A public health perspective on small business development: a review of the literature

Federal spending on non-health entitlement programs, including the Earned Income Tax Credit and SNAP, has decreased as a percent of GDP since 2011, putting social safety net and community and economic development funding at risk. As an important component of community development, small business support programs are also at risk under social spending cuts. While theory suggests that a strong small business sector could protect health by improving socioeconomic conditions and reducing unemployment, the public health implications of reduced support for small business has not been explored. We conducted a scoping literature review of studies indexed by Pubmed, Cochrane Review, Google Scholar, and Academic Search Premier. The literature suggests that small businesses may provide social and economic benefits to communities that likely protect health, especially in economically deprived communities. These health impacts should be considered when policy-makers weigh decisions that affect small businesses and funding for community and economic development.