IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v119y2014icp45-52.html
   My bibliography  Save this article

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

Author

Listed:
  • Bell, Kirsten
  • Keane, Helen

Abstract

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.

Suggested Citation

  • Bell, Kirsten & Keane, Helen, 2014. "All gates lead to smoking: The ‘gateway theory’, e-cigarettes and the remaking of nicotine," Social Science & Medicine, Elsevier, vol. 119(C), pages 45-52.
  • Handle: RePEc:eee:socmed:v:119:y:2014:i:c:p:45-52
    DOI: 10.1016/j.socscimed.2014.08.016
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953614005334
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2014.08.016?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Choi, K. & Fabian, L. & Mottey, N. & Corbett, A. & Forster, J., 2012. "Young adults' favorable perceptions of snus, dissolvable tobacco products, and electronic cigarettes: Findings from a focus group study," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2088-2093.
    2. Peretti-Watel, Patrick & Moatti, Jean-Paul, 2006. "Understanding risk behaviours: How the sociology of deviance may contribute? The case of drug-taking," Social Science & Medicine, Elsevier, vol. 63(3), pages 675-679, August.
    3. Shiffman, Saul & Sweeney, Christine T., 2008. "Ten years after the Rx-to-OTC switch of nicotine replacement therapy: What have we learned about the benefits and risks of non-prescription availability?," Health Policy, Elsevier, vol. 86(1), pages 17-26, April.
    4. Pearson, J.L. & Richardson, A. & Niaura, R.S. & Vallone, D.M. & Abrams, D.B., 2012. "E-cigarette awareness, use, and harm perceptions in US adults," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1758-1766.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Akash Patel & Jana L. Hirschtick & Steven Cook & Bukola Usidame & Ritesh Mistry & David T. Levy & Rafael Meza & Nancy L. Fleischer, 2021. "Sociodemographic Patterns of Exclusive and Dual Use of ENDS and Menthol/Non-Menthol Cigarettes among US Youth (Ages 15–17) Using Two Nationally Representative Surveys (2013–2017)," IJERPH, MDPI, vol. 18(15), pages 1-16, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jennifer C. Morgan & Joseph N. Cappella, 2021. "Harm Perceptions and Beliefs about Potential Modified Risk Tobacco Products," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    2. Lei Wang & Yongcheng Zhan & Qiudan Li & Daniel D. Zeng & Scott J. Leischow & Janet Okamoto, 2015. "An Examination of Electronic Cigarette Content on Social Media: Analysis of E-Cigarette Flavor Content on Reddit," IJERPH, MDPI, vol. 12(11), pages 1-20, November.
    3. Elle Wadsworth & Joanne Neale & Ann McNeill & Sara C. Hitchman, 2016. "How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK," IJERPH, MDPI, vol. 13(7), pages 1-13, June.
    4. Rahi Abouk & Scott Adams & Bo Feng & Johanna Catherine Maclean & Michael F. Pesko, 2019. "The Effect of E-Cigarette Taxes on Pre-pregnancy and Prenatal Smoking," NBER Working Papers 26126, National Bureau of Economic Research, Inc.
    5. Youngs Chang & Sanghyun Cho & Ikhan Kim & Young-Ho Khang, 2019. "Socioeconomic Inequalities in e-Cigarette Use in Korea: Comparison with Inequalities in Conventional Cigarette Use Using Two National Surveys," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    6. Michael Briganti & Cristine D. Delnevo & Leanne Brown & Shirin E. Hastings & Michael B. Steinberg, 2019. "Bibliometric Analysis of Electronic Cigarette Publications: 2003–2018," IJERPH, MDPI, vol. 16(3), pages 1-10, January.
    7. Kurko, Terhi & Linden, Kari & Vasama, Mari & Pietilä, Kirsi & Airaksinen, Marja, 2009. "Nicotine replacement therapy practices in Finland one year after deregulation of the product sales--Has anything changed from the community pharmacy perspective?," Health Policy, Elsevier, vol. 91(3), pages 277-285, August.
    8. Sarah D. Kowitt & Clare Meernik & Hannah M. Baker & Amira Osman & Li-Ling Huang & Adam O. Goldstein, 2017. "Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 14(4), pages 1-18, March.
    9. Clare Meernik & Hannah M. Baker & Karina Paci & Isaiah Fischer-Brown & Daniel Dunlap & Adam O. Goldstein, 2015. "Electronic Cigarettes on Hospital Campuses," IJERPH, MDPI, vol. 13(1), pages 1-12, December.
    10. Dorota Kaleta & Mirosław Niedzin & Agnieszka Jankowska & Kinga Polańska, 2019. "Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    11. Eboneé N. Butler & Marissa G. Hall & May S. Chen & Jessica K. Pepper & Hart Blanton & Noel T. Brewer, 2020. "The Prototypes of Tobacco Users Scale (POTUS) for Cigarette Smoking and E-Cigarette Use: Development and Validation," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    12. Kim A. G. J. Romijnders & Liesbeth Van Osch & Hein De Vries & Reinskje Talhout, 2018. "Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review," IJERPH, MDPI, vol. 15(6), pages 1-19, June.
    13. Vincent Varlet & Konstantinos Farsalinos & Marc Augsburger & Aurélien Thomas & Jean-François Etter, 2015. "Toxicity Assessment of Refill Liquids for Electronic Cigarettes," IJERPH, MDPI, vol. 12(5), pages 1-20, April.
    14. Elise M. Stevens & Emily T. Hébert & Alayna P. Tackett & Eleanor L. S. Leavens & Theodore L. Wagener, 2020. "Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users," IJERPH, MDPI, vol. 17(13), pages 1-9, July.
    15. Kurko, Terhi & Silvast, Antti & Wahlroos, Hannes & Pietilä, Kirsi & Airaksinen, Marja, 2012. "Is pharmaceutical policy evidence-informed? A case of the deregulation process of nicotine replacement therapy products in Finland," Health Policy, Elsevier, vol. 105(2), pages 246-255.
    16. Biljana Kilibarda & Viktor Mravcik & Marcus Sebastian Martens, 2016. "E-cigarette use among Serbian adults: prevalence and user characteristics," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 167-175, March.
    17. Gowan, Teresa & Whetstone, Sarah & Andic, Tanja, 2012. "Addiction, agency, and the politics of self-control: Doing harm reduction in a heroin users’ group," Social Science & Medicine, Elsevier, vol. 74(8), pages 1251-1260.
    18. Andy S. L. Tan & Susan Mello & Ashley Sanders‐Jackson & Cabral A. Bigman, 2017. "Knowledge about Chemicals in e‐Cigarette Secondhand Vapor and Perceived Harms of Exposure among a National Sample of U.S. Adults," Risk Analysis, John Wiley & Sons, vol. 37(6), pages 1170-1180, June.
    19. Jingfen Zhu & Fanghui Shi & Gang Xu & Na Li & Jiahui Li & Yaping He & Jinming Yu, 2019. "Conventional Cigarette and E-Cigarette Smoking among School Personnel in Shanghai, China: Prevalence and Determinants," IJERPH, MDPI, vol. 16(17), pages 1-13, September.
    20. Heikkinen, Hanne & Patja, Kristiina & Jallinoja, Piia, 2010. "Smokers' accounts on the health risks of smoking: Why is smoking not dangerous for me?," Social Science & Medicine, Elsevier, vol. 71(5), pages 877-883, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:119:y:2014:i:c:p:45-52. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.