Tobacco Prevention and Control Coalition
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- Navigate this page:
- Table 1.1 Angelina County’s
- Table 1.2 Nacogdoches County’s
- Nacogdoches County
- Diboll
- Huntington
- Chireno
- Part II – Prevention Resources, Capacities and Gaps
- PART III – Community Consumption Patterns The Texas School Survey of Nacogdoches ISD elementary students
- Nacogdoches ISD secondary students
- Angelina County Environmental Strategies Survey of secondary students
- Angelina County
- BRFSS 2010 Current Smoker Uses Cigarettes or Smokeless
- Reg 4/5N 21.4% 26.0% 11.9% 37.0%
- Estimated New Cases of Lung and Bronchus Cancers
- Estimated Number of First Heart Attacks (Myocardial Infarction)Per Year
- Estimated Number of Lung Cancer Deaths
- PART IV – Community Consequences
- Part V – Intervening Variables
- Part V – Community Readiness
- Part VI – Putting it all Together
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Tobacco Prevention and Control Coalition Narrative-Form Needs Assessment Outline FY2014 Coalition Name: The Coalition, Inc. Submission Date: 7/15/14 Part I – Geographic / Target Population and Coalition Overview Angelina and Nacogdoches Counties are located deep within the piney woods of East Texas. They are unusual for many reasons. They are rural, poor, and undereducated with a number of small communities and no large cities. They are spread over a large timber forest thus making the delivery of services a nightmare. Both are serviced by the Brazos Transit District, a public transportation system, within the Lufkin and Nacogdoches city limits only. Angelina County is 120 miles north of Houston and 220 miles southeast of Dallas. Angelina County has a population of 87,597 estimated by the Census Bureau for 2012. Angelina County has 864 square miles of land area and a population density of 100 people per square mile. Primary industries are manufacturing, healthcare, education, agriculture and tourism. The largest employers are Brookshire Brothers, Lufkin Industries, Lufkin ISD, Lufkin State Supported Living Center, Memorial Health System of East Texas, and Pilgrim’s Pride. The healthcare industry is one of the fastest growing industries in the county and has become a regional medical center for the East Texas area.  Table 1.1 Angelina County’s racial demographics are (represented in Table 1.1, above): 62.6% white, 14.5% African American, 20.5% Hispanic/Latino, and 2.4% other. Those with less than a high school education in Angelina County are 23.9%; 30.94% have graduated from high school and .09% have a bachelor’s degree or higher. The median household income in Angelina County is $39,325 with 18.4% living below the poverty level. The average family size is three. Sixty-nine percent own their own homes and 11.2% rent their homes. According to the Texas Department of State Health Services Health Facts Profile 2009, the total population in Angelina County without health insurance is 21,396 (31.5%). Nacogdoches County has a population totaling 66,034 estimated by the Census Bureau for 2012. Nacogdoches has the distinction of being the Oldest Town in Texas. Nacogdoches is located 150 miles northeast of Houston, 220 miles southeast of Dallas, and 80 miles southwest of Shreveport, Louisiana. Nacogdoches County has a diversified industrial base: manufacturing, health care, education, retail trades, tourism and agriculture being the primary industries. The manufacturing industry includes such operations as feed and fertilizer, valves, business forms, electrical parts, transformers, motor homes, poultry processing and sealing components. The two largest employers in the county are Pilgrim’s Pride (poultry processing) with 1,725 employees and Stephen F. Austin State University (higher education) with 1,609 employees. Table 1.2 
Nacogdoches County’s racial demographics are (represented in Table 1.2, above): 61.1% white, 18.2% African American, 18.2% Hispanic/Latino, and 2.5% other. Those with less than a high school education in Nacogdoches County are 19.5%; 80.5% have graduated from high school and 24.1% have a bachelor’s degree or higher. Nacogdoches County has a median household income of $35,378 with 24.1% living below the poverty level. The average family size is three. Fifty-nine percent own their own homes and 21.3% rent their homes. According to the 2009 Health Facts Profile from the Texas Department of State Health Services, the total population in Nacogdoches County without health insurance is15,593 (28.5%). The poverty population of Nacogdoches County has been designated as a Medically Underserved Population (MUP) with a whole county poverty population as approved by the Governor as of February 2010. Lufkin is the county seat of Angelina County and the largest town, with a population of 35,067. It has been named a micropolitan area by the Bureau of Census. Lufkin ISD is a Class 5-A district with eleven elementary schools, one middle school, one high school and one alternative school. The district has 535 classroom teachers. Lufkin is experiencing white flight to the smaller communities who do not have the racial mix. The Hispanic population is the fastest growing group in the Lufkin schools. The Lufkin ISD records indicate the racial demographics to be: 47.3% white, 30.2% African American, 21.1% Hispanic and 1.4% other. Of the Lufkin ISD students 73.3% are considered economically disadvantaged. Lufkin is home to Angelina College with a student enrollment of approximately 6,000 students. Central, located in the northern part of Angelina County, does not have an incorporated city. It is a small rural community focused on the school district and the only major employer, the Lufkin State School, which employs over 1,100 people. The majority of the residents are employed outside of Central. The Diboll community, located on Highway 59 South also has a large employer, Georgia Pacific, who employs 500, many of which are Hispanic. The population of Diboll is 4,776. Hudson is another small rural community in Angelina County, with 4,731 residents, located on Highway 94 West. Lockheed Martin Vought Systems is the largest employer. Most of the residents are employed in Lufkin. Huntington, located on Highway 69 South, has a population of 2,118. There is no major industry in Huntington. Most of the residents are employed elsewhere in the county, primarily in Lufkin. The poverty population of Huntington has been designated as a Medically Underserved Population (MUP). Zavalla, located in the southernmost part of the county on Highway 69 South, is the smallest town with a population of 713. Zavalla’s major industry is recreation from Lake Sam Rayburn. Residents are employed in recreation-related business, by the school district, or in Lufkin. Nacogdoches serves as the county seat for Nacogdoches County. It is one of the largest towns in the region with a population of 33,405 individuals. Nacogdoches Independent School District records indicate the racial demographics to be: 24% white, 43.5% Hispanic/Latino, 29.2% African American, and 3.3% other. Of the Nacogdoches ISD students 78.63% are considered economically disadvantaged. Nacogdoches is proud to be home to Stephen F. Austin State University (SFASU) founded in 1923. In addition to the Nacogdoches County residents, there are approximately 13,000 SFASU students. Nacogdoches County has many small communities. Garrison is a small town of 907 residents and served by Garrison ISD, with 671 students; Cushing is a community of 621 people and served by Cushing ISD, a predominately white district of 496 students; Appleby, a community of 480 is served by the Nacogdoches Independent School District. Other smaller communities within the county are Central Heights, located in north central Nacogdoches County, is served by Central Heights ISD, a predominately white school district of 861 students; Chireno, a small community of 393 people, is served by Chireno ISD, a school district of 350 students; Douglass, located in south Nacogdoches County is served by Douglass ISD, a white rural school district of 362 students; Etoile, located in southeastern Nacogdoches County is served by Etoile ISD, a predominately white rural school district of 123 students; Martinsville in eastern Nacogdoches County is served by Martinsville ISD, a predominately white rural district of 322 students; and Woden located in the southeastern part of the county is served by Woden ISD, a predominately white rural district with 814 students. The Coalition, a 501 C(3) organization, is a group of concerned citizens and parents intent on eliminating the use of harmful substances by influencing public policy, laws, attitudes, and behaviors. This organization was established in 1988 by the superintendents of the six school districts in Angelina County who saw drugs as a problem and wanted a county-wide prevention program. The Coalition has collaborated with the Texas Department of State Health Services since 1999 when it was then the Texas Commission on Alcohol and Drug Abuse. We were one of eleven grant recipients in the state who received the first community coalition grants that TCADA awarded and continue to receive this funding. Part II – Prevention Resources, Capacities and Gaps
The cities of Lufkin and Nacogdoches have comprehensive smoke free ordinances. All four of the hospitals in Angelina and Nacogdoches counties are smoke free campus. All schools have tobacco free policies.
A predominately rural geography of the region, country lifestyles and traditions, and the socio-economic challenges combine to create equally daunting gaps and barriers. 26% of the adult population smokes and smokeless tobacco is traditional in the region. In order to address these issues, we need to establish a presence in the outlying communities as well as the county seats and deal with the issues of that rural population. PART III – Community Consumption Patterns The Texas School Survey of Nacogdoches ISD elementary students, grades 4-6, tell us the following:
The Texas School Survey of Nacogdoches ISD secondary students, grades 7-12, tell us the following (represented in Table 3.1, below):
Table 3.1 
The Angelina County Environmental Strategies Survey of secondary students, grades 6, 8, 10, and 12, tell us the following (represented in Table 3.2, below):
In the past 17 years in Angelina County, the youth tobacco rates have gone down substantially due to education efforts from 27.5% in 1994 to 11.2% in 2011. Table 3.2 
Of the most recent report from the Behavioral Risk Factor Surveillance Systems (BRFSS) in 2010, only data at the Regional level is available. It shows several modifiable risk factors for chronic disease are more prevalent in the DSHS Region 4/5N than statewide:
In the recent 2013 County Health Rankings report, Nacogdoches County was found to be ranked 167/232 of ranked Texas counties and Angelina County was found to be ranked 189/232. The County Health Rankings measure the health of nearly all counties in the nation and rank them within states. The Rankings are compiled using county-level measures from a variety of national and state data sources. The tobacco related health consequences in Angelina and Nacogdoches counties result in higher rates of lung and bronchus cancers, heart attacks, strokes, chronic pulmonary obstructive disease, emphysema, and many other cancers. Children of smokers suffer with higher incidents of respiratory infections, asthma, and Sudden Infant Death Syndrome.
*An estimated 80 – 90% of these deaths are due to smoking U.S. DHHS, The Health Consequences of Smoking: a report of the surgeon general, Atlanta, GA. Centers for Disease Control and Prevention, Office of Smoking and Health; 2004. PART IV – Community Consequences Please identify the patterns in each of the following data sources, if available. You may also include data on additional consequences and/or focus on the consequence data that you find to be most relevant to your community. Highlight any identified disparities in community consequences.
Part V – Intervening Variables Please discuss each of the following intervening variables. Include the effect on your community as well as the evidence of each variable (i.e. the contributing factors) in your community.
Part V – Community Readiness Please describe the readiness of each of the following sectors in your community to implement your strategies. These answers can be based on coalition feedback and community member interviews. This information may help you identify potential allies or community perceptions and knowledge, which you can describe here. The latest coalition member survey tells us the following:
Part VI – Putting it all Together Please develop a summary of the findings from your community needs assessment. Briefly discuss alignment with evidence-based strategies and the goals outlined in your Statement of Work. Also indicate opportunities for community change, such as setting a smoke-free ordinance goal or increasing specific data collection where your needs assessment indicates there is a gap. Angelina and Nacogdoches counties are rural, poor, and undereducated which are risk factors for using tobacco. Nacogdoches ISD secondary schools reported 12% had smoked cigarettes in the past month and 14.8% of Angelina County secondary students reported using a tobacco product in the past month. In the recent 2013 County Health Rankings report, Nacogdoches County ranked 167/232 of ranked Texas counties and Angelina County was found to be ranked 189/232. These statistics show that we must meet the following goals:
Our most pressing goal is to provide cessation counseling and classes, encourage businesses to establish tobacco free campuses, and advertise the Quitline to the community. Part VII – Logic Model Please attach a copy of your logic model to this document, using the following format or a similar format. Directory: public -> uploads -> files files -> Bshara El-Khoury, Beirut Date of Birth: 10-6-1992 uploads -> Etisalat Afghanistan gsm 900/1800 uploads -> Choosing Authoring Tools Advanced Distributed Learning (adl) Initiative uploads -> Fazzt® Digital Delivery System uploads -> Information technology uploads -> Curriculum Vitae Gergely Kovasznai uploads -> Live from Atlanta uploads -> Maternal positions and mobility during first stage labour Download 54.29 Kb. Share with your friends:
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