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LECTURE
LECTURE

Commercial Determinants of Oral Health: Putting Big Food in Small Mouths

Prof Alex Broom
Professor of Sociology Director, Sydney Centre for Healthy Societies. Global Leader in Health Sociology

Why, when we have the capacity to create whatever food environment we choose, have we engineered one so conducive to harm? This talk examines oral ill-health not as a failure of lifestyle or parental responsibility, but as an outcome of financialised food systems that systematically privilege market priorities over nourishment and bodily balance.

Drawing on scholarship on the commercial determinants of health, I argue that childhood oral ill-health is not an unfortunate by-product of modern life but a patterned consequence of contemporary market priorities. Transnational food corporations engineer taste, satiety and desire; governments ‘roll back’ protective regulation while ‘rolling out’ behavioural interventions; and responsibility is displaced onto individuals through the moral economy of lifestyle and choice.

The language of ‘unintended consequences’ functions politically, obscuring how harms are administered through institutional arrangements that externalise costs onto children, families and public systems. Oral ill-health thus becomes a site where structural imbalances and financial growth distortions are sedimented in enamel and embodied over time.

Re-politicising oral health requires moving beyond downstream education toward upstream transformation: confronting corporate power, reasserting regulatory governance, and reframing access to healthy food and drinks as a collective right.

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