Stigma and the ethics of public health: Not can we but should we

Bayer, Ronald

doi:10.1016/j.socscimed.2008.03.017

Cited by 294 publications

(190 citation statements)

References 30 publications

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“…Ron Bayer's article sparks a lively debate with Scott Burris on whether there is ever justification for deploying stigma as an instrument of social control to discourage unhealthy behaviors (Bayer, 2008;Burris, 2008). A little context is in order to introduce the controversy.…”

Section: Implications Of These Themes For Public Health Practicementioning

confidence: 99%

“…Alternatively, are they simply behaviors that the majority in society disapproves of and, this disapproval is justified because there are potential benefits for the individuals who partake in these behaviors and for society? Ron Bayer's article takes up the question of how public health ought to balance the burdens imposed by stigmatization against the public health benefits it might produce (Bayer, 2008). Bayer proposes a framework for thinking about stigma and the ethics of public health focusing on the complex interaction between the utilitarian moral underpinnings of public health, respect for rights and distributive justice.…”

Section: Implications Of These Themes For Public Health Practicementioning

confidence: 99%

See 1 more Smart Citation

Stigma, prejudice, discrimination and health

Stuber

Meyer²,

Link³

2008

Social Science & Medicine

297

236

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Section: Implications Of These Themes For Public Health Practicementioning

confidence: 99%

Section: Implications Of These Themes For Public Health Practicementioning

confidence: 99%

Stigma, prejudice, discrimination and health

Stuber

Meyer²,

Link³

2008

Social Science & Medicine

297

236

View full text Add to dashboard Cite

“…Critics have noted, however, that this 'shaming' approach could increase stigmatisation of lower income smokers and exacerbate existing health inequalities (eg. Bayer, 2008;Bell et al, 2010aBell et al, , 2010b. Therefore we face a situation in the UK where, whilst tobacco use and cigarette smoking continue to fall, a growing market of different and more complex 'delivery systems' and 'vape' products such as e-cigarettes and e-shisha are becoming increasingly popular with some young people.…”

Section: Introductionmentioning

confidence: 99%

“Skittles & Red Bull is my favourite flavour”: E-cigarettes, smoking, vaping and the changing landscape of nicotine consumption amongst British teenagers – implications for the normalisation debate

Measham

O’Brien

Turnbull

2016

Drugs: Education, Prevention and Policy

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Additional information:Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Aims: From an academic discourse explaining trends in drug-related attitudes and behaviours, 'normalisation' now also encompasses public health policy advocating 'denormalisation' of smoking. This study explored young people's attitudes and behaviours to cigarettes and ecigarettes to ascertain whether a process of 'renormalisation' was underway. Methods: A six-month multi-method study was conducted in NW England. Data collection in AprilJuly 2014 included a convenience sample survey of 233 students; secondary analysis of a 3,500 respondent survey; stakeholder interviews; participant observation sessions; focus groups; and participatory research events with over 100 students. Findings: Young people used e-cigarettes primarily for flavour combinations and to perform 'tricks'; with the public performance of 'vaping' valued as an indicator of experienced use.Smoking cessation and nicotine consumption were less important motivations. When comparing e-cigarettes with eight indicators of normalisation -additionally, legal status and risk perceptionthere were indications of a growing cultural accommodation of 'vaping'. Conclusion:The changing landscape of nicotine and non nicotine products challenges traditional conceptualisations of 'smoking' and 'non-smoking' and problematises the notion of linear processes of normalisation in respect not just of young people's tobacco and nicotine use, but more generally, of delivery systems and the drugs dispensed within them, suggesting marketplacedifferentiated normalisation.

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“…In light of the increasing socio-economic inequalities in smoking (Graham, 2012;Thompson, Pearce, & Barnett, 2007), there has been significant debate about the ethics of deliberately stigmatising smoking and smokers through public health policy (Bayer, 2008;Guttman & Salmon, 2004;Stuber, Galea, & Link, 2009). Although tobacco use is legal, it has been argued that stigma is being used as a tool to replace the prohibition of tobacco use (Bell, Salmon, Bowers, Bell, & McCullough, 2010).…”

Section: Smoking-related Stigmamentioning

confidence: 99%

Differential access to health care and support? A qualitative analysis of how Australian smokers conceptualise and respond to stigma

Wigginton

Morphett

Gartner

2016

Critical Public Health

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Scholarship on stigma, originally theorised as a 'mark' of social disgrace or difference, has since moved away from individual-level analyses to consider the socio-cultural context in the 'marking' of groups of people. In response to this theoretical shift, scholars have demonstrated how extensive tobacco denormalisation policies have contributed to the stigmatisation of smokers, documenting smokers' experiences of stigma across a number of developed countries.We extend this analysis to the Australian context, examining smokers' constructions of stigma and their reactions to policies that would give smokers differential access to healthcare. Based on 29 interviews with Australian smokers, we focus on what constitutes evidence of stigma and how participants' use social comparisons to respond to stigma. We then explore an assumption underpinning participants' accounts of stigma: that only smokers committed to cessation are 'deserving' of treatment. We close by discussing theoretical perspectives and opportunities in stigma research and the need to extend a stigma lens to study emerging public health issues, such as electronic cigarettes.

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Stigma and the ethics of public health: Not can we but should we

Cited by 294 publications

References 30 publications

Stigma, prejudice, discrimination and health

Stigma, prejudice, discrimination and health

“Skittles & Red Bull is my favourite flavour”: E-cigarettes, smoking, vaping and the changing landscape of nicotine consumption amongst British teenagers – implications for the normalisation debate

Differential access to health care and support? A qualitative analysis of how Australian smokers conceptualise and respond to stigma

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