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Abstract: This chapter considers the possibility of rapid cultural change as exemplified by attitudes toward race, gender, and other issues. The application of these precedents to climate change is an important point.
In this article, I examine how newspapers in Southern Rhodesia framed the then emerging scientific consensus in the 1950s and 1960s, linking cigarette smoking to lung cancer. Drawing on archival press materials, I analyze how media narratives interacted with the British colony’s political economy, given that tobacco constituted its primary export commodity. I reveal that the smoking-cancer debate unfolded at a moment when tobacco had become central not only to the settler state’s fiscal stability but also to White agrarian identity, imperial trade networks, and Southern Rhodesia’s broader political project. This context produced a powerful incentive to contest, obscure, or re-interpret epidemiological evidence. Using framing and agenda-setting theory, I show that Southern Rhodesian newspapers deployed recurrent frames that emphasized scientific uncertainty, statistical ambiguity, cultural normalization of smoking, and economic threat. These efforts coexisted, sometimes uneasily, with emerging medical reports acknowledging carcinogenic compounds in cigarette smoke and rising global public health activism. I argue that this contradictory media landscape delayed public recognition of the dangers of smoking and functioned as an ideological defense of the tobacco economy. In doing so, the article highlights how colonial media systems mediated scientific debates, shaped public understanding of risk, and upheld the interests of powerful agrarian capital. The case of Southern Rhodesia illuminates broader dynamics within settler-colonial states where economic dependencies profoundly influenced the construction and circulation of scientific knowledge.
Chapter 2 lays the foundations for the study and further clarifies its scope. Unhealthy lifestyles are defined here as collective patterns of unhealthy behaviour, based on choices from options available to people according to their life chances. This definition highlights four key dimensions central to the book: the health risks associated with those behaviours, their consumable nature, their voluntary character and, finally, the relevance of social norms and structural factors. The chapter explores the health dimension in greater detail for each of the three categories of products studied here, tobacco, alcohol and unhealthy foods, clarifying the health risks to which consumers are exposed and introducing the central regulatory questions raised by each category.
Chapter 8 approaches diversity through cultural and moral lenses. It concerns the acceptance of EU intervention, the legitimacy of its action in a sensitive field, ripe with moral and ethical controversies. The EU’s approach can broadly be divided into three strands, which are not mutually exclusive. The first is the Europeanisation of choice, most apparent in tobacco regulation, where the EU has adopted a quasi-prohibitionist stance with seemingly broad support from Member States. Strikingly, this occurs in the absence, both legally and politically, of arguments grounded in individual rights and autonomy. The second is an approach of insulation, relevant to alcohol and certain ‘heritage’ foods, where national regulatory choices remain shielded from European influence, either because of the EU’s reluctance to act or because of political deadlock. The third concerns the application of proportionality in free movement cases, and the extent to which cultural and moral arguments are accommodated in the adjudication of national restrictive measures.
Chapter 4 provides an historical overview of the content and objectives of the EU’s policy on unhealthy lifestyles. It distinguishes two periods. The first spans from the early days of European integration until the entry into force of the Treaty of Maastricht, in 1993. It is a period of negative integration: unhealthy products are regulated mostly through the prism of the TFEU internal market freedoms. One cannot yet speak of an EU ‘policy’ on the matter, in the sense of a deliberate and coordinated action made in response to the health burden associated with unhealthy lifestyles. This changes post-Maastricht, the second period, with the recognition of a formal competence for the EU in health matters. Unhealthy lifestyles are singled out as one of the key priorities of EU health action and a greater role is given to positive integration, with the adoption of various horizontal legislative instruments. Different approaches emerged for the three categories of products: while the declared goal is to bring tobacco consumption to a near end, alcohol consumption is considered to be a natural part of human life, not to be overly discouraged, with food and nutrition positioned somewhere in between.
Chapter 5 continues the overview through a different analytical lens. It investigates the EU’s toolbox, describing and classifying the regulatory tools used by the EU legislature across the different lifestyles. It identifies four main types of interventions: ban and composition requirements, tax and price measures, rules on advertising and promotion and rules on mandatory and voluntary information. Beyond this systematic description and classification, the chapter serves three aims. First, it confronts the regulatory tools used with the stated objectives of EU lifestyle policy, assessing their adequacy and suggesting possible reforms. Second, it highlights the significant regulatory disparities existing between lifestyle risk factors, critically evaluating the justifications for such differential treatment. Third, it shows how health and internal market objectives are intertwined in EU lifestyle policy, generating legal frictions.
This book examines how European Union (EU) law regulates unhealthy lifestyles, focusing on the consumption of tobacco, alcoholic beverages and foods of poor nutritional quality. The first part of the book clarifies the EU's competences in this field and the content of its policy. It also outlines the main regulatory tools adopted in relation to each of the risk factors covered, such as product bans, labelling requirements or advertising restrictions. The second part of the book explores the fundamental tension between the commodification of these lifestyles and the pursuit of health policy objectives. It addresses two central questions: How does EU law reconcile the goal of creating a market for unhealthy products with that of reducing or eliminating their consumption? And how does EU law balance market uniformity with the diversity and scientific uncertainty inherent in lifestyle practices?
This article explores the relationship between EU internal market law and ambitious tobacco end-game policies, using the United Kingdom’s proposed smoke-free generation measure and its application to Northern Ireland under the Windsor Framework as a focal case. Responding to objections raised by EU Member States through the Technical Regulations Information System (TRIS), the article develops an interpretative framework that situates free movement rules within the EU’s broader constitutional commitment to public health protection. Drawing on a doctrinal analysis of EU primary law, the Tobacco Products Directive, EU Court of Justice case law, and the TRIS submissions themselves, the article challenges claims that generational sales bans are inherently incompatible with EU law. It argues that such claims rely on narrow and selective readings of internal market doctrine that overlook the extent to which health protection is embedded in EU market regulation. The analysis demonstrates that EU law leaves significant regulatory space for national authorities to pursue proportionate, evidence-based tobacco control measures, including end-game strategies. Beyond the immediate UK–Northern Ireland context, the findings have broader implications for innovative public health regulation within the EU, contributing to ongoing debates at the intersection of health policy, regulatory governance, and economic integration.
This paper explores and compares smoking advertisements and anti-smoking and anti-cancer messages in Australia’s migrant press, particularly newspapers, from 1930 to 1960. It investigates the ways in which smoking was promoted to migrant communities through their newspapers, contrasts this with the increasing prevalence of anti-smoking and broader anti-cancer messages, and explores whether there were any shifts in advertising and in anti-smoking messages following the growing research linking smoking and cancer (particularly lung cancer) from 1950. These messages were ultimately tied to this growing research, as well as the various Australian state and national anti-cancer campaign committees which emphasised early diagnosis and swift treatment as the best method to combat a range of cancers. Yet the Australian authorities, although finally acknowledging the dangers of cigarette smoking, rejected any government intervention other than providing the medical reports to the public. Greek-language newspapers (notably To Ethnico Vema) form an important case study; however, other foreign-language and migrant community papers were also consulted, including Italian, Jewish, and French.
‘What is an e-cigarette?’ This ostensibly simple question is central to the classification and regulation of these popular and contested devices. From their first development, e-cigarettes, which deliver nicotine via vaporisation of a liquid solution, were marketed and presented as like conventional cigarettes in crucial ways. Not only were they called electronic cigarettes, that is, a type of cigarette, but early models were designed to look like conventional cigarettes, including a tip which lit up when inhaled (Ozga et al., 2022). Moreover, the clouds of vapour they produced resembled smoke. Public health and tobacco control organisations quickly identified e-cigarettes as a threat to individual and population health. They emphasised the devices’ capacity to produce nicotine addiction (just like cigarettes), to undermine the denormalisation of smoking and to enable tobacco industry expansion (Bell & Keane, 2012; Berridge et al., 2023). The rapid rise of e-cigarette use (or vaping as it is now known) among young people has solidified and intensified this emphasis on harm. In contrast, supporters of their harm reduction potential highlight the fundamental difference of e-cigarettes from cigarettes: there is no combustion of tobacco involved in their use.
This chapter explores the newspapers anarchists used to create and disseminate an anarchist Latinidad that was a radical, transnational, anti-capitalist, anticlerical, anti-imperial, and Spanish language-based identity forged initially by US-based migrant anarchists from Spain and Cuba. Using the anarchist press in Florida and New York, anarchists rejected the importance of identifying themselves as “Spanish” or “Cuban” and instead forged a cross-border working-class identity. In creating this identity, anarchists focused on their encounters with US capitalism and republican democracy from 1886 to 1898. Such encounters conditioned their perspectives on what an independent Cuba could look like and what it should avoid. Anarchists also debated whether or not to support the Cuban War for Independence. Was it just another nationalist project that would usher in a new, exploitative ruling elite, or could an independent, non-nationalist anarchist society be constructed? These latter debates began in mid-1891– three and a half years before the mambises launched their uprising against Spanish colonialism.
Anxiety disorders are among the most common mental disorders worldwide, and most previous studies have focused solely on alcohol drinking or tobacco smoking as risk factors for anxiety.
Aim
This study investigated the associations of alcohol drinking and tobacco smoking with anxiety.
Method
The data of 30 836 individuals in the Taiwan Biobank were retrieved and analysed in our study. To investigate the associations of tobacco and alcohol use with anxiety, we analysed Patient Health Questionnaire 4 (specifically scores for the first two questions assessing generalised anxiety disorder) results of the included participants and data on their tobacco and alcohol use, and other covariates.
Results
Participants who used only tobacco and those using both tobacco and alcohol were more likely to experience anxiety than were those who did not use tobacco or alcohol. Among men, the use of alcohol and/or tobacco was associated with a significantly higher risk of anxiety. Among women, the use of both alcohol and tobacco was associated with a significantly higher risk of anxiety. Older age was associated with a lower risk of anxiety.
Conclusions
Tobacco and alcohol use significantly influence the risk of anxiety, particularly in men, and older age also influences this risk. The associations of anxiety with tobacco and alcohol use in women may change because of the increasing prevalence of their use among women in Taiwan in recent years.
Prescription medications are highly regulated to make sure they are as safe and effective as possible.
The last decade has seen an emerging black market for prescription medications particularly from unscrupulous online pharmacies,
Some of the products sold illegally by these pharmacies are poor quality counterfeits
Tobacco is the largest killer of all the psychoactive drugs, but smoking rates are now falling.
Electronic cigarettes are safer than tobacco smoking because they only contain nicotine and none of the other harmful chemicals found in tobacco.
The aggressive marketing of electronic cigarettes to young people has rapidly driven up their use causing concern that they will result in a new generation addicted to nicotine.
If you don’t smoke, don’t vape!
Young people are drinking less, but tend to binge drink when they do drink
Reduce the many risks of alcohol intoxication but pacing drinking, avoiding drinking, understanding alcohol ‘units’ and knowing how to put a friend in the recovery position.
There is emerging research suggesting that some illegal psychoactive drugs, such as cannabis and some hallucinogens, may have therapeutic value, but further research is needed to understand their potential benefits.
The incidence of congenital malformations (CM) among non-Hispanic White American (NHWA) mothers was reviewed to identify and evaluate the geographic differences in the most frequent CM subtypes associated with smoking and other risk factors. Data on CM were obtained from 150,775 children (2000-2004) from the Centers for Disease Control and Prevention. Risk factors associated with CM development were the mother’s age < 21 and > 35 years, body weight gain during pregnancy, anemia, diabetes mellitus, eclampsia (cases of preeclampsia were omitted), smoking, and alcohol use during pregnancy. Among smoking mothers, the most common CM was omphalocele, club foot, cleft lip, and polydactyly. The highest incidences (CM/10,000 births/year) of observed CM in children of smoking mothers were clubfoot, 25.51 cases (Utah), cleft lip, 22.47 (South Dakota), polydactyly, 21.23 (North Dakota), and omphalocele, 13.14 (Montana). The presence of maternal comorbidities, tobacco and alcohol consumption, and their association with other environmental factors can affect the incidence of CM in NHWA mothers. Further comparisons among the American states regarding the overall changes in CM over the last two decades should uncover crucial outcomes in terms of CM and smoking.
Although rarely at the center of the most influential human historical narratives, the stories of human-plant interaction are nonetheless sporadically recorded in a variety of literary genres and other cultural media across nearly five centuries. This chapter aims to provide a contextual outline of our present human–plant culture as it developed in North America through the early nineteenth century, and to orient readers to the most frequently discussed texts, questions, and resources in the field. It introduces the early modern history of settler cash crops – cotton, sugar, and tobacco – and the longer history of changing agricultural practice during the early contact period. Early American literature in English – poetry, herbals, prose tracts, and instructional writing – was deeply engaged with the movement of indigenous and imported plant species as they flowed in and out of North America as rapidly as humans moved into the region from the rest of the globe.
◦ The Spanish raw tobacco market offers a story of two cartels that operated simultaneously. The first cartel operated on the seller side of the market. It was set up by the three agricultural unions that managed contract negotiations for the tobacco producers (“the producer representatives’ cartel”). The second cartel, on the buyer side, was formed by the purchasers of raw tobacco (“the processors cartel”).
◦ The case study tells a rich story of cartel formation. Government regulation sought to establish fair prices for tobacco producers through a system of production quotas. This led those producers to form a cartel to collectively negotiate with downstream tobacco processors. The processors formed their own cartel to counterbalance the one upstream. We then have regulation inducing one cartel which then inspires a second cartel.
◦ The processors’ cartel exemplifies some of the challenges in achieving effective collusion as well as the critical complementary role of monitoring and punishing mechanisms. The cartel was ineffective in its first two years in spite of a high level of market concentration and effective monitoring. Only when an internal compensation mechanism was put in place did firms comply with the collusive outcome.
Observational studies consistently report associations between tobacco use, cannabis use and mental illness. However, the extent to which this association reflects an increased risk of new-onset mental illness is unclear and may be biased by unmeasured confounding.
Methods
A systematic review and meta-analysis (CRD42021243903). Electronic databases were searched until November 2022. Longitudinal studies in general population samples assessing tobacco and/or cannabis use and reporting the association (e.g. risk ratio [RR]) with incident anxiety, mood, or psychotic disorders were included. Estimates were combined using random-effects meta-analyses. Bias was explored using a modified Newcastle–Ottawa Scale, confounder matrix, E-values, and Doi plots.
Results
Seventy-five studies were included. Tobacco use was associated with mood disorders (K = 43; RR: 1.39, 95% confidence interval [CI] 1.30–1.47), but not anxiety disorders (K = 7; RR: 1.21, 95% CI 0.87–1.68) and evidence for psychotic disorders was influenced by treatment of outliers (K = 4, RR: 3.45, 95% CI 2.63–4.53; K = 5, RR: 2.06, 95% CI 0.98–4.29). Cannabis use was associated with psychotic disorders (K = 4; RR: 3.19, 95% CI 2.07–4.90), but not mood (K = 7; RR: 1.31, 95% CI 0.92–1.86) or anxiety disorders (K = 7; RR: 1.10, 95% CI 0.99–1.22). Confounder matrices and E-values suggested potential overestimation of effects. Only 27% of studies were rated as high quality.
Conclusions
Both substances were associated with psychotic disorders and tobacco use was associated with mood disorders. There was no clear evidence of an association between cannabis use and mood or anxiety disorders. Limited high-quality studies underscore the need for future research using robust causal inference approaches (e.g. evidence triangulation).
This chapter explores several legal opinions (pl. fatāwa) from the minority theological and legal tradition known as Ibāḍism, as represented by the work of the modern Ibāḍī jurist Ibrāhīm Bayyūḍ (d. 1401/1981). The Ibāḍiyya are usually regarded as the inheritors of the early Khārijite movement and are thus neither Sunnī nor Shīʿī. Important Ibāḍī communities are today found in Oman and in smaller numbers in North Africa (Jerba Island in Tunisia, the Jabal Nafūsa mountains of Libya and the M’zab valley in Algeria). Ibrāhīm Bayyūḍ was the most prominent figure of the so-called ‘Ibāḍī Rennaisance’ (al-Nahḍa al-Ibāḍiyya) of the late 19th and 20th centuries, in which the Ibāḍī community in M’zab sought to find a place for themselves in their Sunnī-dominated environment, leading to an upsurge of Ibāḍī legal and theological scholarship. The fatwās excerpted here discuss the lawfulness of television and radio, eating the meat of non-Muslims, Pepsi and Coca Cola, smoking and various drugs.
Lobbyists sometimes represent clients with seemingly adversarial policy interests. We seek to explain the occurrence of such ostensible conflicts of interest. In hiring lobbyists, interests encounter a tradeoff between access and agency. Although some lobbyists promise access to lawmakers, they may not lobby as contracted. Interests hire seemingly conflicted lobbyists more often when access is costlier and reputational risks are smaller. We examine the hiring of tobacco lobbyists by health interests, given the possibilities for shirking and reputational damage. We find that institutions such as hospitals hire tobacco lobbyists regularly and more often than membership-based health groups. Intergroup competition for access and lobby laws, especially anti-conflict laws, affect the use of tobacco lobbyists independent of rates of multi-client lobbying. Conflicts are more common today than ever but interests can protect themselves somewhat from opportunistic agents. Our findings also suggest that reforms can improve the representation of client interests.
Substance use is a complex condition with multidimensional determinants. The present study aims to find the prevalence and determinants of substance use among young people attending primary healthcare centers in India.
Methods
A multicentric cross-sectional study was conducted across 15 states in India on 1,630 young people (10–24 years) attending primary health centers. The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) was used to capture data on substance use. The degree of substance involvement was assessed and multivariate regression analysis was conducted to determine the risk factors of substance use.
Results
The prevalence of substance use was 32.8%, with a median substance initiation age of 18 years. Among the substance users, 75.5% began before completing adolescence. Tobacco (26.4%), alcohol (26.1%) and cannabis (9.5%) were commonly consumed. Sociodemographic determinants included higher age, male gender, urban residence, positive family history, northeastern state residence and lower socioeconomic class. Over 80% of users had moderate or high involvement.
Conclusions
High substance use prevalence among young people in Indian healthcare centers underscores the urgency of targeted intervention. Insights on determinants guide effective prevention strategies for this complex public health issue.