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Lecture 9

HLTH 101 Lecture Notes - Lecture 9: Targeted Advertising, Paternalism

Health Studies
Course Code
HLTH 101
Elaine Power

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HLTH 101 󴌇 Lecture 9
Smoking and Social Justice
Smoking is a burden that is biggest on the disadvantaged
This is a problem of social justice
An analysis of the empirical literature reveals a variety of factors󴌈such as targeted
advertising, unequal dissemination of information about the health risks of smoking
and inequalities in smoking norms󴌈that make the disadvantaged more likely to
become smokers and less likely to quit successfully
On the one hand, social justice concerns strengthen the case for tobacco control
policies because such policies disproportionately benefit the health of the
disadvantaged. At the same time, however, we must be particularly sensitive to any
harms associated with such policies because such burdens, too, will fall largely on the
Concern for the well-being of smokers
Generally discussed in terms of the effects of interventions on individual autonomy
and liberty
The disadvantaged are disproportionately harmed by anti-paternalist stances on
tobacco control
Policies can stigmatize smokers rather than helping
How has public health tackled smoking?
On the one hand, the case for tobacco control is strengthened because
disadvantaged groups stand to benefit the most from stronger controls on tobacco.
On the other hand, disadvantaged groups are also more likely to suffer harms, such
as stigmatisation, by public health tobacco control measures.
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