Framing tobacco control efforts within an ethical context

Framing tobacco control efforts within an ethical context
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DOI:
10.1136/tc.2004.008300
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发表时间:
2005-08-01
期刊:
影响因子:
5.2
通讯作者:
Fox, BJ
Fox, BJ
中科院分区:
医学2区
文献类型:
--
作者:
Fox, BJ

文献摘要

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促进烟草控制的公共卫生努力不是在真空中进行的。它们很容易受到消费者和政策制定者的解释和误解,主要是根据问题的最初框架。本文注意到烟草行业如何建立了一个特殊的框架,即它是个人权利的保护者,公共卫生界正试图消除这些权利。然后,本文展示了公共卫生界如何使用可能无意中支持这一框架的隐喻,并建议通过根据核心伦理原则重新构建公共卫生努力,公共卫生界可以创造更积极的信息。提出了一个公共卫生伦理框架,以审查这些原则的应用如何影响烟草控制运动。通过在烟草控制中更多地使用道德,公共卫生界可能会更好地声称这条大道是公众利益的保护者。
Public health efforts to promote tobacco control are not performed within a vacuum. They are subject to interpretation and misinterpretation by consumers and policymakers based largely upon the initial framing of the issues. This paper notes how the tobacco industry has established a particular frame that it is the protector of individual rights and that the public health community is trying to eliminate those rights. This paper then shows how the public health community uses metaphors that may unintentionally support this framing and suggests that by reframing public health efforts in accordance with core ethical principles, the public health community can create more positive messages. A public health ethical framework is proposed to examine how the application of the principles can influence the tobacco control movement. Through the increased use of ethics in tobacco control, the public health community may be better positioned to claim the high road as the protector of the public's interests.