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Chapter 5 – Smoking Cessation Among African Americans. Death due to smoking is higher than the combined mortality caused by crack, AIDS, homicide, suicide and alcohol use About 25% of Adults smoke (47 million people) Smoking among youth appear to be increasing
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Death due to smoking is higher than the combined mortality caused by crack, AIDS, homicide, suicide and alcohol use • About 25% of Adults smoke (47 million people) • Smoking among youth appear to be increasing • Smoking rates among African Americans are going down • In general, African Americans tend to start smoking later in life and smoke fewer cigarettes than Whites • African Americans less likely to stay smoke free when they quit compared to Whites
Methodology • Past Studies • Current smoking Cessation Initiatives Targeting African Americans – 1. Legends – for you and your family and 2. Quit Today Results of the Intervention Studies • Church-Based Interventions • In two (2) studies, the treatment group was significantly more likely to make positive progress along the stages of change than the control group • Community –Based Interventions • (Jason, ect. al. 1988) Media programs appear to be effective in community-based settings, particularly when they are supplemented with additional strategies
Results of the Self-Quit Studies • Most people (over 80%) who successfully quit smoking do so on their own • They do so without the help of specialized programs or formal treatment • Sociodempgraphic Variables Successful Cessation • 1. Male 2. Employed 3. Older 4. Married 5. In excellent health compared to current smokers • Smoking History / Smoking Environment • With regard to smoking environment, having a nonsmoking partner was a predictor of smoking cessation • In general, having supportive spouses, family , or friends is related to achieving abstinence
Reasons for Smoking / Reasons for Quitting • Typically, concerns about health motivate smokers in the general population to quit Discussion • Differences exist between African American and White smokers in the patterns of smoking and the type of cigarettes smoked • Culturally sensitive intervention strategies are more likely to have some impact at least on those who are ready to quit and that churches may provide a setting for such programming