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Chapter 8

HLTH 101 Chapter Notes - Chapter 8: Smoking Cessation, Tobacco Control, Academic Journal

Health Studies
Course Code
HLTH 101
Elaine Power

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Addiction 15/03/2018 22:31:00
Smoking voigts article
Abstract intro/Conclusion
Lower income are in an env that makes starting to smoke easier
and quitting more diff
Tob advertising targets the lower class
Tobacco control policies need to be implem for dis groups
Info about health risks
Little awareness about the risks ass w/ smoking (lower ses
Targetes advertising
target low income groups
Smoking norms & social meanin os smoking
Smoking has become normal in certain contexts
Expresses identity & belonging
Psychological factors
Lower ses using smoking as stress relief
Cessation resources
Those of lower ses are less likely to be successful in quitting
Smoking, Justice & Indiv Choice
Majority smokrs become addicted as adol they were not
informed of the dangers/conseq of smoking (less access to info)
The degree to which we can hold smokers accountable for their
choices depends on their background and how easily their
choices could have been avoided
Dis groups are exposed to a range of factors that make cessation
more diff
NOT choice made freely b/s unaware of consequences
Social Justice, Tobacco Control and Paternalism
There are many challenges associated with a just plan for
Main benefit: health benefits from tobacco control indiv who
smoke less or prevent starting
Tobacco control policies, for those who do not choose to quit,
may cause marginalisation & stigma and thus decrease their well
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o Advertising is often targeted at the lower class
o Paternalism can contribute to equality by protecting those
who are more prone to smoking.
Paternalism not knowing what’s best for yourself therefore there are
rules to guide what you are allowed to do.
Voigts believes - But if you allow paternalism to guide regulation you
might cause more separation/marginalisation
Voigt, K. (2010). Smoking and Social Justice. Public Health Ethics,
3(2), 91-106.
Dr. Kristen Voigt is a philosopher of public health, and is an Assistant
Professor, jointly appointed in the Institute for Health and Social Policy
and the Department of Philosophy, at McGill University. She received her
doctorate in Political Theory from the University of Oxford in 2008. This
article is her original research, based in the philosophical literature, about
the public health ethics of smoking and tobacco control policies and
legislation. It is published in a highly regarded academic journal, Public
Health Ethics. While the language and style of writing is sometimes
difficult and may be unfamiliar to you, the issues she raises are important
ones in thinking about fairness and justice in public health and public
health interventionsin other words, in thinking about what governments
(through public health) should do about reducing the rates of preventable
disease and death. What is reasonable and unreasonable? What is fair or
just vs. unfair or unjust? Is paternalism (i.e., taking away choice)
While we often think of smoking as an “individual choice,” it is also a
public health issue because it is a major contributor to the leading causes
of preventable death (e.g., heart disease and cancer). This means that
governments, through public health, have taken aggressive measures to
curb smoking and to prevent people from starting to smoke. As Voigt
argues in this article, there are circumstances and factors that constrain
or limit choice for some groups of people, making it a social (and
sociological) issue. She raises the question of whether governments
should be even more aggressive in tackling smoking prevention and
Please note that in her article, Voigt is considering smoking in a global
context, including industrialized, wealthy countries and low- and middle-
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