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dc.contributor.authorBarlow, Pepita
dc.contributor.authorSanap, Rujuta
dc.contributor.authorGarde, Amandine
dc.contributor.authorWinters, L. Alan
dc.contributor.authorMabhala, Mwandile A.
dc.contributor.authorThow, Anne-Marie
dc.date.accessioned2022-05-20T12:38:42Z
dc.date.available2022-05-20T12:38:42Z
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/626880/21TLPlanet0388_Barlow.pdf?sequence=1
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/626880/PIIS254251962200047X.pdf?sequence=4
dc.identifier.citationBarlow P, Sunap R, Garde A, Winters LA, Mabhala MA, Thow AM. (2022) Reassessing the health impacts of trade and investment agreements: a systematic review of quantitative studies, 2016–20. Lancet Planetary Health 6: E431-E438. https://doi.org/10.1016/S2542-5196(22)00047-Xen_US
dc.identifier.urihttp://hdl.handle.net/10034/626880
dc.description.abstractTo ensure a high level of health protection, governments must ensure that health and trade policy objectives are aligned. We conducted a systematic review of the health impacts of trade policies, including trade and investment agreements (TIAs), to provide a timely overview of this field. We systematically reviewed studies evaluating the health impacts of trade policies published between Jan 19, 2016, and July 10, 2020. Included studies were quantitative studies evaluating the impact of TIAs and trade policies on health determinants or outcomes. We evaluated methodological quality and performed a narrative synthesis. 21 of 28 067 articles identified via searches met our criteria. Methodologically strong studies found reduced child mortality, deteriorating worker health, rising supplies of sugar, ultra-processed food, tobacco, and alcohol supplies, and increased drug overdoses following trade reforms, compared with the time periods before trade reform. However, associations varied substantially across contexts and socioeconomic characteristics. Our findings show that trade policies, including TIAs, have diverse effects on health and health determinants. These effects vary substantially across contexts and socioeconomic groups. Governments seeking to adopt healthy trade policies should consider these updated findings to ensure that opportunities for health improvement are leveraged and widely shared, while harms are avoided, especially among vulnerable groups.en_US
dc.publisherElsevieren_US
dc.relation.urlhttps://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00047-X/fulltexten_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.subjectTrade and investment agreementsen_US
dc.subjectDeterminants of healthen_US
dc.subjectHealth impacten_US
dc.titleReassessing the health impacts of trade and investment agreements: a systematic review of quantitative studies, 2016–20en_US
dc.typeArticleen_US
dc.identifier.eissn2542-5196en_US
dc.contributor.departmentLondon School of Economics and Political Science; Univeristy of Liverpool; University of Sussex Business School; University of Chester; University of Sydneyen_US
dc.identifier.journalLancet Planetary Healthen_US
or.grant.openaccessYesen_US
rioxxterms.funderUK Prevention Research Partnershipen_US
rioxxterms.identifier.projectMR/S037535/1en_US
rioxxterms.versionVoRen_US
rioxxterms.versionofrecord10.1016/S2542-5196(22)00047-Xen_US
rioxxterms.licenseref.startdate2022-05-20
dcterms.dateAccepted2022-01-31
rioxxterms.publicationdate2022-05-10
dc.date.deposited20/5/22en_US
dc.indentifier.issn2542-5196en_US


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Attribution 4.0 International
Except where otherwise noted, this item's license is described as Attribution 4.0 International