Tobacco Control, Stigma, and Public Health: Rethinking the Relations
Ronald Bayer, PhD and
Jennifer Stuber, PhD
Ronald Bayer is with the Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, New York, NY. Jennifer Stuber is a Robert Wood Johnson Health and Society Scholar at Columbia University, New York.
Correspondence: Requests for reprints should be sent to Jennifer Stuber, 420 W 118th Street, 8th Floor, Mail Code 3355, New York, NY 10027 (e-mail: js2642{at}columbia.edu).
The AIDS epidemic has borne witness to the terrible burdensimposed by stigmatization and to the way in which marginalizationcould 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 retrogradeforce.
Yet, strikingly, the antitobacco movement has fostered a socialtransformation that involves the stigmatization of smokers.Does this transformation represent a troubling outcome of effortsto limit tobacco use and its associated morbidity and mortality;an ineffective, counterproductive, and moralizing approach thatleads to a dead end; or a signal of public health achievement?If the latter is the case, are there unacknowledged costs?
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