of the consumption of health-harming products. I extend my gratitude to the experts who contributed their time and expertise, and to the NCD Alliance Scotland Vision Advisory Board for their pivotal role in this project. This report sets out a vision for Scotland’s future, free from the undue influence of commercial actors on our choices and, most importantly, our health, through the adoption and application of a commercial determinants of health approach to NCD prevention. It seeks to envisage society where the healthier choice becomes the easier choice and people are not at a disadvantage in their health because of where they live. This report marks just the beginning of a process to build this healthier and more equitable Scotland.
• Principle 1: Adopt a commercial determinants of health approach to public health
• Principle 2: The effective governance of the commercial determinants of health
• Principle 3: Restrict the marketing of health-harming products
• Principle 4: Take action on the price of health-harming products
• Principle 5: Restrict the availability of health-harming products
B Substances > Alcohol
B Substances > Tobacco (cigarette smoking)
B Substances > Tobacco (cigarette smoking) > Nicotine product (e-cigarette / vaping / heated)
G Health and disease > State of health
G Health and disease > Public health
G Health and disease > Substance use disorder (addiction) > Alcohol use disorder
J Health care, prevention, harm reduction and treatment > Prevention approach > Prevention through information and education
J Health care, prevention, harm reduction and treatment > Health related issues > Health information and education
J Health care, prevention, harm reduction and treatment > Health related issues > Health information and education > Health promotion
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and treatment > Health care programme, service or facility > Community-based treatment (primary care)
MM-MO Crime and law > Substance use laws > Alcohol laws (liquor licensing)
MP-MR Policy, planning, economics, work and social services > Policy > Policy on substance use > Harm reduction policy
MP-MR Policy, planning, economics, work and social services > Marketing and public relations (advertising)
MP-MR Policy, planning, economics, work and social services > Substance industry, trade or business
VA Geographic area > Europe > United Kingdom > Scotland
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