Abstract：
This paper argues that studies of the \'commercial determinants of health\' (CDoH) need to acknowledge fully the part the capitalist mode of commodity production and exchange plays in producing negative health outcomes. This proposition is supported by recourse to a recent development in political economy that has established a more-than-human, relational and monist (or \'flat\') ontology of capitalism, in place of the more conventional neo-Marxist perspective. This ontology reveals a dynamic to capitalism that operates beyond human intentionality, driven by the supply of, and demand for the capacities of commodities. This dynamic determines the production and consumption of all commodities, some among which (such as tobacco, alcohol and processed foods) contribute to ill-health. A case study of food consumption reveals how these supply and demand affects drive \'unhealthy\' food choices by consumers. Ways to undermine this more-than-human dynamic are offered as an innovative approach to addressing the effects of commerce and capitalism upon health.
摘要：
本文认为，对“健康的商业决定因素”（CDoH）的研究需要充分承认资本主义商品生产和交换模式在产生负面健康结果中所起的作用。这一主张得到了政治经济学的最新发展的支持，该政治经济学建立了一个超越人类的，资本主义的关系和一元论(或“扁平”)本体论，代替更传统的新马克思主义观点。这种本体论揭示了一种超越人类意图的资本主义动态，在供应的驱动下，以及对商品能力的需求。这种动态决定了所有商品的生产和消费，其中一些(如烟草，酒精和加工食品)导致健康不良。对食品消费的案例研究揭示了这些供需如何影响消费者对驱动“不健康”食品的选择。作为解决商业和资本主义对健康影响的创新方法，提供了破坏这种超越人类的动力的方法。
