Tobacco control, stigma, and public health: Rethinking the relations
Tobacco control, stigma, and public health: Rethinking the relations
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DOI：
10.2105/ajph.2005.071886
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发表时间：
2006-01-01
影响因子：
12.7
通讯作者：
Stuber, J
中科院分区：
文献类型：
--
作者：
Bayer, R;Stuber, J
艾滋病流行见证了污名化带来的可怕负担以及边缘化可能破坏艾滋病毒预防目标的方式。从这一经历中，在公共卫生与人权联系的推动下，人们普遍认为污名化是一种倒退的力量。然而，引人注目的是，反烟草运动促进了一场涉及吸烟者污名化的社会变革。这种转变是否代表了限制烟草使用及其相关发病率和死亡率的努力所带来的令人不安的结果？无效的、适得其反的、道德说教的方法，会导致死胡同；还是公共卫生成就的信号？如果是后者，是否存在未确认的成本？
The AIDS epidemic has borne witness to the terrible burdens imposed by stigmatization and to the way in which marginalization could subvert the goals of HIV prevention. Out of that experience, and propelled by the linkage of public health and human rights, came the commonplace assertion that stigmatization was a retrograde force.Yet, strikingly, the antitobacco movement has fostered a social transformation that involves the stigmatization of smokers. Does this transformation represent a troubling outcome of efforts to limit tobacco use and its associated morbidity and mortality; an ineffective, counterproductive, and moralizing approach that leads to a dead end; or a signal of public health achievement? If the latter is the case, are there unacknowledged costs?