Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, 3630 Promenade Sir William Osler, Montreal, QC H3G 1Y5, Canada.
Economic and Health Policy Research, American Cancer Society, Atlanta, GA 30303, USA.
Int J Environ Res Public Health. 2019 Jul 2;16(13):2330. doi: 10.3390/ijerph16132330.
Tobacco supply remains a pressing challenge to tobacco control. Tobacco remains a dominant cash crop in many low- and middle-income countries, despite the evidence suggesting that it is not as profitable as industry claims and is harmful to health and the environment. In order to implement successful and sustainable alternative livelihood interventions, it is important to understand why farmers continue to grow tobacco. This study explores this question from the perspective of farmers in Indonesia and Philippines. This study was informed by interpretive description methodology. Data was collected through focus group discussions (FGDs) ( = 7) with farmers ( = ~60). The FGDs were audio recorded, transcribed verbatim, and then translated into English. An inductive thematic analysis of the data was conducted to identify and categorize the reason provided by participants. We identified two overarching themes: (1) perceived viability (profitability, ready market, and environmental factors) and (2) financial context. Financial context included lumpsum payments and access to financial loans and credit facilities in light of their lack of capital. These results highlight that, in addition to identifying viable alternatives to tobacco, institutional factors such as improved access to credit and well-developed supply chains are key to the successful uptake of alternative livelihoods.
烟草供应仍然是控烟的一大挑战。尽管有证据表明,烟草的利润并不像行业宣称的那么高,而且对健康和环境有害,但烟草仍然是许多低收入和中等收入国家的主要经济作物。为了实施成功和可持续的替代生计干预措施,了解农民为什么继续种植烟草是很重要的。本研究从印度尼西亚和菲律宾农民的角度探讨了这个问题。本研究采用解释性描述方法。通过与农民(约 60 人)进行焦点小组讨论( = 7)收集数据。对 FGD 进行录音、逐字转录,然后翻译成英文。对数据进行了归纳主题分析,以确定和分类参与者提供的原因。我们确定了两个总体主题:(1)感知可行性(盈利性、现成市场和环境因素)和(2)财务背景。财务背景包括一次性付款以及在缺乏资本的情况下获得金融贷款和信贷便利。这些结果表明,除了确定可行的烟草替代品外,信贷渠道的改善和完善的供应链等制度因素对于成功采用替代生计也至关重要。