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Understanding the emergence of the tobacco industry's use of the term tobacco harm reduction in order to inform public health policy

机译：了解烟草业使用“减少烟草危害”一词的出现，以便为公共卫生政策提供信息

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摘要

Objectives To explore the history of transnational tobacco companies' use of the term, approach to and perceived benefits of 'harm reduction'. Methods Analysis of internal tobacco industry documents, contemporary tobacco industry literature and 6 semistructured interviews. Results The 2001 Institute of Medicine report on tobacco harm reduction appears to have been pivotal in shaping industry discourse. Documents suggest British American Tobacco and Philip Morris International adopted the term 'harm reduction' from Institute of Medicine, then proceeded to heavily emphasise the term in their corporate messaging. Documents and interviews suggest harm reduction offered the tobacco industry two main benefits: an opportunity to (re-) establish dialogue with and access to policy makers, scientists and public health groups and to secure reputational benefits via an emerging corporate social responsibility agenda. Conclusions Transnational tobacco companies' harm reduction discourse should be seen as opportunistic tactical adaptation to policy change rather than a genuine commitment to harm reduction. Care should be taken that this does not undermine gains hitherto secured in efforts to reduce the ability of the tobacco industry to inappropriately influence policy.
机译：目的探索跨国烟草公司使用“减少危害”的术语，方法和所获利益的历史。方法分析内部烟草业文献，当代烟草业文献和6次半结构化访谈。结果2001年医学研究所关于减少烟草危害的报告似乎对塑造行业话语至关重要。文件表明，英美烟草公司和菲利普·莫里斯国际公司（Philip Morris International）从医学研究所采用了“减少危害”一词，然后在其企业宣传中着重强调该词。文件和访谈表明，减少危害为烟草业带来了两个主要好处：与决策者，科学家和公共卫生团体建立（重新）对话并与之接触的机会，以及通过新兴的企业社会责任议程获得声誉收益的机会。结论跨国烟草公司的减少危害话语应被视为适应政策变化的机会主义策略，而不是对减少危害的真正承诺。应当注意，这不会损害迄今为减少烟草业不适当地影响政策的能力而取得的成就。

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  • 来源
    《Tobacco control》 |2015年第2期|182-189|共8页
  • 作者

    Silvy Peeters; Anna B Gilmore;

  • 作者单位

    Department for Health, University of Bath, Claverton Down, Bath, BA2 7AY, UK;

    Department for Health, University of Bath, Bath, UK;

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