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Framing tobacco control efforts within an ethical context

Correspondence to:
Brion J Fox
University of Wisconsin Comprehensive Cancer Center, 385 WARF, 610 Walnut Street, Madison, WI 53726, USA; bjfox{at}uwccc.wisc.edu

Public health efforts to promote tobacco control are not performed within a vacuum. They are subject to interpretation and misinterpretation by consumers and policymakers based largely upon the initial framing of the issues. This paper notes how the tobacco industry has established a particular frame that it is the protector of individual rights and that the public health community is trying to eliminate those rights. This paper then shows how the public health community uses metaphors that may unintentionally support this framing and suggests that by reframing public health efforts in accordance with core ethical principles, the public health community can create more positive messages. A public health ethical framework is proposed to examine how the application of the principles can influence the tobacco control movement. Through the increased use of ethics in tobacco control, the public health community may be better positioned to claim the high road as the protector of the public’s interests.

Keywords: smoking; ethics; tobacco control

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