Acculturation and cigarette smoking among African Americans: replication and implications for prevention and cessation programs.

We report a replication of a 1996 study on the role of acculturation in smoking among African American adults. Results with the current sample were nearly identical to the prior ones: smokers tended to be traditional and nonsmokers acculturated, with nearly 70% of Black smokers in both studies being highly traditional in their cultural orientation. Given that coming from a highly traditional Black family was a strong predictor of smoking in both studies, we suggest that new smoking prevention and cessation programs might be culturally tailored for Blacks by focusing on smoking as a familywide issue.