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The double burden of neoliberalism? Noncommunicable disease policies and the global political economy of risk

Glasgow, Sara; Schrecker, Ted

The double burden of neoliberalism? Noncommunicable disease policies and the global political economy of risk Thumbnail


Authors

Sara Glasgow

Ted Schrecker



Abstract

The growing prevalence of NCDs in low- and middle-income countries (LMICs) is now recognized as one of the major global health policy issues of the early 21st century. Current official approaches reflect ambivalence about how health policy should approach the social determinants of health identified by the WHO Commission on the topic that released its report in 2008, and in particular the role of macro-scale economic and social processes. Authoritative framing of options for NCD prevention in advance of the September, 2011 UN high-level meeting on NCDs arguably relied on a selective reading of the scientific (including social scientific) evidence, and foregrounded a limited number of risk factors defined in terms of individual behavior: tobacco use, unhealthy diet, alcohol (ab)use and physical inactivity. The effect was to reproduce at a transnational level the individualization of responsibility for health that characterizes most health promotion initiatives in high-income countries, ignoring both the limited control that many people have over their exposure to these risk factors and the contribution of macro-scale processes like trade liberalization and the marketing activities of transnational corporations to the global burden of NCDs. An alternative perspective focuses on “the inequitable distribution of power, money, and resources” described by the WHO Commission, and the ways in which policies that address those inequities can avoid unintentional incorporation of neoliberal constructions of risk and responsibility.

Citation

Glasgow, S., & Schrecker, T. (2015). The double burden of neoliberalism? Noncommunicable disease policies and the global political economy of risk. Health & Place, 34, 279-286. https://doi.org/10.1016/j.healthplace.2015.06.005

Journal Article Type Article
Publication Date Jul 1, 2015
Deposit Date Jul 6, 2015
Publicly Available Date Dec 25, 2016
Journal Health & Place
Print ISSN 1353-8292
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 34
Pages 279-286
DOI https://doi.org/10.1016/j.healthplace.2015.06.005
Public URL https://durham-repository.worktribe.com/output/1435162

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Copyright Statement
NOTICE: this is the author’s version of a work that was accepted for publication in Health & place. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Health & place, 34, July 2015, 10.1016/j.healthplace.2015.06.005





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