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July 5, 2026Globalization and HealthOpen Access

Addressing the commercial determinants of unhealthy beverage exposure: a systems thinking approach

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Authors

MWMegan R. WinklerEmory UniversityYMYeeli MuiJohns Hopkins UniversityASAlexis SmithEmory University

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Implication

Randomized trial explores the impact of commercial influences on beverages, suggesting actions for healthier choices.

Key Points

  • This study aimed to understand the complex forces driving the consumption of unhealthy beverages and their inequitable impacts on health.
  • Facilitated a participatory group model building project with 28 national experts.
  • Conducted workshops and interviews to gather insights and supplemented with research evidence.
  • Developed a systems model to illustrate the mechanisms behind unhealthy beverage sales and consumption.
  • Identified multiple pathways through which the beverage industry protects its profits and maintains influence.
  • Highlighted the role of normalizing product purchasing and shaping public opinion on beverage consumption.
  • Demonstrated how health and environmental consequences create feedback loops that undermine health promotion efforts.

Cite This Study

Winkler et al. (2026) studied this question.

synapsesocial.com/papers/6a49f3b0f5d1d45b287ff983https://doi.org/10.1186/s12992-026-01228-6
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