Department of Anthropology, University of British Columbia, Canada.
Sociol Health Illn. 2010 Sep;32(6):914-29. doi: 10.1111/j.1467-9566.2010.01251.x. Epub 2010 May 26.
Over the past decade, the strategy of 'denormalising' tobacco use has become one of the cornerstones of the global tobacco control movement. Although tobacco denormalisation policies primarily affect people on the lowest rungs of the social ladder, few qualitative studies have explicitly set out to explore how smokers have experienced and responded to these legislative and social changes in attitudes towards tobacco use. Drawing on a qualitative study of interviews with 25 current and ex-smokers living in Vancouver, Canada, this paper examines the ways they interpret and respond to the new socio-political environment in which they must manage the increasingly problematised practice of tobacco smoking. Overall, while not opposed to smoking restrictions per se, study participants felt that recent legislation, particularly efforts to prohibit smoking in a variety of outdoor settings, was overly restrictive and that all public space had increasingly been 'claimed' by non-smokers. Also apparent from participants' accounts was the high degree of stigma attached to smoking. However, although the 'denormalisation' environment had encouraged several participants to quit smoking, the majority continued to smoke, raising ethical and practical questions about the value of denormalisation strategies as a way of reducing smoking-related mortality and morbidity.
在过去的十年中，“使吸烟行为正常化”策略已成为全球烟草控制运动的基石之一。尽管烟草去正常化政策主要影响社会底层的人群，但很少有定性研究明确探讨吸烟者如何体验和应对这些立法和社会对烟草使用态度的变化。本文借鉴了对 25 名居住在加拿大温哥华的现吸烟者和前吸烟者的访谈的定性研究，考察了他们如何解释和应对他们必须管理日益复杂化的吸烟行为的新的社会政治环境。总的来说，尽管研究参与者本身并不反对吸烟限制，但他们认为最近的立法，特别是禁止在各种户外场所吸烟的努力过于严格，所有公共空间都越来越被非吸烟者“占据”。参与者的描述中还明显存在与吸烟有关的高度污名化。然而，尽管“去正常化”环境促使一些参与者戒烟，但大多数人仍继续吸烟，这就引发了关于将去正常化策略作为降低与吸烟有关的死亡率和发病率的一种方式的价值的伦理和实际问题。
