Acculturation Predicts 7-Day Smoking Cessation Among Treatment-Seeking African-Americans in a Group Intervention
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African-Americans suffer disproportionately from tobacco-associated morbidity and mortality. Considering the relationship between cultural variables and cessation may be important for reducing disparities.
This study aimed to examine acculturation as a predictor of smoking cessation following a standard group intervention.
Treatment-seeking smokers (N = 140) participated in a group intervention for cessation plus transdermal nicotine patch therapy and completed the African American Acculturation Scale—Revised at baseline. The primary outcome was self-reported 7-day point prevalence abstinence at the end-of-counseling and 3 and 6 months postintervention.
Adjusted logistic regression analyses found that acculturation predicted end-of-counseling and 3-month 7-day point prevalence abstinence; traditional African-Americans (i.e., less acculturated) were less likely to quit smoking. Cultural superstitions, religious beliefs and practices, and interracial attitudes were predictive of smoking cessation.
Acculturation was associated with cessation following a group-based intervention. Culturally specific adaptations to established interventions might improve outcomes for traditional smokers.
KeywordsSmoking cessation African-Americans Health disparities Acculturation Group intervention
The authors thank the Syracuse Community Health Center, the Onondaga County Department of Health, and SUNY Upstate Medical University for their support of this work. Special thanks are extended to Maria Ippolitto and Mia Davidner Feldman for their assistance with coordinating the study. We also thank GlaxoSmithKline for providing the nicotine patches at a reduced rate. This grant was funded by the National Cancer Institute (1 R03 CA126418-01).
Conflict of Interest Statement
The authors have no conflicts to disclose.
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