It is widely accepted that our country's public health is characterized by widespread health disparities along class, ethnic, and racial lines. These disparities manifest themselves in a variety of risk factors, including tobacco use. There is also an emerging consensus that solutions to address these disparities should tackle determinants at multiple levels, including both individual behaviors and more upstream factors such as social policy and social institutions. This application proposes a unique and an innovative exploratory approach to address one such upstream factor -the public agenda about disparities -by mobilizing community groups to target media coverage and public opinion. The project's specific aims are: 1) To examine the public agenda about health disparities including tobacco disparities in one community, Lawrence, Massachusetts.
This aim i ncludes examining the amount of attention local media pay to disparities and how they frame stories about them, and examining public opinion about health and tobacco disparities including the priority assigned to health disparities and how the public frames causes of and solutions to health disparities. 2) To use findings from our Public Agenda Assessment (Aim 1) to design a model intervention to influence the public agenda on health and tobacco-related disparities, including the development of: (a) a media training program for community-based organizations through a series of workshops and (b) a toolkit for journalists. 3) To implement the intervention developed to achieve Aim 2 in Lawrence, MA. This intervention will be used to train community-based organizations (CBOs) that work with the underserved and with ethnic and minority groups, on how to work with local media to advance their agenda around health disparities (including those associated with socioeconomic status and race/ethnicity based) with special focus on tobacco-related disparities. The intervention will be implemented in Lawrence, MA.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center (P50)
Project #
3P50CA148596-03S2
Application #
8607229
Study Section
Special Emphasis Panel (ZCA1-SRLB-3)
Project Start
2012-05-01
Project End
2015-04-30
Budget Start
2012-05-01
Budget End
2013-04-30
Support Year
3
Fiscal Year
2013
Total Cost
$25,000
Indirect Cost
Name
Harvard University
Department
Type
DUNS #
149617367
City
Boston
State
MA
Country
United States
Zip Code
02115
Blanton, Hart; Snyder, Leslie B; Strauts, Erin et al. (2014) Effect of graphic cigarette warnings on smoking intentions in young adults. PLoS One 9:e96315
Duncan, Dustin T; Kawachi, Ichiro; Melly, Steven J et al. (2014) Demographic disparities in the tobacco retail environment in Boston: a citywide spatial analysis. Public Health Rep 129:209-15
Duncan, Dustin T; Kawachi, Ichiro; Subramanian, S V et al. (2014) Examination of how neighborhood definition influences measurements of youths' access to tobacco retailers: a methodological note on spatial misclassification. Am J Epidemiol 179:373-81
John, Dolly A; Kawachi, Ichiro; Lathan, Christopher S et al. (2014) Disparities in perceived unmet need for supportive services among patients with lung cancer in the Cancer Care Outcomes Research and Surveillance Consortium. Cancer 120:3178-91
Slopen, Natalie; Williams, David R (2014) Discrimination, other psychosocial stressors, and self-reported sleep duration and difficulties. Sleep 37:147-56
Kontos, Emily; Blake, Kelly D; Chou, Wen-Ying Sylvia et al. (2014) Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012. J Med Internet Res 16:e172
Nagler, Rebekah H; Viswanath, Kasisomayajula (2013) Implementation and research priorities for FCTC Articles 13 and 16: tobacco advertising, promotion, and sponsorship and sales to and by minors. Nicotine Tob Res 15:832-46
John, Dolly A; Williams, David R (2013) Mental health service use from a religious or spiritual advisor among Asian Americans. Asian J Psychiatr 6:599-605
Slopen, Natalie; Kontos, Emily Z; Ryff, Carol D et al. (2013) Psychosocial stress and cigarette smoking persistence, cessation, and relapse over 9-10 years: a prospective study of middle-aged adults in the United States. Cancer Causes Control 24:1849-63
Linder, Jeffrey A; Rigotti, Nancy A; Brawarsky, Phyllis et al. (2013) Use of practice-based research network data to measure neighborhood smoking prevalence. Prev Chronic Dis 10:E84

Showing the most recent 10 out of 15 publications