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首页> 外文期刊>Progress in Cardiovascular Diseases >Urbanization and international trade and investment policies as determinants of noncommunicable diseases in sub-saharan Africa
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Urbanization and international trade and investment policies as determinants of noncommunicable diseases in sub-saharan Africa

机译：城市化和国际贸易与投资政策是撒哈拉以南非洲非传染性疾病的决定因素

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摘要

There are three dominant globalization pathways affecting noncommunicable diseases in Sub-Saharan Africa (SSA): urbanization, trade liberalization, and investment liberalization. Urbanization carries potential health benefits due to improved access to an increased variety of food imports, although for the growing number of urban poor, this has often meant increased reliance on cheap, highly processed food commodities. Reduced barriers to trade have eased the importation of such commodities, while investment liberalization has increased corporate consolidation over global and domestic food chains. Higher profit margins on processed foods have promoted the creation of 'obesogenic' environments, which through progressively integrated global food systems have been increasingly 'exported' to developing nations. This article explores globalization processes, the food environment, and dietary health outcomes in SSA through the use of trend analyses and structural equation modelling. The findings are considered in the context of global barriers and facilitators for healthy public policy.
机译：影响撒哈拉以南非洲（SSA）非传染病的三种主要全球化途径是：城市化，贸易自由化和投资自由化。由于增加了获取更多种类的粮食进口的机会，城市化带来了潜在的健康益处，尽管对于城市贫困人口的增加，这通常意味着对廉价，高度加工的粮食商品的依赖。贸易壁垒的减少减轻了此类商品的进口，而投资自由化则促进了全球和国内食品链上的公司合并。加工食品的更高利润率促进了“致肥胖”环境的创建，这种环境通过逐步整合的全球食品系统越来越多地“出口”到发展中国家。本文通过使用趋势分析和结构方程模型探索了SSA中的全球化过程，食品环境和饮食健康状况。在全球障碍和促进健康公共政策的促进因素的背景下考虑了这些发现。

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