Smoking Cessation among African Americans: What We Know and Do Not Know about Interventions and Self-Quitting (original) (raw)
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Smoking cessation factors among African Americans and whites. COMMIT Research Group
American Journal of Public Health, 1993
for the COMMIT Research Group amine ethnic differences in three smoking cessation/relapse factors: (1) motivation to stop smoking, (2) time to first cigarette of the day (a behavioral indicator of nicotine dependence), and (3) norms and values about tobacco control. Methods Study Population The Community Intervention Trial for Smoking Cessation is a 7-year, multicenter, cooperative research project testing the hypothesis that community-based intervention activities can increase the cessation rate among smokers, particu
American journal of public health, 2014
We evaluated the feasibility, acceptability, and effectiveness, in addition to the effects of a psychoeducation-based orientation on smoking cessation knowledge for Courage to Quit (CTQ), an evidence-based smoking cessation intervention disseminated to racially diverse, urban community sites in Chicago, Illinois. Smokers (n = 1494; 55% African American) enrolled in 6-session full (n = 945) or 3-session short (n = 549) versions of CTQ in 2008 to 2012. Orientation improved knowledge of efficacious and nonefficacious treatments. Acceptability was outstanding: more than 90% of participants would recommend CTQ. Feasibility was good: completion rates were 53% in the full and 75% in the short programs. Intent-to-treat quit rates were 19% in the full and 17% in the short programs (completer quit rates were 36% and 22%, respectively). Among completers, smoking cessation medication use was associated with higher quit rates. There were no racial disparities: African Americans and Whites showed...
A Trial of Church-Based Smoking Cessation Interventions for Rural African Americans
Preventive Medicine, 1997
Project was begun in an effort to address the health problems of the African-American residents of two rural Virginia counties. Smoking cessation was chosen as the principal target behavior in one county. Church coalitions were chosen as the principal organizations through which to implement the interventions.
Smoking Cessation Among Racial/Ethnic Minorities, 2010–2014
Current Addiction Reports, 2015
The purpose of this study was to systematically review recent empirical literature on smoking cessation in racial/ethnic minority groups. Specifically, we focused on smoking cessation intervention trials and investigations of factors associated with cessation. Studies published between 2010 and September 2014 were considered. Nine smoking cessation intervention trials and 16 studies examining correlates of smoking behavior were published in within the past 3 years. Results demonstrated promise for varenicline in facilitating cessation among African Americans and Hispanics, and culturally specific behavioral counseling appears to be efficacious among Asian Americans. In trans-group comparisons, racial/ethnic minorities reported greater quit attempts compared to Whites; yet success may be reduced due to factors such as menthol smoking, low pharmacotherapy use, and lower readiness to quit. Recommendations for evidence-based interventions and future research are offered.
International quarterly of community health education
To carry out a community-based research approach to determine the most effective educational interventions to reduce smoking among African-American smokers. The intervention included preparation of the community, planning and developing a model of change, and developing a community-based intervention. The study population consisted of 2,544 randomly selected adult African-American smokers residing in four sites in the northeastern and southeastern parts of the United States. The research design provided a comparison of active intervention sites with passive control sites as well as low income and moderate income areas. Point prevalence of non-smoking at the time of interview; Period prevalence of non-smoking at the time of interview; Period prevalence of quit attempts in the prior six months; Number of smoke-free days in the prior six months; Number of cigarettes smoked daily at the time of interview. Based upon a survey eighteen months after baseline data was collected, all four me...
Research in Nursing & Health, 2007
The purpose of this study was to test the effectiveness of a multicomponent smoking cessation intervention in African American women residing in public housing. The intervention consisted of: (a) nurse led behavioral/empowerment counseling; (b) nicotine replacement therapy; and, (c) community health workers to enhance smoking self-efficacy, social support, and spiritual well-being. The results showed a 6-month continuous smoking abstinence of 27.5% and 5.7% in the intervention and comparison groups. Changes in social support and smoking self-efficacy over time predicted smoking abstinence, and self-efficacy mediated 6-month smoking abstinence outcomes. Spiritual well-being did not predict or mediate smoking abstinence outcomes. These findings support the use of a nurse/community health worker model to deliver culturally tailored behavioral interventions with marginalized communities. ß
Journal of Consulting and Clinical Psychology, 2010
The health consequences of tobacco smoking disproportionately affect African Americans, but research on whether efficacious interventions can be generalized to this population is limited. This study examined the efficacy of group-based cognitive-behavioral therapy (CBT) for smoking cessation among African Americans. Method: Participants (N ϭ 154; 65% female, M ϭ 44 years old, mean cigarettes/ day ϭ 13) were randomly assigned to either (a) group CBT or (b) group general health education (GHE). Participants in both conditions received 6 sessions of counseling and 8 weeks of transdermal nicotine patches. The primary outcome variable was 7-day point prevalence abstinence (ppa), assessed at the end of counseling (2 weeks) and at 3-and 6-month follow-ups. Secondary outcomes included 24-hr ppa and 28-day continuous abstinence (assessed at 3 and 6 months). Results: Intent-to-treat analyses demonstrated the hypothesized effects, such that 7-day ppa was significantly greater in the CBT than the GHE condition at the end of counseling (51% vs. 27%), at 3 months (34% vs. 20%), and at 6 months (31% vs. 14%). Results of a generalized linear mixed model demonstrated a significant effect of CBT versus GHE on 7-day ppa (odds ratio ϭ 2.57, 95% CI [1.40, 4.71] and also an effect of time ( p Ͻ .002). The Condition ϫ Time interaction was not significant. Similar patterns of results emerged for 24-hour ppa and 28-day continuous abstinence. Results from per protocol analyses (i.e., participants who completed all aspects of the study) corroborate the intent-to-treat findings. Conclusions: These results demonstrate that intensive, group CBT smoking cessation interventions are efficacious among African American smokers.
A survey of smoking and quitting patterns among black Americans
American Journal of Public Health, 1989
A sample of adult Black policyholders of the nation's largest Black-owned life insurance company was surveyed in 1986 to add to limited data on smoking and quitting patterns among Black Americans, and to provide direction for cessation initiatives targeted to Black smokers. Forty per cent of 2,958 age-eligible policyholders for whom current addresses were available returned a completed questionnaire. Population estimates for smoking status agree closely with national estimates for Blacks age 21-60 years: 50 per cent never-smokers; 36 per cent current smokers; 14 per cent ex-smokers. Current and ex-smokers reported a modal low-rate/high nicotine Address reprint requests to C.