Nicotine - Stigma: Difference between revisions

===2013: [https://journals.sagepub.com/doi/abs/10.1177/009145091304000107 After the Smoke Has Cleared: Reflections from a Former Smoker and Tobacco Researcher]===

*I use the terms “tobacco user” and “people who smoke” to counter the pejorative implications of the term “smoker(s)”

*I found that most of the tobacco and health advocates I encountered held dismissive and demeaning views about people who smoke...

===2008: [https://www.tandfonline.com/doi/abs/10.1080/09581590802687358 Tobacco control and the inequitable socio-economic distribution of smoking: smokers’ discourses and implications for tobacco control]===

*Few low SES smokers questioned their smoking status, instead framing smoking as a ‘fact of life’. However, there was also a clear sense that tobacco control, and its adherents, are contributing to a sense of stigmatised identity for these smokers.

*Smokers reported feeling shame, guilt and embarrassment for their smoking behavior and used words such as “leper,” “outcast,” “bad person,” “low-life” and “pathetic” to describe themselves, the study found. These feelings increased after failed attempts to quit smoking.

===2022: [https://www.sciencedirect.com/science/article/pii/S2772628222000103 Reducing stigma triggered by assessing smoking status among patients diagnosed with lung cancer: De-stigmatizing do and don't lessons learned from qualitative interviews]===

===2021: [https://www.lungcancercoalition.org/wp-content/uploads/2021/03/Great-Britain-national-data-pack-FINAL.pdf Great Britain: symptom awareness and attitudes to lung cancer Findings from a global study]===

*One in four (25%) people in the UK agreed that they have less sympathy for people with lung cancer than other forms of cancer. Globally, one in five (21%) people agreed that they have less sympathy for people with lung cancer than other forms of cancer.

===2014: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4634635/ Lung Cancer Stigma, Anxiety, Depression and Quality of Life]===

*The results of this study confirm our previous findings that LCS [lung cancer stigma] is positively correlated with anxiety and depression and negatively correlated with QOL [quality of life].

=='''Studies, Papers, Reports - Employment and/or Insurance (People Who Use Nicotine)'''==

===2017: [https://www.cambridge.org/core/journals/journal-of-law-medicine-and-ethics/article/abs/stigmatizing-the-unhealthy/A5459EB669E1C69C9326C13915D6E379 Stigmatizing the Unhealthy]===

*The very fact that the Affordable Care Act moved away from health status-based rating in the individual market, with conspicious exceptions for tobacco use and wellness program participation, is telling. The ACA then suffers from an internal tension. On one hand, its supporters framed it as “a civil rights bill for the sick.” On the other, despite eliminating health insurance practices that explicitly disadvantage people based on health, the ACA permits — even encourages — health insurers to charge more to people who use tobacco. Pursuant to the tobacco surcharge, an insurer can opt to charge a tobacco user up to fifty percent more for the same health plan. While many health insurance companies may not opt to charge the full penalty, the ones that do could price out smokers and other tobacco users.

*It then comes as no real surprise that the Affordable Care Act’s tobacco surcharge may actually backfire, leading people to drop health insurance rather than to quit smoking. Given both the intervention’s ineffectiveness and its lack of a clear justification for regulating tobacco use and no other health status, we propose that singling out tobacco users may be the result of animus.

=Suggestions to add to this page=

===2025: [https://www.linkedin.com/pulse/nonprofit-jargon-divides-here-words-use-jzsve/ Nonprofit Jargon Divides. Here Are Words to Use Instead.]===

===2021: [https://pmc.ncbi.nlm.nih.gov/articles/PMC8992888/ Avoiding Ableist Language: Suggestions for Autism Researchers]===

* Central to our discussion is the research literature concerned with the concept of state-paternalism in tobacco control—the line between an ethically justified interference with the freedom of those who smoke and an exaggerated infringement disproportionate to the same people’s right to live as they choose.

* In countries with an already advanced infrastructure for tobacco control, this dilemma might become quite intrusive for regulators. We ask that if people, who smoke are aware of and have accepted the risks, are willing to pay the price, smoke exclusively in designated areas, and make decisions uninfluenced by persuasive messages from manufacturers—is a further tightening of anti-smoking measures still legitimate?

* Karl Erik Lund and Gunnar Saebo; Harm Reduction Journal (2024) 21:33https://doi.org/10.1186/s12954-024-00951-w

* Funding: Norwegian Institute of Public Health (Governmental)

===2023: [https://academic.oup.com/cid/article/76/10/1860/7016316 Call to Action: Prioritizing the Use of Inclusive, Nonstigmatizing Language in Scientific Communications]===

===2023: [https://www.psychiatrist.com/pcc/addiction/substance-use-disorders/curbing-physician-stigma-toward-adolescents-with-nicotine-opiate-use/ Curbing Physician Stigma Toward Adolescents With Nicotine and Opiate Use]===

===2022: [https://vimeo.com/showcase/9893575/video/779678704 Clive Bates at E-Cig Summit 2022]===

*Ontology - Stigmatizing labels. The difference between addiction and dependence.

===2014: [https://www.amjmed.com/article/S0002-9343(14)00770-0/fulltext Stop Talking ‘Dirty’: Clinicians, Language, and Quality of Care for the Leading Cause of Preventable Death in the United States]===

===2008: [https://pubmed.ncbi.nlm.nih.gov/18502551/ Stigma and the ethics of public health: not can we but should we]===