Deconstructing anti-harm-reduction metaphors; mortality risk from falls and other traumatic injuries compared to smokeless tobacco use
2006

Understanding Misleading Anti-Harm-Reduction Metaphors

publication Evidence: moderate

Author Information

Author(s): Carl V. Phillips, Brian Guenzel, Paul Bergen

Primary Institution: University of Alberta

Hypothesis

Are the metaphors used by anti-harm-reduction advocates misleading regarding the risks of smokeless tobacco compared to smoking?

Conclusion

The study concludes that anti-harm-reduction metaphors significantly exaggerate the risks associated with smokeless tobacco compared to smoking.

Supporting Evidence

  • Anti-harm-reduction metaphors exaggerate the risks of smokeless tobacco.
  • Mortality risk from smoking is comparable to a fall from about 4 stories.
  • Mortality risk from smokeless tobacco is similar to a fall from less than 2 stories.

Takeaway

Some people use silly comparisons to say that switching from smoking to smokeless tobacco is just as bad, but this isn't true; smokeless tobacco is much safer.

Methodology

The authors conducted a systematic review of literature on mortality rates from falls and compared these to the risks associated with smokeless tobacco.

Potential Biases

The authors acknowledge potential bias in the estimates of mortality risk from smokeless tobacco.

Limitations

The study relies on rough estimates and limited published information on mortality rates from falls.

Digital Object Identifier (DOI)

10.1186/1477-7517-3-15

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