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.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Specialized Center (P50)
Project #
Application #
Study Section
Special Emphasis Panel (ZCA1-SRLB-3)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Harvard University
United States
Zip Code
Hayashi, Hana; Tan, Andy; Kawachi, Ichiro et al. (2018) Does Segmentation Really Work? Effectiveness of Matched Graphic Health Warnings on Cigarette Packaging by Race, Gender and Chronic Disease Conditions on Cognitive Outcomes among Vulnerable Populations. J Health Commun :1-11
McCloud, Rachel Faulkenberry; Okechukwu, Cassandra; Sorensen, Glorian et al. (2017) Cigarette graphic health warning labels and information avoidance among individuals from low socioeconomic position in the U.S. Cancer Causes Control 28:351-360
Levy, Douglas E; Klinger, Elissa V; Linder, Jeffrey A et al. (2017) Cost-Effectiveness of a Health System-Based Smoking Cessation Program. Nicotine Tob Res 19:1508-1515
Ramanadhan, Shoba; Nagler, Rebekah H; McCloud, Rachel et al. (2017) Graphic health warnings as activators of social networks: A field experiment among individuals of low socioeconomic position. Soc Sci Med 175:219-227
Campbell, Joshua D; Lathan, Christopher; Sholl, Lynette et al. (2017) Comparison of Prevalence and Types of Mutations in Lung Cancers Among Black and White Populations. JAMA Oncol 3:801-809
Levy, Douglas E; Adams, Inez F; Adamkiewicz, Gary (2017) Delivering on the Promise of Smoke-Free Public Housing. Am J Public Health 107:380-383
Bigman, Cabral A; Nagler, Rebekah H; Viswanath, K (2016) Representation, Exemplification, and Risk: Resonance of Tobacco Graphic Health Warnings Across Diverse Populations. Health Commun 31:974-87
Smith, Caren E; Fullerton, Stephanie M; Dookeran, Keith A et al. (2016) Using Genetic Technologies To Reduce, Rather Than Widen, Health Disparities. Health Aff (Millwood) 35:1367-73
Thornton, Rachel L J; Glover, Crystal M; Cené, Crystal W et al. (2016) Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health. Health Aff (Millwood) 35:1416-23
Nagler, Rebekah H; Bigman, Cabral A; Ramanadhan, Shoba et al. (2016) Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities. Cancer Epidemiol Biomarkers Prev 25:603-12

Showing the most recent 10 out of 49 publications