Mars Sarah G, Ling Pamela M
Center for Tobacco Control Research and Education, University of California, San Francisco, San Francisco, CA 94143-1390, USA.
Am J Public Health. 2008 Oct;98(10):1793-802. doi: 10.2105/AJPH.2007.114124. Epub 2008 Aug 13.
Over the last 50 years, tobacco has been excluded from and then included in the category of addictive substances. We investigated influences on these opposing definitions and their application in expert witness testimony in litigation in the 1990s and 2000s. A scientist with ties to the tobacco industry influenced the selection of a definition of addiction that led to the classification of tobacco as a "habituation" in the 1964 Surgeon General's Advisory Committee report. Tobacco was later defined as addictive in the 1988 surgeon general's report. Expert witnesses for tobacco companies used the 1964 report's definition until Philip Morris Tobacco Company publicly changed its position in 1997 to agree that nicotine was addictive. Expert witnesses for plaintiffs suing the tobacco industry used the 1988 report's definition, arguing that new definitions were superior because of scientific advance. Both sides viewed addiction as an objective entity that could be defined more or less accurately.
在过去的50年里,烟草先是被排除在成瘾物质类别之外,随后又被纳入其中。我们调查了对这些相反定义的影响以及它们在20世纪90年代和21世纪诉讼中的专家证人证词中的应用。一位与烟草行业有关联的科学家影响了成瘾定义的选择,这导致烟草在1964年美国卫生局局长咨询委员会的报告中被归类为“习惯养成”。烟草后来在1988年美国卫生局局长的报告中被定义为成瘾性物质。烟草公司的专家证人一直使用1964年报告中的定义,直到菲利普·莫里斯烟草公司在1997年公开改变立场,同意尼古丁具有成瘾性。起诉烟草行业的原告方的专家证人使用1988年报告中的定义,辩称由于科学进步,新定义更优越。双方都将成瘾视为一个客观实体,可以或多或少准确地进行定义。