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Tobacco control leaders were extremely proud of the movement's
achievements in the state of Minnesota. In sharing their
perspectives and experiences with Mark Wolfson, they found a way of
making sure that the story would get told. His training in social
movements had given him an appreciation of the importance of
understanding the social infrastructure on which movements are
built, and Minnesota had built heavily on the infrastructure of
health care and public health. What became apparent is that the
struggle against the tobacco industry in Minnesota involved a
close, collaborative relationship between government (or "state")
actors and the leaders of the tobacco control movement.
Wolfson develops both of these themes: building on the
infrastructure of health, and state-movement interpenetration, to
understand the emergence, growth, and outcomes of the tobacco
control movement in Minnesota. He focuses on the advantages and
constraints associated with these two related themes. He goes
beyond the case study method to assess the generalizability of the
pattern, and whether the same sort of movement can be used by other
states in North America, and even in other countries and their
social movements.
How has the tobacco control movement become such a significant and
successful force in shaping public policy, social norms, and the
habits of millions of Americans? In this first such detailed study
by a sociologist, Wolfson documents how the movement has grown over
nearly three decades by building an infrastructure of health
organizations and health professionals, and by fostering
relationships with government. Rich in survey data, extensive
interviews, and archival sources, this text is essential reading
for courses in social problems, social movements, and public
health. The general reader will also find it engaging, given the
issues of tobacco use as an addiction and a social problem.
"Mark Wolfson" is associate professor and director for community
Research, Department of Public Health Science, Wake Forest
University School of Medicine. His research has been funded by both
governmental and private research grants.
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