Urbanization and International Trade and Investment Policies as Determinants of Noncommunicable Diseases in Sub-Saharan Africa

Ashley Schram, Ronald Labonte, David Sanders

    Research output: Contribution to journalArticlepeer-review

    24 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)281-301
    Number of pages21
    JournalProgress in Cardiovascular Diseases
    Volume56
    Issue number3
    DOIs
    Publication statusPublished - Nov 2013

    Bibliographical note

    Copyright:
    Copyright 2014 Elsevier B.V., All rights reserved.

    Keywords

    • Globalization
    • Noncommunicable disease
    • Trade and investment
    • Unhealthy diet
    • Urbanization

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