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禁止在公园和海滩吸烟:去正常化的科学、政策与政治。

Banning smoking in parks and on beaches: science, policy, and the politics of denormalization.

机构信息

Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York City, NY, USA.

出版信息

Health Aff (Millwood). 2013 Jul;32(7):1291-8. doi: 10.1377/hlthaff.2012.1022.

Abstract

Campaigns to limit tobacco use started in the 1970s and have led to bans on public smoking, which have been extended to parks and beaches. A review of state and local statutes shows that during 1993-2011, smoking was banned in 843 parks and on 150 beaches across the United States. Three justifications for these restrictions have been invoked: the risk of passive smoke to nonsmokers, the pollution caused by cigarette butts, and the long-term risks to children from seeing smoking in public. Our analysis of the evidence for these claims found it far from definitive and in some cases weak. What, then, accounts for the efforts to impose such bans? We conclude that the impetus is the imperative to denormalize smoking as part of a broader public health campaign to reduce tobacco-related illness and death. Although invoking limited evidence may prove effective in the short run, it is hazardous for public health policy makers, for whom public trust is essential.

摘要

限制烟草使用的运动始于 20 世纪 70 年代,已导致公共场所禁烟令的出台,该禁令已扩大到公园和海滩。对州和地方法律法规的审查表明,在 1993 年至 2011 年期间,美国有 843 个公园和 150 个海滩禁止吸烟。这些限制的理由有三个:被动吸烟对不吸烟者的风险、烟头造成的污染以及儿童长期在公共场所吸烟的风险。我们对这些说法的证据进行分析后发现,这些证据远非定论,在某些情况下还很薄弱。那么,是什么促使人们努力实施这些禁令呢?我们的结论是,推动实施这些禁令的动力是必须将吸烟视为一种常态,这是减少与烟草相关的疾病和死亡的更广泛的公共卫生运动的一部分。尽管援引有限的证据在短期内可能有效,但这对公共卫生政策制定者来说是有风险的,因为他们的公信力是至关重要的。

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