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AJPH First Look, published online ahead of print Nov 29, 2005
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American Journal of Public Health, 10.2105/AJPH.2005.071886

Health Policy and Ethics

Tobacco Control, Stigma, and Public Health

Ronald Bayer Bayer 1 Jennifer Stuber 2*

1 Mailman School of Public Health, Columbia University
2 Columbia University

* To whom correspondence should be addressed. E-mail: js2642{at}columbia.edu.


  Abstract

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 dead end; or a signal of public health achievement? If the latter is the case, are there unacknowledged costs? (Am J Public Health. 2006;96:XXX-XXX. doi:10.2105/ AJPH.2005.071886)

Key Words: Ethics, Human Rights, Environmental Tobacco Smoke, Smoking Cessation, Tobacco Control




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