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Small and medium enterprises (SMEs) shape the economic landscape of many countries, acting as the foundation of entrepreneurship, on the one hand, and functioning as a highly sensitive organism requiring special treatment, on the other. The resurgence of the interest in SMEs dates back to about 50 years ago, triggered by an observation of a substantial growth in the number of employees of SMEs operating in highly developed countries and of the resulting increasing role of such enterprises in generating national income. Earlier, it was commonly believed that the significance of SMEs was marginal in the economic reality, especially compared to large enterprises, often considered almost the only driving force behind the economic growth and development of a given country.

Although nowadays SMEs play an important part in both economic and social spheres, they tend to be defined in various ways. The applied criteria are of a quantitative and qualitative nature. Hence, the first part of this chapter offers a description of SMEs presented in these two perspectives. This is followed by a set of statistical data illustrating the significance of SMEs in the global and European economy. This background provides a means to define the food & beverage sector in the context of manufacturing, trade and services and to describe its present condition on the European market. A special emphasis is placed on the situation in six countries that took part in the studies: Spain, Germany, the United Kingdom, Croatia, Poland and Russia.

Adopting the concept of sustainable development is connected with the necessity of redefining marketing strategies and, as a consequence, should also be reflected in the policies adopted for the individual tools. In this chapter, the sustainability marketing mix is considered with regard to five instruments: product, price, place, promotion and people (5P). The aim of the chapter is to investigate the current state of knowledge in this matter as well as the scope for the implementation of the sustainability marketing concept in small and medium-sized enterprises (SME) in the food and drink sector from an international perspective. The international approach has been adopted to try and find out whether in more highly developed countries sustainability marketing activities are comprehensive and include all the marketing tools; and, on the other hand, whether in less-developed markets sustainability marketing activities are limited to the tools for which the concept of sustainable development can theoretically be implemented the most easily, namely, promotional activities and those targeted at a company’s own employees.

Each of the analysed instruments was described from two angles: in terms of the results obtained for the whole research sample, indicating the countries whose respondents had the highest and lowest values for the specific variables defining each marketing mix instrument and in terms of a comparison of two groups of countries, indicating similarities and differences in the opinions of managers on the use of marketing mix instruments in a sustainable way. The chapter concludes with the results obtained through factor analysis, which made it possible to identify the ways in which SME managers in the food and drink sector define the individual sustainability marketing tools.