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首页> 外文期刊>Social science and medicine >Smoking, stigma and tobacco 'denormalization': Further reflections on the use of stigma as a public health tool. A commentary on Social Science & Medicine's Stigma, Prejudice, Discrimination and Health Special Issue (67: 3).
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Smoking, stigma and tobacco 'denormalization': Further reflections on the use of stigma as a public health tool. A commentary on Social Science & Medicine's Stigma, Prejudice, Discrimination and Health Special Issue (67: 3).

机译：吸烟，污名和烟草“非正常化”：对使用污名作为公共卫生工具的进一步思考。社会科学与医学的污名，偏见，歧视和健康特刊评论（67：3）。

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摘要

In recent years, addictions policy has stressed the need to counteract stigmatization in order to promote public health. However, as recent observers have noted, through the widespread implementation of tobacco 'denormalization' strategies, tobacco control advocates appear to have embraced the use of stigma as an explicit policy tool. In a recent article, Ronald Bayer (2008) argues that the mobilization of stigma may effectively reduce the prevalence of smoking behaviors linked to tobacco-related morbidity and mortality and is therefore not necessarily antithetical to public health goals. This commentary takes up this question of whether stigmatizing smoking may ultimately serve the interests of public health. Through an examination of the unique contours of tobacco control policy, we suggest that stigmatizing smoking will not ultimately help to reduce smoking prevalence amongst disadvantaged smokers - who now represent the majority of tobacco users. Rather, it is likely to exacerbate health-related inequalities by limiting smokers' access to healthcare and inhibiting smoking cessation efforts in primary care settings.
机译：近年来，成瘾政策强调必须消除污名化，以促进公共卫生。但是，正如最近的观察家所指出的那样，通过广泛实施烟草“非正常化”战略，控烟倡导者似乎已经接受了将污名化作为明确的政策工具。罗纳德·拜耳（Ronald Bayer，2008年）在最近的一篇文章中认为，耻辱的动员可以有效地减少与烟草相关的发病率和死亡率相关的吸烟行为的流行，因此不一定与公共卫生目标相反。这篇评论讨论了这样的问题：冒名顶替吸烟是否最终会符合公共卫生的利益。通过检查烟草控制政策的独特轮廓，我们建议对吸烟进行污名化最终不会帮助降低弱势烟民中的吸烟率，这些弱势烟民现在代表着大多数烟草使用者。相反，它有可能通过限制吸烟者获得医疗保健并抑制初级保健机构的戒烟努力而加剧与健康有关的不平等现象。

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