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

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  • 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
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    References listed on IDEAS

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    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.
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    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.
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