Futuro Claro - Yuma County, Arizona
- Need: The Hispanic population in south Yuma County is at high risk for the negative effects of tobacco use.
- Intervention: Campesinos Sin Fronteras implemented Futuro Claro (“Clear Future” in English), which was a two-year, culturally-tailored tobacco use prevention and cessation project that uses Promotores de Salud, also known as lay health educators.
- Results: Thousands of young farmworkers living near the U.S.-Mexico border were educated on their way to or at their worksites about the negative effects of tobacco use and were provided with information about cessation techniques. Many agriculture companies also began to enforce existing smoking laws or adopt new ones in their workplaces. An anti-tobacco youth coalition was formed to create smoke-free regulations in local parks.
The southern part of Yuma County is on the U.S.-Mexico border and is largely an agricultural community with many young people who smoke. People in the community smoke due to lack of knowledge about the risks of smoking, easy access to inexpensive tobacco in Mexico, and the great influence that the Mexican media has on the promotion of smoking in Mexican print media and popular TV “telenovelas.” Because many people in this area also live in poverty, they have limited access to health care resources and tobacco cessation services.
Campesinos Sin Fronteras (CSF) is a community health education center in the county founded by former farmworkers and is a trusted health resource for campesinos (migrant farmworkers). In 2007 CSF developed a tobacco prevention and cessation program called Futuro Claro (‘Clear Future’ in English) that was culturally-tailored and relevant to the community. The program targeted Hispanic farmworkers and other young adults (ages 18-24) in south Yuma County. The three main goals of Futuro Claro were to:
- Train peer educators to provide culturally-appropriate tobacco prevention education
- Reduce exposure to secondhand smoke among farmworkers by implementing and enforcing the no-smoking laws on agricultural buses
- Provide culturally-appropriate and accessible peer support groups for Hispanic young adults to facilitate tobacco prevention and cessation and then to prevent relapse
Futuro Claro partnered with various stakeholders in the community, including:
- Yuma County Health Department
- Local agricultural companies
- The Arizona Smoker’s Helpline (ASHLine)
While Futuro Claro was only a two-year initiative operating from 2007-2009 and funded with grants from the Legacy Foundation (now called Truth Initiative) and the state of Arizona, Campesinos Sin Fronteras still operates a tobacco education and cessation program called The Vision of the Tobacco and Chronic Disease Prevention Program. This tobacco education is provided through the Primero la Familia Program/Family First Program with the goal being to help educate the Hispanic community about tobacco’s health risks and how to reduce these risks.
View this video to see how Campesinos Sin Fronteras (CSF) is helping farmers in Arizona:
Futuro Claro offered services to the Hispanic community in ways that were relevant to their culture and lifestyle. For example, during the growing season some people worked 14 hours a day. The only way for them to have the time to attend presentations or receive health information was at bus pickups, on the buses, or in the fields. Peer educators educated at these sites. The program offered:
- Peer educators from the community who provided education and resources on tobacco cessation/prevention to farmworkers
- Enforcement of no-smoking laws on agricultural buses
- Peer-groups for tobacco cessation support and relapse prevention
- Referral to cessation services
- Youth outreach events
Accomplishments of the two-year program:
- 16 young peer leaders were trained and engaged in Futuro Claro’s tobacco prevention efforts
- 1,609 young adults received peer education on the health effects of tobacco
- 21 adults were trained as tobacco prevention educators (volunteer promotores)
- A total of 2,901 farmworkers were educated culturally-tailored tobacco prevention and cessation information from 27 different agricultural companies
- 21 agricultural companies implemented smoking bans on their farms and buses
- 55 adults were referred to ASHLine (Arizona’s state quitline for tobacco)
- 20 participants joined the smoking cessation support group
In addition, the South West Anti-Tobacco (SWAT) Youth Coalition was formed to build community awareness and advocate for smoke-free parks in the City of San Luis, Arizona. One of their main goals was to pursue anti-tobacco policies for the city’s public parks. After 2 years of constant advocacy, council members declared 1 park as a smoke-free. Recent accomplishments of this effort include:
- In 2015, the San Luis City Council passed an ordinance to declare all public parks smoke free. This accomplishment received local, state, and national media coverage.
- In 2016, CSF and Youth Coalition members are scheduled to travel to Tempe, Arizona to receive the Health Leadership Award and public recognition by the Arizonans Concerned About Smoking (ACAS) for their efforts in pursuing smoke-free public places.
The biggest challenge encountered was with the farmworkers who were accustomed to smoking every single morning on the buses on the way to the fields. They were resistant to the change of having to stand 8-10 feet from the bus and putting out their cigarettes before boarding the buses.
Futuro Claro program coordinators recommend that other communities wishing to replicate this program:
- Recognize the unique cultural needs of the community. In this case, the U.S.-Mexico border is a culture distinct and different from the United States and from Mexico
- Use promotores of both genders to reach as many people as possible
- Secure the buy-in of the community’s stakeholders (schools, city officials such as council members) from the outset of the project. After that is obtained, move on to the farmworker population
- Realize that even though an activity (such as smoking on buses) is illegal, the law is not always understood or enforced. Sometimes just educating people about the law can be an effective tool that leads to enforcement of the law
Emma Torres, Executive Director
Campesinos Sin Fronteras
Community health workers
Farmers and farmworkers
Hispanics and Latinos
U.S.-Mexico Border Region
Wellness, health promotion, and disease prevention
February 10, 2010
February 10, 2016
Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.