Grant Details
Grant Number: |
5R01CA067838-08 Interpret this number |
Primary Investigator: |
Jones, Alison |
Organization: |
Wake Forest University Health Sciences |
Project Title: |
Tobacco Farmers and Tobacco Control II |
Fiscal Year: |
2005 |
Abstract
DESCRIPTION (provided by applicant): This application is for competitive
renewal of funding for Tobacco Farmers and Tobacco Control (TFTC I), an R0l
currently funded by NCI This study will be conducted in North Carolina, where
more tobacco is grown than in all other states combined. In addition, due
substantially to public and policy-maker concern about farmers, North Carolina
lag far behind other states in tobacco control efforts. The original study
(still ongoing) is a randomized intervention trial of 14 major
tobacco-producing counties. Seven counties were assigned randomly to receive an
intensive community organization and education intervention that encouraged
diversification. The seven non-intervention counties served as a no-treatment
comparison group. The efficacy of the intervention was evaluated among a cohort
of over 1,000 tobacco fanners. In this competitive renewal (TFTC II) we propose
to cease implementation of the TFTC I intervention and to monitor its impact,
as well as the impact of the tobacco settlement and other tobacco/agricultural
policy in the seven treatment and seven comparison counties that participated
in TFTC I. In addition, we propose to add a statewide tracking system to the
study to evaluate how the settlement is being implemented (and reactions to
it), both in the 14 counties we have studied over the past three years and
among statewide farmer organizations, health groups, other community
organizations, and policy-makers. Specifically, TFTC II will: (a) assess
whether tobacco farmers in the seven TFTC I intervention counties, compared to
the seven control counties, will be less dependent on tobacco as source of
family income; (b) examine the effects of the tobacco settlement on tobacco
production and public health interests; (c) document the knowledge, attitudes,
and behaviors of tobacco farmers and other tobacco-dependent community
stakeholders about the impacts of changes in the tobacco farming sector; (d)
collect data from health constituencies, tobacco fanners, tobacco-dependent
community stakeholders, and from local, regional and stat economic development
interests concerning the chances of successful diversification; and (e)
identify areas of tobacco farmer misunderstanding of the impacts of tobacco
control programs and tobacco industry business practices and asses; how tobacco
control organizations can target these areas of misunderstanding with
educational campaigns and other programs. We believe that as farmers become
less dependent on tobacco, they will interfere less with tobacco control
efforts. We suggest that farmer diversification and the subsequent economic
development it produces will decrease public and policy-maker resistance to
tobacco control.
Publications
Funding of North Carolina tobacco control programs through the Master Settlement Agreement.
Authors: Jones A.S.
, Austin W.D.
, Beach R.H.
, Altman D.G.
.
Source: American journal of public health, 2007 Jan; 97(1), p. 36-44.
EPub date: 2006-11-30.
PMID: 17138928
Related Citations
Readiness to change: newspaper coverage of tobacco farming and diversification.
Authors: Smith M.H.
, Altman D.G.
, Strunk B.
.
Source: Health education & behavior : the official publication of the Society for Public Health Education, 2000 Dec; 27(6), p. 708-24.
PMID: 11104371
Related Citations
Tobacco growers' knowledge of revenue distribution and foreign prices: implications for health education.
Authors: Zaccaro D.J.
, Altman D.G.
.
Source: Health education research, 2000 Apr; 15(2), p. 175-80.
PMID: 10751376
Related Citations
Rural economic development vs. tobacco control? Tensions underlying the use of tobacco settlement funds.
Authors: Austin W.D.
, Altman D.
.
Source: Journal of public health policy, 2000; 21(2), p. 129-56.
PMID: 10881452
Related Citations
Newspaper and wire service coverage of tobacco farmers.
Authors: Altman D.G.
, Strunk B.
, Smith M.H.
.
Source: Health education research, 1999 Feb; 14(1), p. 131-7.
PMID: 10537942
Related Citations
Predictors of crop diversification: a survey of tobacco farmers in North Carolina (USA).
Authors: Altman D.G.
, Zaccaro D.J.
, Levine D.W.
, Austin D.
, Woodell C.
, Bailey B.
, Sligh M.
, Cohn G.
, Dunn J.
.
Source: Tobacco control, 1998 Winter; 7(4), p. 376-82.
PMID: 10093171
Related Citations
Green tobacco sickness.
Authors: McBride J.S.
, Altman D.G.
, Klein M.
, White W.
.
Source: Tobacco control, 1998 Autumn; 7(3), p. 294-8.
PMID: 9825425
Related Citations