{
  "abstract": "Commercial actors play a vital role in society, yet there is growing evidence that some of their products and practices contribute to avoidable ill health, environmental damage and widening inequalities. These dynamics are increasingly conceptualised as the commercial determinants of health (CDoH), defined as “the systems, practices and pathways through which commercial actors drive health and equity.” A key dimension of CDoH is the role of health-harming industries in shaping exposure to risk factors for non-communicable diseases (NCDs). Tobacco, fossil fuels, ultra-processed foods and alcohol are estimated to account for between 40% and 80% of global NCD deaths. Despite this, progress in implementing effective national policies has stalled, highlighting the need for action at other levels of governance. This workshop brings together updated findings from the Population Health Improvement (PHI) UK research theme, ‘Local Health and Global Profits’ (LHGP), to our knowledge the first project seeking to understand, and address, how commercial and structural determinants shape health and equity at the local level in England. It does so by taking a systems approach, so this session asks: how can local governments effectively respond to the CDoH using a systems perspective? The workshop integrates and presents the evidence generated across multiple work packages (WPs) within LHGP at the mid-point in this ambitious research programme. First, findings from systems mapping with local authorities (WP1) show how a participatory, workshop-based approach can operationalise systems thinking in practice. Second, evidence on actionable solutions (WP2) was systematically reviewed, categorised and presented in ways accessible to local authority teams. Third, initial work examining the barriers and facilitators to action on the CDOH was used to inform the co-development of practical tools and resources to support local action (WP3). Fourth, the workshop presents an economic modelling framework (WP4) that estimates the health, wellbeing, and economic impacts of local policies, illustrated through a case study of HFSS advertising restrictions. Finally, the workshop outlines the consortium’s approach to evaluation (WP6), which seeks to capture both process and impact across diverse local contexts, recognising the adaptive, iterative and long-term nature of systems change. By bringing together empirical evidence, methodological innovation and practical insights, this session aims to advance understanding of how local governments can address the CDoH in a more coordinated, effective way. It will provide participants with a structured overview of emerging tools and approaches, while promoting discussion on how to translate systems thinking into action on the CDoH at the local level.\n\nKey messages: • Local governments are critical in addressing the commercial determinants of health but face challenges in acting effectively.\n\n• This workshop presents a systems-based research approach to supporting and enabling local governments to act on the commercial determinants of health.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "name": "University of Bath (UK)"
    },
    {
      "name": "Anna Gilmore"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7e7n30kvr2kj9.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.226",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13697365/",
  "id": "7e7n30kvr2kj9",
  "issns": [
    "1101-1262",
    "1464-360X"
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  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.226",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "3. PARALLEL PROGRAMME"
    ],
    [
      "heading",
      "AcademicSubjects/MED00860"
    ],
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      "heading",
      "AcademicSubjects/SOC01210"
    ],
    [
      "heading",
      "AcademicSubjects/SOC02610"
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    [
      "openalex",
      "1407|Global Public Health Policies and Epidemiology"
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  ],
  "openalex": "W7223667679",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13697365/pdf/?tool=EBI",
  "pmcid": "PMC13697365",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/7e7n30kvr2kj9.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:26Z",
      "native_id": "PMC13697365",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.226"
    },
    {
      "first_seen": "2026-10-30T12:21:44Z",
      "native_id": "PMC:PMC13697365",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13697365"
    }
  ],
  "subjects": [],
  "title": "O.4. Scientific session: Working to address commercial determinants of health at local government level: Emerging findings",
  "title_text": "O.4. Scientific session: Working to address commercial determinants of health at local government level: Emerging findings",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:34:25Z",
  "url": "https://research.draconitic.com/paper/7e7n30kvr2kj9",
  "venue": "The European Journal of Public Health",
  "versions": []
}