Background African-Americans suffer disproportionately from tobacco-associated morbidity and mortality. Considering the relationship between cultural variables and cessation may be important for reducing disparities. Purpose This study aimed to examine acculturation as a predictor of smoking cessation following a standard group intervention. Methods 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. Results 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. Conclusions Acculturation was associated with cessation following a group-based intervention. Culturally specific adaptations to established interventions might improve outcomes for traditional smokers.
Bibliographical noteFunding Information:
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).
- Group intervention
- Health disparities
- Smoking cessation