All gates lead to smoking: The 'gateway theory', e-cigarettes and the remaking of nicotine

被引:58
作者
Bell, Kirsten [1 ]
Keane, Helen [2 ]
机构
[1] Univ British Columbia, Dept Anthropol, Vancouver, BC V6T 1Z1, Canada
[2] Australian Natl Univ, Sch Sociol, Res Sch Social Sci, Canberra, ACT 0200, Australia
关键词
Gateway hypothesis; Gateway theory; E-cigarettes; Nicotine; Drugs; Addiction; SMOKELESS TOBACCO USE; REPLACEMENT THERAPY; ELECTRONIC CIGARETTES; DELIVERY-SYSTEMS; CANNABIS USE; DRUG; PERCEPTIONS; INVOLVEMENT; INITIATION; ADDICTION;
D O I
10.1016/j.socscimed.2014.08.016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The idea that drug use in 'softer' forms leads to 'harder' drug use lies at the heart of the gateway theory, one of the most influential models of drug use of the twentieth century. Although hotly contested, the notion of the 'gateway drug' continues to rear its head in discussions of drug use-most recently in the context of electronic cigarettes. Based on a critical reading of a range of texts, including scholarly literature and media reports, we explore the history and gestation of the gateway theory, highlighting the ways in which intersections between academic, media and popular accounts actively produced the concept. Arguing that the theory has been critical in maintaining the distinction between 'soft' and 'hard' drugs, we turn to its distinctive iteration in the context of debates about e-cigarettes. We show that the notion of the 'gateway' has been transformed from a descriptive to a predictive model, one in which nicotine is constituted as simultaneously 'soft' and 'hard'-as both relatively innocuous and incontrovertibly harmful. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:45 / 52
页数:8
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