Gender, equity and tobacco control
Lorraine Greaves
Centre of Excellence for Women’s Health, Vancouver, British Columbia, Canada
PP: 115 - 129
Abstract
Global rates of tobacco use among men have peaked and are slowly declining, while rates among women are steadily increasing, raising important questions about gender, equity and health. The focus of this epidemic will be in low and middle income countries where women are also increasingly involved in the production and manufacturing of tobacco as well as being targeted by tobacco marketing.
As the tobacco epidemic evolves in the 21st Century, increasing tobacco use and production affecting girls and women threaten to undermine not only their physical and mental health, but also their economic and social progress.
This article explores how tobacco use and production will affect the status of women and their progress towards gender and health equity. Several strategies for responding to this are suggested, and it is argued that the tobacco control movement has a responsibility to adopt gender and equity based principles in its goals and practices.
Keywords
gender, women, tobacco, equity, sociology, health
References
Abaka C (2001) Strengthening international agreements, in Samet J and Yoon S (eds) Women and the Tobacco Epidemic: Challenges for the 21st Century, Canada: World Health Organisation
Amos A, Currie C, Gray D and Elton R (1998) Perceptions of fashion images from youth magazines: Does a cigarette make a difference, Health Education Research 13: 491-501.
Amos A and Haglund M (2000) From social taboo to ‘torch of freedom' The marketing of cigarettes to women Tobacco Control 9: 3-8
ASH (2006) Smoking around kids is ‘child abuse', Wall Street Journal accessed at http://www.ash.org/kids/parents.html.
Baker A, Ivers, R G, Bowman J, Butler T, Kay-Lambkin FJ, Wye P et al. (2006) Where there's smoke, there's fire: High prevalence of smoking among some sub-populations and recommendations for intervention, Drug and Alcohol Review 25: 85-96
Barbeau E, Krieger N and Soobader M (2004a) Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000, American Journal of Public Health 94: 269-278
Barbeau EM, Leavy-Sperounis A and Balbach ED (2004b) Smoking, social class, and gender: What can public health learn from the tobacco industry about disparities in smoking? Tobacco Control 13: 115-120
Beaglehole R and Yach D (2003) Globalization and the prevention and control of non-communicable disease: The neglected chronic diseases of adults, The Lancet 362: 903-908.
Chollat-Traquet C (1992) Women and Tobacco, Geneva: World Health Organization.
CIDA (1996) Strategy for Health available at http://www.acdi-cida.gc.ca/CIDAWEB/acdicida.nsf/En/STE-42485038-HDF.
Daykin N (1993) Young women and smoking: Towards a sociological account, Health Promotion International 8: 95-102.
Ferrence R (2001) Diffusion theory and drug use, Addiction 96: 165-173.
Global Youth Tobacco Survey Collaborating Group (2003) Differences in worldwide tobacco use by gender: Findings from the Global Youth Tobacco Survey, Journal of School Health 73: 207-215.
Graham H (1993) When Life's a Drag Women, Smoking and Disadvantage, London: Department of Health HMSO.
Graham H and Der G (1999) Patterns and predictors of tobacco consumption among women, Health Education Research 14: 611-618.
Graham H, Inskip HM, Francis B and Harman J (2006) Pathways of disadvantage and smoking careers: Evidence and policy implications, Journal of Epidemiology and Community Health 60: ii7-ii12.
Greaves L (1996) Smoke Screen: Women's Smoking and Social Control, Halifax: Fernwood Press.
Greaves L and Jategaonkar N (2006) Tobacco policies and vulnerable girls and women: Toward a framework for gender sensitive policy development, Journal of Epidemiology and Community Health 60: 57-65.
Greaves L, Jategaonkar N and Sanchez S (2006a) Tobacco or equality? In Greaves L Jategaonkar N and Sanchez S (eds) Turning a New Leaf: Women, Tobacco and the Future, Vancouver: British Columbia Centre of Excellence for Women's Health.
Greaves L, Jategaonkar N and Sanchez S (2006b) Turning a New Leaf: Women, Tobacco, and the Future, Vancouver: British Columbia Centre of Excellence for Women's Health.
Greaves L, Johnson J, Bottorff J, Kirkland S, Jategaonkar N, Mcgowan M, McCullough L and Battersby L (2006c) What are the effects of tobacco policies on vulnerable populations? A better practices review, Canadian Journal of Public Health 97: 310-315.
Greaves L, Johnson J, Bottorff JL, Kirkland S, Jategaonkar N, Mcgowan M, McCullough L and Battersby L (2004) Reducing Harm: A Better Practices Review of Tobacco Policy and Vulnerable Populations, Vancouver, British Columbia Centre of Excellence for Women's Health.
Greaves L and Tungohan E (forthcoming 2007) Engendering tobacco control: Using an international public health treaty to reduce smoking and empower women, Tobacco Control.
Health Canada (1999) New Directions for Tobacco Control in Canada: A National Strategy, Ottawa: Canada.
Health Canada (2003) Exploring Concepts of Gender and Health, Ottawa: Canada.
Houston T and Kaufman N (2000) Tobacco control in the 21st Century: Searching for answers in a sea of change, JAMA 284: 752-753.
Jabbour S and Fouad FM (2004) Religion-based tobacco control interventions: How should WHO proceed? Bulletin of the World Health Organization 82(12).
Jacobson B (1986) Beating the Ladykillers: Women and Smoking, London: Pluto Press.
John S and Vaite S (2002) Tobacco and poverty: Observations from India and Bangladesh in Efroymson D (ed) Path Canada available at http://www.wpro.who.int/NR/rdonlyres/F1BA5FDA-0D22-4F14-B0A3-B1DFDA8A5909/0/tobacco_poverty.pdf.
Joosens L and Sasco A (1999) Some Like It ‘Light' Bruxelles: European Network for Smoking Prevention.
Kelly MP, Bonnefoy J, Morgan A and Florenzano F (2006) The Development of the Evidence Base about the Social Determinants of Health, Geneva: World Health Organization Commission on the Social Determinants of Health available at http://www.who.int/social_determinants/resources/mekn_paper.pdf.
Khalfan M and Waverley L (2006) From the fields to the consumer, in Greaves L, Jategaonkar N and Sanchez S (eds) Turning a New Leaf: Women, Tobacco and the Future, Vancouver: British Columbia Centre of Excellence for Women's Health.
Kim H and Clark PI (2006) Cigarette smoking transition in women of low socioeconomic status: Impact of state, school, and individual factors, Journal of Epidemiology and Community Health 60: ii13-ii19.
Knaack S (2004) On the reconceptualizing of gender: Implications for research design, Sociological Inquiry 74: 302-317.
Krieger N (2003) Genders, sexes, and health: What are the connections and why does it matter? Environmental Health Perspectives 113: 670-678.
Lambert P (2006) Women's health is a human right, tobacco is not, in Greaves L, Jategaonkar N and Sanchez S (eds.) Turning a New Leaf: Women, Tobacco and the Future Vancouver: British Columbia Centre of Excellence for Women's Health.
Lombardo E and Meier P (2006) Gender mainstreaming in the EU: Incorporating a feminist reading? European Journal of Women's Studies 13: 151-166.
Lopez A, Collishaw NE and Piha T (1994) A descriptive model of the cigarette epidemic in developed countries Tobacco Control 3: 242-247.
Lopez-Claros A and Zahidi S (2005) Women's Employment Measuring the Global Gender Gap, Geneva: World Economic Forum.
Mackay J, Eriksen M and Shafey O (2006) The Tobacco Atlas, Atlanta: American Cancer Society.
MADRE (2003) Women's Health in a Sick World available at http://www.madre.org/articles/int/womenshealth.html.
Matthews J (1997) Building the body beautiful: The femininity of modernity, Australian Feminist Studies 5: 17-34.
McCall L (2005) The complexity of intersectionality, Journal of Women in Culture and Society 30: 1771-800.
Miers M (2002) Developing an understanding of gender sensitive care: Exploring concepts and knowledge, Journal of Advanced Nursing 40: 69-77.
Moghadam V (1999) Gender and globalization: Female labor and women's mobilization, Journals of World Systems Research 5: 367-399
Moore RS, Lee JP, Antin TMJ and Martin SE (2006) Tobacco free workplace policies and low socioeconomic status female bartenders in San Francisco, Journal of Epidemiology and Community Health 60: ii51-ii56.
Mennecier B, Lebitasy MP, Moreau L, Hedelin G, Purohit A, Galichet C et al. (2003) Women and small cell lung cancer: Social characteristics, medical history, management and survival: A retrospective study of all the male and female cases diagnosed in Bas-Rhin (Eastern France) between 1981 and 1994, Lung Cancer 42: 141-152.
Mustonen TK, Spencer SM, Hoskinson RA, Sachs DPL and Garvey AJ (2005) The influence of gender, race, and menthol content on tobacco exposure measures, Nicotine and Tobacco Research 7: 581-590.
Nierkens V, Vries HD and Stronks K (2006) Smoking in immigrants: Do socioeconomic gradients follow the pattern expected from the tobacco epidemic? Tobacco Control 15: 385-391.
Pampel FC (2003) Declining sex differences in mortality from lung cancer in high-income nations, Demography 40: 45-65.
Papanek H (1984) Women in Development and Women Studies: Agenda for the Future, East Lansing: Office of Women in International Development Michigan State University.
Phillips S (2005) Defining and measuring gender: A social determinant of health whose time has come, International Journal for Equity in Health 4.
Pietrse JN (1994) Globalization as hybridization, International Sociology 9: 161-184.
Poland B, Frohlich K, Haines R, Mykhalovskiy E, Rock M and Sparks R (2006) The social context of smoking: The next frontier in tobacco control? Tobacco Control 15: 59-63.
Porter D (2006) How did social medicine evolve, and where is it heading? PLoS Medicine 3: e399.
Richmond R (2003) You've come a long way baby: Women and the tobacco epidemic Addiction 98: 553-557.
Rubenstein Communications (2006) Michael Bloomberg Announces Grantees of $125 Million Initiative to Promote Freedom from Smoking (Media Release).
Samet J and Yoon S (2001) Women and the Tobacco Epidemic: Challenges for the 21st Century, Canada: World Health Organization.
Shavers V, Fagan P, Alexander L, Clayton R, Doucet J and Baezconde-Garbanati L (2006) Workplace and home smoking restrictions and racial/ethnic variation in the prevalence and intensity of current cigarette smoking among women by poverty status, TUS-CPS 1998-1999 and 2001-2002, Journal of Epidemiology and Community Health 60: ii34-ii43.
Shopland DR, Anderson CM and Burns DM (2006) Association between home smoking restrictions and changes in smoking behaviour among employed women, Journal of Epidemiology and Community Health 60: ii44-ii50.
Sullum J (1998) For Your Own Good: The Anti-Smoking Crusade and the Tyranny of Public Health, Toronto: The Free Press.
Surgeon General (2000) Reducing Tobacco Use: A Report of the Surgeon General, Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
Surgeon General (2001) Women and Smoking: Report of the Surgeon General, Rockville: US Dept of Health and Human Services, Public Health Service, Office of the Surgeon General.
Thun MJ, Lally CA, Flannery JT, Calle EE, Flanders WD and Heath CW (1997) Cigarette smoking and changes in the histopathology of lung cancer, Journal of the National Cancer Institute 89: 1580-1586.
Tinkler P (2001) Red tips for hot lips: Advertising cigarettes for young women in Britain, 1920-1970 Women's History Review 10: 249-271.
UN (1979) The Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW).
von Gernet A (2000) Origins of nicotine use and the global diffusion of tobacco, in Ferrence R, Slade J, Room R and Pope M (eds) Nicotine and Public Health Washington: American Public Health Association.
WHO (2005a) A Summary of the ‘So What?' Report: A Look at Whether Integrating a Gender Focus into Programmes Makes a Difference to Outcomes, Geneva: World Health Organization.
WHO (2005b) The Millennium Development Goals and Tobacco Control: An Opportunity for Global Partnership, Geneva: World Health Organization.
WHO (2005c) Towards a Conceptual Framework for Analysis and Action on the Social Determinants of Health available at http://www.who.int/social_determinants/resources/framework.pdf.
WHO (2007a) How the Knowledge Networks Operate available at http://www.who.int/social_determinants/knowledge_networks/how_kn_operate/en/index.html.
WHO (2007b) WHO Framework Convention on Tobacco Control (WHO FCTC) available at http://www.who.int/tobacco/framework/en/.
Wilson N, Blakely T and Tobias M (2006) What potential had tobacco control for reducing health inequalities? The New Zealand situation, International Journal for Equity in Health 5:14.
Yach D and Bettcher D (2000) Globalization of tobacco industry influence and new global responses, Tobacco Control 9: 206-216.
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