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Colonial harm in new packaging

Indigenous critiques of the tobacco industry's ‘harm reduction’ rhetoric

Bibliographic Data

ID22944871
AuthorsRichard Maddox (0000-0002-2770-0686, Bagumani (Modewa) Clan, Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, The Australian National University (ANU) , Canberra, ACT 2600), Christina Heris (0000-0003-3857-6817, Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, The Australian National University (ANU) , Canberra, ACT 2600), Andrew Waa (0000-0002-8078-0283, Ngāti Hine/Ngāpuhi, Eru Pōmare Māori Health Research Centre, University of Otago, ASPIRE Aotearoa, Wellington , 23a Mein Street, Newtown 6021), Lani Teddy (0009-0009-1393-7736, Ngāti Ranginui/ Ngāi Te Rangi, Eru Pōmare Māori Health Research Centre, ASPIRE Aotearoa, University of Otago , Wellington, 23a Mein Street, Newtown 6021), Penney Upton (0000-0002-6453-9510, Health Research Institute, University of Canberra , 11 Kirinari Street, Bruce, Canberra, ACT 2617), Patricia Nez Henderson (0000-0002-8087-9929, Black Hills Center for American Indian Health), Chase Kornacki (0009-0007-7171-048X, Navajo Nation , Southern California American Indian Health Center, CA), Joseph Rodríguez (0000-0001-9806-1423, Luiseño, Haliwa Saponi, Southern California American Indian Health Center , CA), Juliet P Lee (0000-0003-2330-3736, Prevention Research Center, Pacific Institute for Research and Evaluation-California , 2030 Addison St # 410, Berkeley, CA 94704), El‐Shadan Tautolo (0000-0001-8444-6410, Auckland University of Technology), El-Shadan Tautolo (Samoa/Ngāti Tapuniu, AUT Pacific Health Research Centre, Auckland University of Technology , Private Bag 92006, Auckland 1142), Sydney A Martinez (0000-0003-1226-7506, University of Oklahoma Health Sciences Center), Shane Kawenata Bradbrook (Ngāi Tāmanuhiri, Rongowhakaata, Ngāti Kahungunu ,), MICHELLE KENNEDY (0000-0001-9691-068X, Wiradjuri, School of Health and Medicine, University of Newcastle , Callaghan, NSW 2308)
Year2025
Volume40
Issue4
Publication date2025-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daaf111
PMID40728114
OpenAlexW4412727713
LanguageEN
Citations received1
References cited22

Over the last 75 years, we have learned that commercial tobacco use causes widespread disease and death. However, the commercial Tobacco and Nicotine Industry continues to promote, market, and sell tobacco and nicotine products to protect and expand profit. This reflects their legal obligation to act in shareholders’ best interests. While the Tobacco and Nicotine Industry heavily promotes alternative products such as electronic cigarettes and nicotine pouches, for now, these represent a relatively small share of profits compared with combustible cigarette sales. The continued reliance on and expansion of these markets generates addiction, dependence, and a range of harms. These actions represent a modern manifestation of colonization—reproducing control and exploitation that affects people at all levels, particularly Indigenous peoples, whose lands, knowledges, and well-being have long been commodified and targeted. The Tobacco and Nicotine Industry and their collaborators employ misleading strategies, including co-opting terms like ‘harm reduction’ and making vague promises about a ‘smoke-free’ or ‘noncombustible’ future. These tactics distract from the continued promotion and sale of harmful products under the guise of public health and harm reduction. This narrative reframes structural and commercial determinants of health as matters of individual choice and enables the continued production of Tobacco and Nicotine Industry–driven harms. Everyone has the right to health, and it is crucial to have effective tobacco control and resistance programs and policies. Governments have a duty to protect people's health by preventing the creation of new generations addicted to people-harming products. Given the ongoing and disproportionate impact of tobacco and nicotine-related disease and death—particularly for Indigenous peoples—there is an urgent need for structural change to eradicate these harms and dismantle colonial and commercial systems that sustain them.

Colonialism · Criminology · Environmental health · Harm · Harm reduction · Indigenous · Political science · Public health · Rhetoric · Sociology · Tobacco industry · Asian American and Pacific Histories · Ecology · Indigenous Health, Education, and Rights · Latin American and Latino Studies · Law · Medicine · Nursing · Philosophy

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    Open Access•David R Williams, Selina A Mohammed•Journal of Behavioral Medicine•2009

  • Decolonization of Tobacco in Indigenous Communities of Turtle Island (North America)

    Open Access•Patricia Nez Henderson, Juliet P Lee et al.•Nicotine & Tobacco Research•2022

  • Resisting industry narratives

    Open Access•Richard Maddox, Abbey Diaz et al.•Health Promotion International•2024

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    Andrew Waa, Richard Maddox et al.•Tobacco Control•2020

  • Tobacco endgame intervention impacts on health gains and Māori

    Open Access•Driss Ait Ouakrim, Tim Wilson et al.•Tobacco Control•2023

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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