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The Economic Geography of Kenyan Tobacco Farmers' Livelihood Decisions.
Li, Qing; Magati, Peter; Lencucha, Raphael; Labonte, Ronald; Makoka, Donald; Drope, Jeffrey.
Afiliación
  • Li Q; Economic and Health Policy Research Program, American Cancer Society, Atlanta, GA.
  • Magati P; School of Economics, University of Nairobi, Nairobi, Kenya.
  • Lencucha R; Faculty of Medicine, McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada.
  • Labonte R; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
  • Makoka D; Centre for Agricultural Research and Development, Lilongwe, Malawi.
  • Drope J; Economic and Health Policy Research Program, American Cancer Society, Atlanta, GA.
Nicotine Tob Res ; 21(12): 1711-1714, 2019 11 19.
Article en En | MEDLINE | ID: mdl-30690496
ABSTRACT

INTRODUCTION:

The narrative of prosperous economic livelihood of tobacco farmers in Kenya as alleged by the tobacco industry deserves challenge as evidence increasingly suggests that smallholder tobacco farmers are making little or no profits. Article 17 of the World Health Organization Framework Convention on Tobacco Control encourages viable alternative livelihoods for tobacco farmers. There is little evidence, however, on how tobacco farmers make livelihood choice decisions.

METHODS:

A total of 527 purposefully selected smallholder tobacco farmers in Kenya from three main tobacco-growing regions participated in a 2017 economic livelihood survey. Geo-economic data were matched to surveyed farmers' Global Positioning System coordinates to estimate each farmer's access to nearby economic centers. Ownership of cell phones or radios was also used to estimate farmers' virtual access to nearby economic activities to understand better the role of information. Multivariate logistic regressions were used to control socioeconomic status and self-reported activity in nearby economic centers.

RESULTS:

Tobacco farmers rarely live within 10 km of an economic center. Results suggest that the further away farmers live from economic centers, the less likely they are to grow tobacco, but more likely to grow tobacco under contract. Also, farmers owning a cell phone or radio are not only less likely to grow tobacco, but also to not engage in farming under contract if they do grow tobacco.

CONCLUSIONS:

Physical and virtual access to nearby economic activities is significantly associated with tobacco farmers' livelihood choice decision and should be taken into consideration by decision makers while developing interventions for FCTC Article 17. IMPLICATIONS Smallholder tobacco farmers in lower-income countries are making little or no profits, but few studies have been conducted to illuminate what perpetuates tobacco production, with such studies urgently needed to support governments to develop viable alternative livelihoods for tobacco farmers. This study suggests that geographic and technological factors that shape farmers' economic decisions can help policy makers tailor alternative livelihood policies to different regional contexts and should be a focus of future research in this area.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 11_ODS3_cobertura_universal / 2_ODS3 Problema de salud: 11_multisectoral_coordination / 2_cobertura_universal Asunto principal: Nicotiana / Agricultura / Agricultores Tipo de estudio: Health_economic_evaluation / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Nicotine Tob Res Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Gabón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 11_ODS3_cobertura_universal / 2_ODS3 Problema de salud: 11_multisectoral_coordination / 2_cobertura_universal Asunto principal: Nicotiana / Agricultura / Agricultores Tipo de estudio: Health_economic_evaluation / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Nicotine Tob Res Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Gabón
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