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Volume 101, Issue 4 (April 2011)
Dennis R. Trinidad, Eliseo J. Pérez-Stable, Martha M. White, Sherry L. Emery, and Karen Messer A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors. American Journal of Public Health: April 2011, Vol. 101, No. 4, pp. 699-706.
doi: 10.2105/AJPH.2010.191668

Accepted on: Jul 3, 2010

A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors

Dennis R. Trinidad, PhD, MPH, Eliseo J. Pérez-Stable, MD, Martha M. White, MS, Sherry L. Emery, PhD, MBA, and Karen Messer, PhD

Dennis R. Trinidad is with the School of Community and Global Health, Claremont Graduate University, Claremont, CA. Eliseo J. Pérez-Stable is with the Division of General Internal Medicine, Department of Medicine, University of California, San Francisco. Martha M. White is with the Moores UCSD Cancer Center, University of California, San Diego. Sherry L. Emery is with the Institute for Health Research and Policy, University of Illinois at Chicago. Karen Messer is with the Bioinformatics/Biostatistics Shared Resource, Moores UCSD Cancer Center, University of California, San Diego.

Correspondence should be sent to Dennis R. Trinidad, PhD, MPH, School of Community and Global Health, 180 E Via Verde, Suite 100, San Dimas, CA 91773 (e-mail: ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints/Eprints” link.

Peer Reviewed

Contributors

D. R. Trinidad led the conceptualization of the study and the writing of the article. E. J. Pérez-Stable assisted with study conceptualization, data analyses, and writing. M. M. White conducted the analyses and assisted with writing. S. L. Emery assisted with writing. K. Messer assisted with study conceptualization, supervised the analyses, guided performance of statistical procedures, and assisted with writing. All authors participated in data interpretation.



ABSTRACT

Objectives. We used nationally representative data to examine racial/ethnic disparities in smoking behaviors, smoking cessation, and factors associated with cessation among US adults.

Methods. We analyzed data on adults aged 20 to 64 years from the 2003 Tobacco Use Supplement to the Current Population Survey, and we examined associations by fitting adjusted logistic regression models to the data.

Results. Compared with non-Hispanic Whites, smaller proportions of African Americans, Asian Americans/Pacific Islanders, and Hispanics/Latinos had ever smoked. Significantly fewer African Americans reported long-term quitting. Racial/ethnic minorities were more likely to be light and intermittent smokers and less likely to smoke within 30 minutes of waking. Adjusted models revealed that racial/ethnic minorities were not less likely to receive advice from health professionals to quit smoking, but they were less likely to use nicotine replacement therapy.

Conclusions. Specific needs and ideal program focuses for cessation may vary across racial/ethnic groups, such that approaches tailored by race/ethnicity might be optimal. Traditional conceptualizations of cigarette addiction and the quitting process may need to be revised for racial/ethnic minority smokers.

Cited by

Christine E.  Sheffer, Maxine  Stitzer, Reid  Landes, S. Laney  Brackman, Tiffany  Munn, Page  Moore. (2012) Socioeconomic Disparities in Community-Based Treatment of Tobacco Dependence. American Journal of Public Health 102:3, e8-e16
Online publication date: 1-Mar-2012.
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