Skip to main content

Paternalism and Health Behavior

  • Chapter
Handbook of Health Behavior Research IV
  • 177 Accesses

Abstract

Smoking is a preventable health risk to smokers as well as to nonsmokers who are exposed to tobacco smoke (Eriksson, LaMaistre, & Newell, 1988; Healthy People 2000, 1991; Peto, 1994), and costs related to the use of tobacco are substantial (Hocking, Grain, & Gordon, 1994). It is therefore not surprising that far-reaching measures have been suggested to protect individuals against the dangers of smoking (Leppo & Verio, 1986; Roemer, 1993), frequently with strong opposition from the tobacco industry (Editorial, 1994; Stanton & Begay, 1994).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agich, G. J. (1993). Autonomy and long-term care. New York: Oxford University Press.

    Google Scholar 

  • Beauchamp, T. L., & Childress, J. F. (1994). Principles of biomedical ethics (4th ed.) New York: Oxford University Press (originally published in 1979).

    Google Scholar 

  • Benhamou, S., Benhamou, E., Auquier, A., & Flamant, R. (1994). Differential effects of tar content, type of tobacco and use of a filter on lung cancer risk in male cigarette smokers, International Journal of Epidemiology, 23(3), 437–443.

    Article  PubMed  CAS  Google Scholar 

  • Bentham, J. (1789). An introduction to the principles of morals and legislation. London (originally printed in 1780).

    Google Scholar 

  • British Airways’ response. (1994). Airline’s magazine promotes production of tobacco products. British Medical Journal, 309(6953), 544.

    Google Scholar 

  • Brock, D. W. (1994). Paternalism and autonomy, Ethics, 98(3), 550–565.

    Article  Google Scholar 

  • The compact edition of the Oxford English dictionary. (1971). Oxford: Clarendon Press.

    Google Scholar 

  • Downie, R. S., & Calman, K. C. (1994). Healthy respect: Ethics in health care (2nd ed.) New York: Oxford University Press.

    Google Scholar 

  • Dworkin, G. (1992). Paternalism. In L. C. Becker & C. B. Becker (Eds.), Encyclopedia of ethics (pp. 939–942). London: St James Press.

    Google Scholar 

  • Editorial. (1994). Revealing the link between campaign financing and deaths caused by tobacco, Journal of the American Medical Association, 272(15), 1217–1218.

    Article  Google Scholar 

  • Eriksson, M.P., LaMaistre, C. A., & Newell, G. R. (1988). Health hazards of passive smoking, American Review of Public Health, 9, 7–70.

    Google Scholar 

  • Feinberg, J. (1971). Legal paternalism, Canadian Journal of Philosophy, 1, 105–124.

    Google Scholar 

  • Feinberg, J. (1973). Social philosophy. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Feinberg, J. (1986). Harm to self. New York: Oxford University Press.

    Google Scholar 

  • Flynn, B. S., Worden, J. K., Secker-Walker, R. H., Bchir, M. B., Badger, G. J., Geller, B. M., & Costanza, M. C. (1992). Prevention of cigarette smoking through mass media interventions and school programs, American Journal of Health, 82(6), 827–834.

    Article  CAS  Google Scholar 

  • Flynn, B. S., Worden, J. K., Secker-Walker, R. H., Pirie, P. L., Badger, G. J., Carpenter, J. H., & Geller. B. M. (1994). Mass media and school interventions for cigarette smoking prevention: Effects 2 years after completion, American Journal of Health, 84(7), 1148–1150.

    Article  CAS  Google Scholar 

  • Francoeur, R. T. (1983). Biomedical ethics: A guide to decision making. New York: Oxford University Press.

    Google Scholar 

  • Fulop, N. J., & Mckee, M. (1994). Airline’s magazine promotes production of tobacco products. British Medical Journal, 309(6953), 544.

    Article  Google Scholar 

  • Giesen, D. (1988). International medical malpractice law: A comparative study of civil liability arising from medical care. Tübingen: J. C. B. Mohr; Dordrecht, Boston, & London: Martinus Nijhoff.

    Google Scholar 

  • Gillon, R. (1993). Ethical review procedures: A developed countries’ perspective. In International guidelines for biomedical research involving human subjects, (pp. 70–87). Geneva: CIOMS.

    Google Scholar 

  • Gillon, R. (Ed.). (1994). Principles of health care ethics. New York: Wiley.

    Google Scholar 

  • Gowan, C. W. (Ed.). (1987). Moral dilemmas. New York: Oxford University Press.

    Google Scholar 

  • Gregorio, D. I. (1994). Counselling adolescents for smoking prevention: A survey of primary care physicians and dentists, American Journal of Health, 84(7), 1151–1153.

    Article  CAS  Google Scholar 

  • Gritz, E. R. (1994). Reaching toward and beyond the year 2000 goal for cigarette smoking: Research and public health priorities. Cancer, 74(4)(Supplement), 1423–1432.

    Article  PubMed  CAS  Google Scholar 

  • Haglund, B., Nilstun, T., Westrin, C.-G., & Smedby, B. (1991). Longitudinal studies on environmental factors and disease, Scandinavian Journal of Social Medicine, 19(2), 81–85.

    PubMed  CAS  Google Scholar 

  • Harris, J. (1985) The value of life. London: Routledge.

    Google Scholar 

  • Hastings, G. B., Ryan, H., Teer, P., & MacKintosh, A. M. (1994). Cigarette advertising and children’s smoking: Why Reg was withdrawn, British Medical Journal, 309(6959), 933–937.

    Article  PubMed  CAS  Google Scholar 

  • Häyry, H., Häyry, M., & Karjalainen, S. (1989). Paternalism and Finnish antismoking policy, Social Science and Medicine, 28, 293–297.

    Article  PubMed  Google Scholar 

  • Hazan, A. R., Upton, H. L., & Glantz, S. A. (1994). Popular films do not reflect current tobacco use, American Journal of Public Health, 84(6), 998–1000.

    Article  PubMed  CAS  Google Scholar 

  • Healthy people 2000: National health promotion and disease prevention objectives. (1994). DHHS Publication No. PHS 91-50212. Washington, DC: U.S. Department of Health and Human Services.

    Google Scholar 

  • Hermeren, G. (1972). Värdering och objektivitet [Valuation and objectivity]. Lund: Studentlitteratur [in Swedish].

    Google Scholar 

  • Hermerén, G. (1986). Kunskapens pris [The price of knowledge]. Stockholm: ForskningsrÃ¥dsnämndens Förlagstjänst [in Swedish].

    Google Scholar 

  • Hocking, B., Grain, H., & Gordon, I. (1994). Cost to industry of illness related to alcohol and smoking: A study of Telecom Australia employees, Medical Journal of Australia, 161(7), 407–412.

    PubMed  CAS  Google Scholar 

  • International guidelines for biomedical research involving human subjects. (1993). Geneva: CIOMS.

    Google Scholar 

  • International guidelines for ethical review of epidemiological studies. (1991). Geneva: CIOMS.

    Google Scholar 

  • Kaesemeyer, W. H. (1994). Holding smokers accountable for heart disease costs, Circulation, 90(2), 1029–1032.

    Article  PubMed  CAS  Google Scholar 

  • Kjellin, L., & Nilstun, T. (1993). Medical and social paternalism: Regulation of and attitudes towards compulsory psychiatric care. Acta Psychiatria Scandinavica. 88, 415–419.

    Article  CAS  Google Scholar 

  • Leppo, K., & Verio, H. (1986). Smoking control in Finland: A case study in policy formulation and implementation, Health Promotion, 1, 5–16.

    Article  Google Scholar 

  • Locke, J. (1670). Two treatises on government. London.

    Google Scholar 

  • Mill, J. S. (1859). On liberty. London.

    Google Scholar 

  • Mill, J. S. (1861). Utilitarianism. London.

    Google Scholar 

  • Moore, S., Wolfe, S.M., Lindes, D., & Douglas, C.E. (1994). Epidemiology of failed tobacco control legislation, Journal of the American Medical Association, 272(15), 1171–1175.

    Article  PubMed  CAS  Google Scholar 

  • Nikku, N. (1994). Paternalism and autonomy in health promotion. In, P. E. Liss & N. Nikku (Eds.), Health promotion and prevention: Theoretical and ethical aspects (pp. 110–116). Stockholm: Swedish Council for Planning and Coordination of Research.

    Google Scholar 

  • Nilstun, T. (1990). Public health measures with HIV infection: A model for identification and analysis of ethical conflicts. In B. Janson, & P. Allebeck (Eds.), Ethics in medicine: Individual integrity versus demands of society (pp. 203–213). New York: Raven Press.

    Google Scholar 

  • Nilstun, T., & Westrin, C.-G. (1994). The use of numbers in ethical analysis, Health Care Analysis, 2(1), 43–46.

    Article  PubMed  CAS  Google Scholar 

  • Nozick, R. (1974). Anarchy, state and Utopia. New York: Basic Books.

    Google Scholar 

  • Peto, R. (1994). Smoking and death: The past 40 years and the next 40, British Medical Journal, 309(6959), 937–939.

    Article  PubMed  CAS  Google Scholar 

  • Popper, K. R. (1966). The open society and its enemies. London: Routledge & Kegan Paul (originally published in 1945).

    Google Scholar 

  • Rawls, J. (1952). Justice as fairness, Philosophical Review, 67, 164–194.

    Article  Google Scholar 

  • Rawls, J. (1972). A theory of justice. New York: Oxford University Press.

    Google Scholar 

  • Roemer, R. (1993). Legislative action to combat the tobacco epidemic (2nd ed.) Geneva: World Health Organization.

    Google Scholar 

  • Ross, W. D. (1940). The right and the good. Oxford: Oxford University Press.

    Google Scholar 

  • Shinebourne, E. A., & Bush, A. (1994). For paternalism in the doctor-patient relationship. In R. Gillon (Ed.), Principles of health care ethics (pp. 399–408). New York: Wiley.

    Google Scholar 

  • Sinnott-Armstrong, W. (1988). Moral dilemmas. New York: Basil Blackwell.

    Google Scholar 

  • Stanley, J. M. (Ed.). (1989). The Appleton consensus: Suggested international guidelines for decisions to forgo medical treatment, Journal of Medical Ethics, 14, 128–136.

    Google Scholar 

  • Stanton, A. G., & Begay, M. E. (1994). Tobacco industry campaign contributions are affecting tobacco control policy-making in California, Journal of the American Medical Association, 272(1), 1176–1182.

    Google Scholar 

  • Townsend, J., Roderick, P., & Cooper, J. (1994). Cigarette smoking by socioeconomic group, sex and age: Effects of price, income, and health publicity, British Medical Journal, 309(6959), 923–927.

    Article  PubMed  CAS  Google Scholar 

  • VanDeVeer, D. (1986). Paternalistic intervention. Princeton NJ: Princeton University Press.

    Google Scholar 

  • Veatch, R. M., & Spicer, C. M. (1994). Against paternalism in the patient-physician relationship. In R. Gillon (Ed.), Principles of health care ethics (pp. 409–419). New York: Wiley.

    Google Scholar 

  • Westrin, C. G., & Nilstun, T. (1994). The ethics of data utilization: A comparison between epidemiology and journalism, British Medical Journal, 308, 522–523.

    Article  PubMed  CAS  Google Scholar 

  • Westrin, C. G., Nilstun, T., Smedby, B., & Haglund, B. (1992). Epidemiology and moral philosophy. Journal of Medical Ethics. 18(4), 193–196.

    Article  PubMed  CAS  Google Scholar 

  • Winkler, E. R. (1993). From Kantianism to contextualism: The rise and fall of the paradigm theory in bioethics. In E. R. Winkler & J. R. Coombs (Eds.), Applied ethics: A reader (pp. 343–365). Oxford: Blackwell.

    Google Scholar 

  • Winkler, E. R. (1994). Reflections on the relevance of the Georgetown paradigm for the ethics of environmental epidemiology. Working paper EHAZ 14/WS01/10. Rome: WHO Regional Office for Europe.

    Google Scholar 

  • Wynder, E. L., & Hoffmann, D. (1994). Smoking and lung cancer: Scientific challenges and opportunities, Cancer Research, 54, 5284–5295.

    PubMed  CAS  Google Scholar 

  • Yach, D. (1994). Tobacco excise tax and children. South African Medical Journal, 84(8), 507.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media New York

About this chapter

Cite this chapter

Nilstun, T. (1997). Paternalism and Health Behavior. In: Gochman, D.S. (eds) Handbook of Health Behavior Research IV. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0484-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0484-3_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0486-7

  • Online ISBN: 978-1-4899-0484-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics