Contested evidence, contested policy? Evidence use in the development of Scottish e-cigarette policy
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1
University of Glasgow, United Kingdom
2
Hertie School of Governance, Germany
3
University of Edinburgh, United Kingdom
4
University of Edinburgh, School of Social and Political Science, United Kingdom
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A641
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ABSTRACT
Background:
Electronic cigarettes (e-cigarettes) have become subject to
highly contested public and political debates regarding approaches to
regulation and marketing, which relate to the lack of evidence regarding their
potential benefits and harms. This is a common scenario for new technologies,
though one in which the evolving role of the tobacco industry has increased
anxiety. Whereas evidence is still unclear, proponents of e-cigarettes see them
as a unique way of helping smokers to quit, while opponents underline the
dangers in re-normalisation and e-cigarettes being a gateway into the use of
traditional cigarettes.
Methods:
Taking the Scottish context as a case study, this project
aimed to increase understanding of how different actors' are responding to the
uncertainties and evidence gaps in regulatory debates about e-cigarettes. The broader
project employed a mixed-method approach to investigate organisational actors´ position
on, and claims about, the benefits and harms of e-cigarettes, combining
thematic analysis of policy documents (N=157) and semi-structured interview
data (N=25).
Results:
Focusing mainly on the interview data, we examined how
actors taking differing positions in debates about e-cigarette regulation each
work to promote the validity of evidence/interpretations underpinning their
positions while discrediting more challenging evidence/interpretations, highlighting
the translation between research findings and media engagement as a critical
moment of contestation. We argue that, contrary to several participants'
apparent surprise at the absence of 'reasoned debate', the deep division that
has emerged around e-cigarette regulation in tobacco control research
represents a core part of 'science in the making' (Latour, 1988). As such, the
presentation sheds light on why research-based discussions about e-cigarettes have
become so divisive and outlines likely future scenarios.
Conclusions:
In this paper, we focus specifically on how actors presented
available evidence and evidence-gaps and how this appeared to both inform, and
be informed by, the conclusions they reached regarding the regulation of
e-cigarettes.