Tobacco industry influence on breast cancer research, policy and public opinion: scoping the Truth Tobacco Industry Documents.

IF 4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Control Pub Date : 2025-04-23 DOI:10.1136/tc-2024-058724

Eileen Han, Eric Crosbie, Pamela Ling, Sara Perez, Huma Khan, Robert Hiatt, Cristin Kearns

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引用次数: 0

Abstract

Objective: Over the last 35 years, there has been growing evidence suggesting a relationship between tobacco use and breast cancer. The tobacco industry's role in shaping research, policy and public opinion about the relationship is unknown. This study's objective is to determine if the tobacco industry-funded Council for Tobacco Research (CTR) Records and the Tobacco Institute (TI) Records, housed in the Truth Tobacco Industry Document Archive, contain documents related to internal research about breast cancer and strategies to influence the science and public opinion about breast cancer causes.

Methods: We applied the situational scoping method, in which community advocates and university researchers collaborate, to (1) identify external events considered by CTR or TI as a threat or opportunity to business interests; (2) select events for further analysis and (3) conduct social worlds/arenas mapping of industry responses to selected events.

Results: The CTR and TI Records contained 19 719 documents with the search term 'breast cancer' ranging from the 1950s to 1998. We analysed nine events relevant to the aim of this research. CTR and TI responded to external threats, pointing out methodological problems in studies they perceived as threatening, or characterising lung cancer as misdiagnosed or metastasised breast cancer. They responded to external opportunities with promoting and funding research focusing on smoking's 'protective effects' over breast cancer, and breast cancer's genetic, hormonal and dietary causes.

Conclusion: The CTR and TI Records are a rich source of documents related to tobacco industry efforts to influence breast cancer research, policy and public opinion away from any aetiologic relationship between tobacco use and breast cancer.

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烟草业对乳腺癌研究、政策和公众舆论的影响：烟草业真相文件的范围。

目的：在过去的35年里，越来越多的证据表明烟草使用与乳腺癌之间存在关系。烟草业在影响有关这一关系的研究、政策和公众舆论方面所起的作用尚不清楚。本研究的目的是确定烟草业资助的烟草研究委员会（CTR）记录和烟草研究所（TI）记录是否包含有关乳腺癌的内部研究以及影响有关乳腺癌病因的科学和公众舆论的策略的文件。方法：我们采用了情景范围界定方法，在这种方法中，社区倡导者和大学研究人员合作，以：(1)识别CTR或TI认为对商业利益构成威胁或机会的外部事件；(2)选择事件进行进一步分析；(3)对选定事件的行业反应进行社会世界/领域映射。结果：CTR和TI记录包含19719份文档，搜索词为“乳腺癌”，范围从1950年代到1998年。我们分析了与本研究目的相关的9个事件。CTR和TI对外部威胁做出了反应，指出了他们认为具有威胁性的研究中的方法学问题，或者将肺癌定性为误诊或转移性乳腺癌。他们对外部机会的回应是促进和资助研究，重点关注吸烟对乳腺癌的“保护作用”，以及乳腺癌的遗传、激素和饮食原因。结论：CTR和TI记录是烟草业努力影响乳腺癌研究、政策和公众舆论的丰富文件来源，远离烟草使用与乳腺癌之间的任何病因学关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.10

自引率

26.90%

发文量

223

审稿时长

6-12 weeks

期刊介绍： Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.