The need for a conceptual understanding of the macro and meso commercial determinants of health inequalities

We welcome the comments from Diderichsen et al. on our review in which they helpfully argue that thinking about commercial determinants of health (CDOH) should be expanded beyond its current focus of attention. They are right to point to the role of the commercial influences in other sectors, and their examples of education and social care are well chosen. We certainly agree the interaction between commercial and political driving forces is critical and needs to be made more visible. This is something we and others have called for,1 and something a recent review on the definitions of CDOH identified as an important element of a broader definition.2