Harm reduction in U.S. tobacco control: Constructions in textual news media

The International Journal on Drug Policy
Michael H Eversman

Abstract

U.S. tobacco control has long emphasized abstinence, yet quitting smoking is hard and cessation rates low. Tobacco harm reduction alternatives espouse substituting cigarettes with safer nicotine and tobacco products. Policy shifts embracing tobacco harm reduction have increased media attention, yet it remains controversial. Discourse theory posits language as fluid, and socially constructed meaning as neither absolute nor neutral, elevating certain views over others while depicting "discursive struggle" between them. While an abstinence-based framework dominates tobacco policy, discourse theory suggests constructions of nicotine and tobacco use can change, for example by positioning tobacco harm reduction more favorably. Textual discourse analysis was used to explore constructions of tobacco harm reduction in 478 (308 original) U.S. textual news media articles spanning 1996-2014. Using keyword database sampling, retrieved articles were analyzed first as discrete recording units and then to identify emergent thematic content. Constructions of tobacco harm reduction shifted over this time, revealing tension among industry and policy interests through competing definitions of tobacco harm reduction, depictions of its underlying sc...Continue Reading

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Citations

Apr 22, 2015·The International Journal on Drug Policy·Kirsten Bell, Gerry V Stimson
Mar 2, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Tamar AntinGeoffrey Hunt
May 28, 2016·The Cochrane Database of Systematic Reviews·Kate FrazerCecily Kelleher
Jun 2, 2018·Harm Reduction Journal·Tamar M J AntinEmile Sanders
Jul 2, 2016·Proceedings·J Drew PayneKenneth Nugent
Jun 3, 2021·International Journal of Environmental Research and Public Health·Tamar M J AntinRachelle Annechino

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