New Steps for Tobacco Control In and Outside of China

New Steps for Tobacco Control In and Outside of China
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DOI:
10.1177/1010539510373012
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发表时间:
2010-07-01
影响因子:
2.5
通讯作者:
Kohrman, Matthew
Kohrman, Matthew
中科院分区:
医学4区
文献类型:
--
作者:
Kohrman, Matthew

文献摘要

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在中国,在过去的十年里,市民很少鼓动反对香烟的无处不在,与此同时,烟草产品每年导致100多万人死亡,控烟项目在后勤支持、话语关注和资金方面都有了显著增长。在这篇文章中,作者认为中国对烟草的持续沉默部分源于公共卫生倡导者的战略误判。中国的控烟主张专业知识、人口管理、卫生经济学、疾病病因学和理性选择的概念逻辑,没有把香烟的政治经济来源、烟草造成的社会苦难以及道德、日常做法和愿望捆绑在一起,将公民和香烟捆绑在一起形成社会网络。这篇文章运用人类学的研究,描述了这些战略误判是如何展开的,并提出了一些建议,以帮助公共卫生倡导者帮助中国公民实现反对烟草的集体目标。
In China during the last decade, citizens have rarely agitated against the ubiquity of cigarettes, at the same time that tobacco products have been responsible for killing more than a million people a year and tobacco-control programs have been enjoying a marked growth in logistical support, discursive attention, and funding. In this article, the author argues that China's ongoing popular quiescence regarding tobacco stems in part from strategic miscalculations that public health advocates are making. Favoring conceptual logics of expertise, population management, health economics, disease etiology, and rational choice, tobacco control in China is leaving unproblematized the political economic sources of cigarettes, the social suffering tobacco generates, and the ethics, everyday practices, and desires binding citizens and cigarettes together into webs of sociality. Bringing anthropological research to bear, the article describes ways that these strategic miscalculations have unfolded and makes suggestions for alternative ways that public health advocates can help Chinese citizens achieve the collective purpose to repudiate tobacco.