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.
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.
Authors: Yessenia Castro; Michael S Businelle; Virmarie Correa-Fernández; Darla E Kendzor; Carlos A Mazas; Ludmila Cofta-Woerpel; David W Wetter Journal: Addict Behav Date: 2012-05-24 Impact factor: 3.913
Authors: Karen L Cropsey; Adam M Leventhal; Erin N Stevens; Lindsay R Trent; C Brendan Clark; Adrienne C Lahti; Peter S Hendricks Journal: Nicotine Tob Res Date: 2014-04-09 Impact factor: 4.244
Authors: Monica Webb Hooper; Ramona Larry; Kolawole Okuyemi; Ken Resnicow; Noella A Dietz; Robert G Robinson; Michael H Antoni Journal: BMC Psychol Date: 2013-08-21