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. 1989 Feb;79(2):176–181. doi: 10.2105/ajph.79.2.176

A survey of smoking and quitting patterns among black Americans.

C T Orleans 1, V J Schoenbach 1, M A Salmon 1, V J Strecher 1, W Kalsbeek 1, D Quade 1, E F Brooks 1, T R Konrad 1, C Blackmon 1, C D Watts 1
PMCID: PMC1349929  PMID: 2913836

Abstract

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 menthol smoking pattern. Current smokers reported a mean of 3.8 serious quit attempts, a strong desire and intention to quit smoking, and limited past use of effective quit smoking treatments and self-help resources. Correlates of motivation to quit smoking were similar to those found among smokers in the general population, including smoking-related illnesses and medical advice to quit smoking, previous quit attempts, beliefs in smoking-related health harms/quitting benefits, and expected social support for quitting. Methodological limitations and implications for the design of needed Black-focused quit smoking initiatives are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Connett J. E., Stamler J. Responses of black and white males to the special intervention program of the Multiple Risk Factor Intervention Trial. Am Heart J. 1984 Sep;108(3 Pt 2):839–848. doi: 10.1016/0002-8703(84)90680-x. [DOI] [PubMed] [Google Scholar]
  2. Cooper R., Simmons B. E. Cigarette smoking and ill health among black Americans. N Y State J Med. 1985 Jul;85(7):344–349. [PubMed] [Google Scholar]
  3. Cummings K. M., Giovino G., Mendicino A. J. Cigarette advertising and black-white differences in brand preference. Public Health Rep. 1987 Nov-Dec;102(6):698–701. [PMC free article] [PubMed] [Google Scholar]
  4. Eisinger R. A. Psychosocial predictors of smoking behavior change. Soc Sci Med. 1972 Feb;6(1):137–144. doi: 10.1016/0037-7856(72)90013-3. [DOI] [PubMed] [Google Scholar]
  5. Fagerström K. O. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav. 1978;3(3-4):235–241. doi: 10.1016/0306-4603(78)90024-2. [DOI] [PubMed] [Google Scholar]
  6. Novotny T. E., Warner K. E., Kendrick J. S., Remington P. L. Smoking by blacks and whites: socioeconomic and demographic differences. Am J Public Health. 1988 Sep;78(9):1187–1189. doi: 10.2105/ajph.78.9.1187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Orleans C. T. Understanding and promoting smoking cessation: overview and guidelines for physician intervention. Annu Rev Med. 1985;36:51–61. doi: 10.1146/annurev.me.36.020185.000411. [DOI] [PubMed] [Google Scholar]
  8. Prochaska J. O., DiClemente C. C. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983 Jun;51(3):390–395. doi: 10.1037//0022-006x.51.3.390. [DOI] [PubMed] [Google Scholar]
  9. Stellman S. D., Garfinkel L. Smoking habits and tar levels in a new American Cancer Society prospective study of 1.2 million men and women. J Natl Cancer Inst. 1986 Jun;76(6):1057–1063. [PubMed] [Google Scholar]
  10. Stewart A. L., Brook R. H. Effects of being overweight. Am J Public Health. 1983 Feb;73(2):171–178. doi: 10.2105/ajph.73.2.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Warnecke R. B., Graham S., Rosenthal S., Manfredi C. Social and psychological correlates of smoking behavior among black women. J Health Soc Behav. 1978 Dec;19(4):397–410. [PubMed] [Google Scholar]
  12. Windsor R. A., Cutter G., Morris J., Reese Y., Manzella B., Bartlett E. E., Samuelson C., Spanos D. The effectiveness of smoking cessation methods for smokers in public health maternity clinics: a randomized trial. Am J Public Health. 1985 Dec;75(12):1389–1392. doi: 10.2105/ajph.75.12.1389. [DOI] [PMC free article] [PubMed] [Google Scholar]

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