Local Organizations Supporting Implementation of Graphic Health Warnings for Tobacco in Underserved Communities: A Qualitative Inquiry

Frontiers in Public Health

Jaclyn M. Alexander-Molloy¹  Kasisomayajula Viswanath²  Shoba Ramanadhan³  Rebekah H. Nagler⁴ 

[1] Mass Communication, University of Minnesota, Minneapolis, MN, United States;Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, United States;Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States;;Hubbard School of Journalism &School of Nursing, University of Massachusetts—Boston, Boston, MA, United States;

关键词: graphic health warnings;    community-based organizations;    implementation science;    community-level;    tobacco;   

DOI  :  10.3389/fpubh.2018.00322

来源: DOAJ

【 摘 要 】

Background: Graphic health warnings (GHWs) on cigarette packages offer the potential to support tobacco cessation and prevention of initiation. Guidance for supporting implementation at the local level is limited, which can lead to missed opportunities to amplify the health impact of GHWs. This study examines the potential for local organizations engaged in tobacco control in underserved communities to support GHW implementation.Materials and Methods: Key informant interviews were conducted with 20 leaders in the three partner communities of Boston, Lawrence, and Worcester, Massachusetts. Data were analyzed using a combination of inductive and deductive methods, grounded in a framework analysis approach.Results: First, participants expected local organizations to play a diverse range of roles to support GHW policy implementation, ranging from convening local actors to offering complementary health education activities. Second, there is a need for external agencies to actively support local organizations during the pre-implementation and implementation phases, e.g., by engaging local organizations and providing resources and technical assistance. Finally, participants noted concerns about potential disconnects between the GHWs and the needs of underserved populations.Discussion: With the necessary supports, local community organizations can be important implementation partners to maximize the impact of GHWs and ensure that benefits accrue to members of underserved communities.

【 授权许可】

Unknown