Stigma and the ethics of public health: Not can we but should we
Section snippets
Judging stigma
The 1960s witnessed the rise of broad set of oppositional challenges to the established order. The African-American civil rights assault on racism; the new feminist attack on the interpersonal, social, and legal subordination of women; the effort on the part of gay men and lesbians to upend heterosexual domination and the classification of homosexuality as a psychiatric disorder – each represented a potent expression of a deep political and social disaffection. It is within this context that we
AIDS, public health and stigma
Much of the classic literature on stigma emerged from the experience of clinical encounters. As Jennifer Stuber and I have shown in an earlier paper which serves as the foundation for this analysis, it was the AIDS epidemic both domestically and globally that provided the context for the articulation of a strong thesis linking stigmatization and public health (Bayer & Stuber, 2006).
Within the United States, discussions centered on the fact that those who were initially most vulnerable to HIV —
Smoking and public health: an exception to the doctrine on stigma?
Against the backdrop of the discussion of stigma, AIDS, and human rights, the course of anti-tobacco advocacy and policy in the U. S. seems all the more striking. In contrast to the HIV epidemic, where those who were infected were seen as blameless, those who smoked would become the targets of public health policies that at first inadvertently but then explicitly sought to utilize the power of denormalization and marginalization to reduce tobacco consumption. Just as the tobacco industry would,
Toward an ethics of stigma
In liberal societies it is appropriate, sometimes obligatory, for government to use its coercive powers to affect behaviors of individuals that are injurious to the health and well-being of others. Laws that prohibit, punishment that seeks its impact by the force of specific or general deterrence, and fines that exact economic pain may be called on to limit threats to the commonweal, the choice of sanctions depending on considerations of proportionality and the costs of enforcement. More
References (63)
From stigma to identity politics: political activism among the physically disabled and former mental patients
Social Science & Medicine
(1979)Stigma and the Law
Lancet
(2006)Stigmatization and AIDS: critical issues in public health
Social Science & Medicine
(1994)- et al.
HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action
Social Science & Medicine
(2003) - Abel, E. (2007). Tuberculosis and the politics of exclusion: A history of public health and migration to Los Angeles....
- et al.
Effect of increased social unacceptability of cigarette smoking on reduction in cigarette consumption
American Journal of Public Health
(2006) Recipe for a Smoke Free Society
(2003)- et al.
Changes in youth cigarette use and intentions following implementation of a tobacco control program: findings from the Florida Youth Tobacco Survey, 1998–2000
Journal of the American Medical Association
(2000) - et al.
Children and bystanders first: the ethics and politics of tobacco control in the United States
- et al.
Tobacco control, stigma, and public health: rethinking the relations
American Journal of Public Health
(2006)
A medical sociologist looks at health promotion
Journal of Health and Social Behavior
The Sanitary Control of Venereal Diseases in New York
Monthly Bulletin of the Department of Health of the City of New York
No magic bullet: A social history of venereal disease in the United States since 1880
Crime, shame and reintegration
HIV-related stigma and discrimination – the epidemic continues
Canadian HIV/AIDS Policy and Law Review
Disease stigma in U.S. public health law
Journal of Law, Medicine and Ethics
Testimony. Hearings before the Subcommittee on Civil Service, Post Office, and General Services of the Committee on Governmental Affairs, United States Senate
A model for change: The California experience in tobacco control
An argument for considered parental smoking in child abuse and neglect proceedings
Journal of Contemporary Health Law and Policy
State of immunity: The politics of vaccination in twentieth-century America
Social stigma and self-esteem: the self-protective properties of stigma
Psychological Review
Changes in population attitudes about where smoking should not be allowed: California versus the rest of the U.S.A
Tobacco Control
Stigma: Notes on the management of spoiled identity
No Smoking
When terrorism threatens health: how far are limitations on human rights justified
Journal of Law, Medicine and Ethics
Guilt, fear, stigma and knowledge gaps: ethical issues in public health communication interventions
Bioethics
AIDS and stigma
American Behavioral Scientist
Cited by (261)
Discrimination and social identity processes predict impairment and dysfunction among heavy drinkers
2024, Social Science and MedicineHow has the brain disease model of addiction contributed to tobacco control?
2023, Drug and Alcohol DependenceTeen pregnancy in the US: Overview and opportunities for prevention
2023, Encyclopedia of Child and Adolescent Health, First EditionTobacco quitlines: Opportunities for innovation to increase reach and effectiveness
2022, Preventive MedicineCitation Excerpt :Guided by well-established health behavior change theories such as the Health Belief Model and the Theory of Planned Behavior (Glanz et al., 2008), fear-arousing media campaigns have been an effective method to increase reach by increasing call volume (Shrestha and Mann, 2022). These campaigns are mechanistically intended to denormalize tobacco use, but have the unintentional consequence of promoting tobacco-related stigma (i.e., linking individuals to an attribute that is undesirable or deeply discrediting), which is a nearly universal experience among current and former tobacco users who suffer from tobacco-related disease (Riley et al., 2017; Hamann et al., 2018; Chapple et al., 2004; Bayer, 2008). Considerable formative work has examined tobacco-related stigma (Riley et al., 2017; Chapple et al., 2004; Luberto et al., 2016; Hamann et al., 2021).
Redistribution and recognition in the pursuit of health justice: An application of Nancy Fraser's framework
2023, Justice in Global Health: New Perspectives and Current Issues