Youth tobacco prevention: Context, capacities and community readiness for change
Tuesday, November 5, 2013
Background: Community context, capacities and level of readiness for change inform and guide strategies for prevention. The 3 counties in this study project include an urban county (C1), a rural county (C2), and a transitioning rural/suburban county (C3). Methods: The Tri-ethnic Center's Community Readiness Assessment was used in semi-structured interviews with 26 stakeholders in 3 Missouri counties to assess readiness for change in prevention of youth tobacco use. Level of readiness was scored according to the Tri-Ethnic Center's protocol. Transcripts were analyzed using the constant comparative method across all interviews and within groups of interviews (by county). Level of readiness scores and qualitative findings guided the development of community-specific prevention strategies. Results: Across-case findings suggest low community knowledge and concern, lack of consensus on who is responsible for tobacco prevention and connection between acceptability of tobacco use and access to tobacco. The readiness scores were similarly low on a scale of 1-10 (C1: Level 5 Preparation; C2 and C3: Level 3 Vague awareness). Qualitative findings provided guidance for developing programs for each county considering the context of local resources, capacities and concerns. Conclusions: Strategies were matched to the score of level of readiness, utilizing findings to target local initiatives for community tobacco prevention. County 1 (C1): city council ordinancelevel intervention to expand the restriction of youth access to tobacco. County 2 (C2): a dedicated tobacco coalition with public health and other concerned stakeholders to promote smoke-free ordinances. County 3 (C3): school-based student group to promote tobacco-free lifestyle
Assessment of individual and community needs for health education
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Describe assessment of level of community readiness for change as a guide for strategy development;
Describe findings that provide context in developing community strategies in tobacco prevention; and
Discuss the implications for coalition capacity development (public health, social work, tobacco control, substance use prevention, community members, etc.) in research and practice in community-level prevention of tobacco use.
Keyword(s): Tobacco, Community Capacity
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: My role as evaluator on this study project qualifies me to present on the topic of tobacco prevention in communities.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.