Science, politics, and ideology in the campaign against environmental tobacco smoke.
The issue of environmental tobacco smoke (ETS) and the harms it causes to nonsmoking bystanders has occupied a central place in the rhetoric and strategy of antismoking forces in the United States over the past 3 decades. Beginning in the 1970s, anti-tobacco activists drew on suggestive and incomplete evidence to push for far-reaching prohibitions on smoking in a variety of public settings. Public health professionals and other antismoking activists, although concerned about the potential illness and death that ETS might cause in nonsmokers, also used restrictions on public smoking as a way to erode the social acceptability of cigarettes and thereby reduce smoking prevalence. This strategy was necessitated by the context of American political culture, especially the hostility toward public health interventions that are overtly paternalistic.
Bayer
Ronald
R
Program in the History and Ethics of Public Health and Medicine, Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. rb8@columbia.edu
Colgrove
James
J
D002961:Civil Rights; D003469:Culture; D019317:Evidence-Based Medicine; D006801:Humans; D026706:Paternalism; D011057:Politics; D011634:Public Health / Q000331:legislation & jurisprudence*; D018570:Risk Assessment; D012907:Smoking / Q000208:ethnology / Q000331:legislation & jurisprudence*; D000074606:Smoking Prevention; D011049:Social Control Policies / Q000331:legislation & jurisprudence*; D013240:Stereotyping; D019460:Tobacco Industry / Q000639:trends; D014028:Tobacco Smoke Pollution / Q000009:adverse effects* / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D014481:United States; D014492:United States Public Health Service
D014028:Tobacco Smoke Pollution