October 4, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)01293-6

Governing the digital determinants of health for children and young people: a global public health imperative

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The authors explore how digital determinants of health—shaped by infrastructures, business models, and design choices—impact health outcomes for children and young people, and argue for a comprehensive governance approach that integrates these factors into public health policy. They propose four key governance domains to address these determinants and emphasize the need for intersectoral strategies to mitigate health inequities. Ultimately, they advocate for recognizing the governance of digital health determinants as a fundamental public health function, prioritizing the well-being of younger populations.

Barbara Prainsack, Rohinton P Medhora, Ilona Kickbusch

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