Online Program

Missing Links: The centrality of globalization and trade in the development of NCDs in low-income countries

Tuesday, November 3, 2015 : 9:30 a.m. - 9:50 a.m.

Paul Kadetz, PhD, MPH, MSN, Department of Public Health, Marshall University, Huntington, WV
The normative discourse for the promotion of health and the prevention of non-communicable diseases (NCDs) reduces understandings of causality and public health interventions to the micro-level of the individual and their health behaviors. However, this discourse assumes that any individual can foster and promote such behavioral changes regardless of their environment. Yet in research conducted at community levels in Guatemala, the Philippines and Tanzania, built-environments were identified to negatively affect such changes in individual health behaviors. Just as an obesogenic environment can provide a breeding ground for obesity, so to can built environments foster non-communicable diseases. Using mixed-methods research this comparative analysis in Guatemala, the Philippines, and Tanzania identifies myriad complex social determinants that impact the development of NCDs particularly at international/global levels of trade, Foreign Direct Investment and globalization processes that affect local health beliefs and behaviors. Thus, to focus primarily on individual health behavior is to assume that the individual is somehow partitioned from these other influences. This paper concludes that in order to effectively engender change, the discourse of health policy and health promotion and management needs to consider the full complexity of factors, particularly the macro-level factors of trade and globalization, that have led to the current rapid exponential increase in NCDs in low- and middle- income countries.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related public policy
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify how trade and trade policies affect the exponential growth of NCDs in low-income countries. problematize how the normative health promotion and prevention discourse fails to include trade and resulting built-environment changes in approaches to individual health behavior changes.

Keyword(s): Chronic Disease Management and Care, International Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted and analysed this research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.