建立爱与正义,结束伤害:废除烟草和尼古丁工业的框架。

IF 2.4 4区 医学 Q2 HEALTH POLICY & SERVICES
Raglan Maddox, Shane Kawenata Bradbrook
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引用次数: 0

摘要

烟草和尼古丁工业深陷殖民剥削和种族化伤害之中,仍然是造成可预防疾病、死亡和代际创伤的主要原因。这篇文章提出了一个变革性的废除主义公共卫生框架,以土著主导的主权、真相、爱和正义原则为基础。它旨在消除该行业长期造成伤害的结构性驱动因素。我们把废除毒品作为道德和伦理上的当务之急,而且作为维护健康人权、恢复土著权威和消除把吸毒和死亡商品化的制度的实际需要。根据土著卫生范例和废奴主义理论,我们概述了实际的、面向政策的废奴途径。这些措施包括从伤害中剥离,在护理方面进行再投资,减少对行业影响力的资助,以及嵌入补偿性司法。例子包括法律责任机制、利润上限、真相委员会、贸易改革和土著主导的卫生基础设施。我们将废除与禁止区分开来,将其作为一种战略性、关系性和全系统的回应,投资于肯定生命的替代方案,而不是惩罚性控制。这个框架的核心是爱,是一种彻底的承诺,致力于治愈、集体福祉,并为最受伤害的社区恢复权力和能动性。该框架没有将责任推给个人,而是提供了一种针对造成伤害的结构性驱动因素的全系统公共卫生方法。本文为促进健康的公共政策提供了一个新模型,将废除奴隶制作为公平、真相、地球和人类健康的紧急战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building love and justice, ending harms: a framework for abolishing the tobacco and nicotine industry.

The tobacco and nicotine industry, embedded in colonial exploitation and racialised harm, remains a leading cause of preventable disease, death, and intergenerational trauma. This article presents a transformative abolitionist public health framework, grounded in Indigenous-led principles of sovereignty, truth-telling, love, and justice. It aims to dismantle the structural drivers of harm perpetuated by the industry. We centre abolition as a moral and ethical imperative, but also as a practical necessity to uphold the human right to health, restore Indigenous authority, and eliminate systems that commodify addiction and death. Drawing on Indigenous health paradigms and abolitionist theory, we outline practical, policy-facing pathways to abolition. These include divesting from harm, reinvesting in care, defunding industry influence, and embedding reparative justice. Examples include legal liability mechanisms, profit caps, truth-telling commissions, trade reform, and Indigenous-led health infrastructure. We distinguish abolition from prohibition, framing it as a strategic, relational, and system-wide response that invests in life-affirming alternatives rather than punitive control. At the heart of this framework is love, a radical commitment to healing, collective well-being, and restoring power and agency to communities most harmed. Rather than placing responsibility on individuals, this framework offers a systems-wide approach to public health that targets the structural drivers of harm. This article contributes a new model for health-generative public policy, advancing abolition as an urgent strategy for equity, truth, and planetary and human health.

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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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