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Concepts of Addictive Substances and Behaviours across Time and Place$
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Matilda Hellman, Virginia Berridge, Karen Duke, and Alex Mold

Print publication date: 2016

Print ISBN-13: 9780198737797

Published to Oxford Scholarship Online: April 2016

DOI: 10.1093/acprof:oso/9780198737797.001.0001

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Underpinnings of tobacco policy: an epistemic governance perspective

Underpinnings of tobacco policy: an epistemic governance perspective

Chapter:
(p.151) Chapter 8 Underpinnings of tobacco policy: an epistemic governance perspective
Source:
Concepts of Addictive Substances and Behaviours across Time and Place
Author(s):

Matilda Hellman

Pekka Hakkarainen

Gunnar Sæbø

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198737797.003.0008

This chapter analyzes tobacco policies in Finland and Norway, drawing on the theoretical concept of epistemic governance. It identifies shifts in ontological presuppositions, actor identification, and norms and ideals aimed for in tobacco control from the 1950s up until today. The study identifies three stages of tobacco control in both countries. In the first stage, the harm caused by smoking to the smoker was a unified agenda that aimed for overall harm reduction and increased public health. In the second stage, public health and industry aims collided in the aim for a smoke-free society, whereas in the ongoing third stage, harm reduction and smoke-free society aims are negotiated between different stakeholders, channelled through ideas of addiction and nicotine dependency. The nicotine substitution products industry is a prominent stakeholder in this stage of tobacco policy.

Keywords:   tobacco policy, Norway, Finland, epistemic governance, nicotine substitution

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