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科学、宣传与健康政策:新西兰烟草之战的教训

Science, advocacy and health policy: lessons from the New Zealand tobacco wars.

作者信息

Beaglehole R

出版信息

J Public Health Policy. 1991 Summer;12(2):175-83.

PMID:1885759
Abstract

The New Zealand Smoke-Free Environments Act was passed in August 1990 and is a central component of a comprehensive tobacco control policy. The passage of the Act was preceded by a long campaign. The essential components of this campaign were: international scientific evidence and the estimates of tobacco-caused mortality in New Zealand; activists groups supported by established health charities and the health professions; a sympathetic Health Department bureaucracy; a committed and powerful Minister of Health; and a relatively weak industry. The legislation passed despite adverse timing, the absence of bipartisan political support, and the pressure of industry-supported sports lobby groups. The campaign provides a model for other health issues in New Zealand and lessons for the tobacco wars elsewhere.

摘要

《新西兰无烟环境法案》于1990年8月通过,是全面控烟政策的核心组成部分。该法案的通过之前经历了漫长的运动。这场运动的基本要素包括:国际科学证据以及新西兰烟草所致死亡率的估计;得到老牌健康慈善机构和卫生专业人士支持的维权团体;态度支持的卫生部官僚机构;一位坚定且有影响力的卫生部长;以及相对弱势的烟草行业。尽管时机不利、缺乏两党政治支持以及受到行业支持的体育游说团体的压力,该立法仍得以通过。这场运动为新西兰的其他健康问题提供了一个模式,也为其他地方的烟草之战提供了教训。

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