pmc logo imageJournal ListSearchpmc logo image
Logo of bmjBMJ helping doctors make better decisionsSearchLatest content
BMJ. 1993 August 14; 307(6901): 429–432.
PMCID: PMC1678429
Unravelling gossamer with boxing gloves: problems in explaining the decline in smoking.
S Chapman
Department of Community Medicine, University of Sydney, Westmead Hospital, NSW, Australia.
Abstract
For about three decades countries such as Australia, Great Britain, and the United States have been turning up the heat on tobacco advertising. Encouraging, sometimes dramatic falls in consumption have followed. On any given day in 1993 smokers in such countries are exposed to a welter of news, information, persuasion, and policies designed to turn them off smoking. For a long time explanations and evaluations of the effects of these policies and interventions have been tied to oversimplified causal models when the reality is rather more messy and complicated. Four factors largely explain the reluctance of researchers to move beyond these models: the reductionist tradition of science; the explanatory privileging of recent events and factors; pragmatic concern for policy "tractable" factors; and the relation of funding to the evaluative process. Broader research approaches to understanding changes in complex behaviours such as smoking are required--for example, qualitative methods.
Full text
Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.3M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.
Images in this article
Click on the image to see a larger version.
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
  • Pierce, JP; Dwyer, T; Frape, G; Chapman, S; Chamberlain, A; Burke, N. Evaluation of the Sydney "Quit. For Life" anti-smoking campaign. Part 1. Achievement of intermediate goals. Med J Aust. 1986 Mar 31;144(7):341–344. [PubMed]
  • Nutbeam, D; Macaskill, P; Smith, C; Simpson, JM; Catford, J. Evaluation of two school smoking education programmes under normal classroom conditions. BMJ. 1993 Jan 9;306(6870):102–107. [PubMed]
  • Chapman, S. The news on smoking: newspaper coverage of smoking and health in Australia, 1987-88. Am J Public Health. 1989 Oct;79(10):1419–1421. [PubMed]
  • Chapman, S; Borland, R; Hill, D; Owen, N; Woodward, S. Why the tobacco industry fears the passive smoking issue. Int J Health Serv. 1990;20(3):417–427. [PubMed]
  • Borland, R; Chapman, S; Owen, N; Hill, D. Effects of workplace smoking bans on cigarette consumption. Am J Public Health. 1990 Feb;80(2):178–180. [PubMed]
  • Chapman, S. Smoking in the workplace. Lancet. 1992 Jun 27;339(8809):1614–1614. [PubMed]
  • Roberts, C; Algert, C; Chey, T; Capon, A; Gray, E. Community attitudes to smoking in restaurants. Med J Aust. 1992 Aug 3;157(3):210. [PubMed]
  • Borland, R; Hill, D. Public attitudes to smoke-free zones in restaurants: an update. Med J Aust. 1991 Feb 18;154(4):292–293. [PubMed]
  • Brownson, RC; Chang, JC; Davis, JR. Cigarette smoking and risk of adult leukemia. Am J Epidemiol. 1991 Nov 1;134(9):938–941. [PubMed]
  • Curry, S; Wagner, EH; Grothaus, LC. Intrinsic and extrinsic motivation for smoking cessation. J Consult Clin Psychol. 1990 Jun;58(3):310–316. [PubMed]
  • Wilson, DH; Wakefield, MA; Steven, ID; Rohrsheim, RA; Esterman, AJ; Graham, NM. "Sick of Smoking": evaluation of a targeted minimal smoking cessation intervention in general practice. Med J Aust. 1990 May 21;152(10):518–521. [PubMed]
  • Chapman, S. The limitations of econometric analysis in cigarette advertising studies. Br J Addict. 1989 Nov;84(11):1267–1274. [PubMed]