Skip to main content
Grant Details

Grant Number: 5R01TW010664-03 Interpret this number
Primary Investigator: Berg, Carla
Organization: Emory University
Project Title: Smoke-Free Air Coalitions in Georgia and Armenia: a Community Randomized Trial
Fiscal Year: 2019
Back to top


Abstract

SUMMARY/ABSTRACT Public health efforts in low- and middle-income countries (LMICs) could be catalyzed by bolstering ways to optimally leverage local talents and resources, such as civil society. Developing effective models for aligning civil society and governmental public health at the local level in LMICs has the potential to impact a range of chronic diseases and risk factors, including tobacco. Local coalitions have been a dominant strategy in tobacco control in the US, with well-documented success in establishing smoke-free policies specifically. However, this approach has not been widely leveraged or well-studied in LMICs or those with less democratic traditions than the US. Instead, in many LMICs, smoke-free policy progress is largely initiated at the national level. Parallel civil society movements at the local level may be needed to build support for and compliance with policies. Given their sociopolitical histories and high tobacco use and secondhand smoke exposure (SHSe) rates, Georgia (GE) and Armenia (AM) are two strategic settings for the proposed work. The smoking prevalence is 57.7% and 52.3% in men (6th and 11th highest in the world) and 5.7% and 1.5% in women, respectively. Moreover, our findings indicate extremely high rates of SHSe. However, we also documented high receptivity to public smoke-free policies despite high use rates, particularly in worksites and restaurants. This proposal is a well-justified extension of the literature and our prior work. We will build the capacity of GE and AM researchers to conduct high-quality mixed methods tobacco research and test the Community Coalition Action Theory as a framework for impacting local community-driven policy change. Researchers from the GE National Center for Disease Control (NCDC) and AM National Institute of Health (NIH) will collaborate with Emory to execute the proposed research, train tobacco control researchers within their organizations and partnering universities, and train practitioners within local communities to build local coalitions for tobacco control policy. We aim to: 1) conduct a matched-pair community randomized controlled trial in 28 municipalities in GE and AM to examine the impact of local coalitions promoting the adoption of smoke-free policies in worksites and restaurants, with the primary outcome of changes in SHSe over time; 2) assess how community context and coalition factors influence adoption of organizational and municipal smoke-free policies to provide an evidence- base for public health practice; 3) disseminate research findings regarding both the effectiveness and the process of establishing and maintaining coalitions, and consequently increasing smoke-free policies and reducing SHSe, to key stakeholders in GE and AM; and 4) capitalize on the proposed research and dissemination opportunities to build tobacco control research capacity within the GE NCDC, AM NIH, and partnering universities, as well as practice capacity within local public health centers and their civil society partners. Ultimately, the activities outlined in this proposal will serve as a catalyst for future action-oriented science and evidence-based practice to support tobacco control progress in this region more broadly.

Back to top


Publications

Strengthening Policy-Relevant Tobacco Research Capacity in Low- and Middle-Income Countries: Challenges, Opportunities, and Lessons Learned.
Authors: Berg C.J. , Thrasher J.F. , Barnoya J. , Cohen J.E. , Maziak W. , Lando H. , Drope J. , Mejia R. , Foley K. , Nakkash R. , et al. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2019-07-17; 21(8), p. 1140-1143.
PMID: 29873768
Related Citations

A Hope-Based Intervention to Address Disrupted Goal Pursuits and Quality of Life Among Young Adult Cancer Survivors.
Authors: Berg C.J. , Vanderpool R.C. , Getachew B. , Payne J.B. , Johnson M.F. , Sandridge Y. , Bierhoff J. , Le L. , Johnson R. , Weber A. , et al. .
Source: Journal of cancer education : the official journal of the American Association for Cancer Education, 2019-07-11; , .
EPub date: 2019-07-11.
PMID: 31297743
Related Citations

Local coalitions as an underutilized and understudied approach for promoting tobacco control in low- and middle-income countries.
Authors: Berg C.J. .
Source: Journal of global health, 2019 Jun; 9(1), p. 010301.
PMID: 30546868
Related Citations

IQOS point-of-sale marketing strategies in Israel: a pilot study.
Authors: Bar-Zeev Y. , Levine H. , Rubinstein G. , Khateb I. , Berg C.J. .
Source: Israel journal of health policy research, 2019-01-14; 8(1), p. 11.
EPub date: 2019-01-14.
PMID: 30642383
Related Citations

Vape shop location and marketing in the context of the Food and Drug Administration regulation.
Authors: Berg C.J. .
Source: Public health, 2018 Dec; 165, p. 142-145.
EPub date: 2018-11-08.
PMID: 30415177
Related Citations

The impact and relevance of tobacco control research in low-and middle-income countries globally and to the US.
Authors: Berg C.J. , Fong G.T. , Thrasher J.F. , Cohen J.E. , Maziak W. , Lando H. , Drope J. , Mejia R. , Barnoya J. , Nakkash R. , et al. .
Source: Addictive behaviors, 2018 Dec; 87, p. 162-168.
EPub date: 2018-07-17.
PMID: 30041132
Related Citations




Back to Top