Smoking cessation, obesity and weight concerns in black women: a call to action for culturally competent interventions.

Approximately 20.8% of black women and 23.1% of white women smoke, and significantly more blacks (37.4%) than whites (22.4%) are obese. Although the average amount of weight gain after quitting smoking is 6-8 lbs for women, blacks tend to gain substantially more weight. This large increase in postcessation weight gain in blacks may further augment the health risks that blacks face in conjunction with obesity. Interventions that promote smoking cessation, while simultaneously reducing weight concerns or weight gain has been proposed as a strategy to help weight-concerned women quit smoking. However, these studies have included primarily white samples and no studies have examined the feasibility or effectiveness of smoking-cessation and weight-control interventions for black women smokers. This review describes the literature on smoking, obesity/weight control and weight concerns in smokers, with a particular attention to black women smokers. A call to action to develop comprehensive and culturally competent smoking-cessation and obesity/weight-control interventions for black women is emphasized due to their high rates of smoking, obesity and postcessation weight gain.