© 2008 American Public Health Association DOI: 10.2105/AJPH.2007.122960
Donna Shelley, M. Jennifer Cantrell, Joyce Moon-Howard, and Destiny Q. Ramjohn are with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY. Nancy VanDevanter is with the New York University College of Nursing, New York. Correspondence: Requests for reprints should be sent to Donna Shelley, Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th St, 9th floor, New York, NY 10032 (e-mail: drs26{at}columbia.edu). We thank Callaghan et al. for sharing their innovative strategy for assessing illicit cigarette sales among psychiatric patients. Their findings are an important addition to the growing literature on the potential burden of cigarette tax increases on marginalized smokers. This issue is not isolated to one low-income community in New York City. Rather, it has broader implications for a range of high-risk groups, including psychiatric patients and substance abusers. There is a need to consider the ethical dilemmas posed by certain tobacco control policies—in this case, tax policy—to ensure that the tobacco control community is responsive to the needs of the most at-risk populations.1 As Fox so aptly notes, "through the increased use of ethics in tobacco control, the public health community may be better positioned to claim the high road as the protector of the publics interests."2(p1) Accepted for publication August 3, 2007. References
1. Fox BJ, Cohen JE. Tobacco harm reduction: a call to address the ethical dilemmas. Nicotine Tob Res. 2002; 4(suppl 2):S81–S87. 2. Fox BJ. Framing tobacco control efforts within an ethical context. Tob Control. 2005;14(suppl 2): ii38–ii44.
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