title: Physician- and nurse-assisted smoking cessation in Harlem.
abstract: This study was designed to increase smoking cessation rates, quit attempts, and cutting down among low-income African Americans using brief clinician advice in conjunction with socioculturally appropriate self-help smoking cessation/relapse prevention materials. Physicians and nurses were instructed in the National Cancer Institute's smoking intervention at inservice sessions. Smokers interviewed in a Harlem, New York clinic waiting room were recontacted 7 months later by telephone or mail (77% response). Residents receiving the intervention reported a 21% cessation rate at follow-up. An additional 27% decreased cigarette intake by at least 50%. Those reporting follow-up abstinence were significantly more likely to designate a quit date at baseline. They were also more likely to be men, employed, and have a nonsmoking partner. Smokers who decreased their cigarette intake significantly were older, employed, less nicotine-dependent (eg, delayed their wake-up cigarette), and more likely to use project materials. Physician advice had a significant impact both on patients' cutting down at least 50% and patients' watching the project video. Designation of a quit date and using project materials had a significant impact on making serious quit attempts. Results corroborate large sample, randomized, controlled trials with noninner-city physicians. We conclude that clinician smoking advice for every patient is warranted.
authors.affiliation: Division of Health Economics, Mt Sinai Medical Ctr, New York, NY 10029, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Royce
authors.forename: A
authors.initials: A
authors.lastname: Ashford
authors.forename: K
authors.initials: K
authors.lastname: Resnicow
authors.forename: H P
authors.initials: HP
authors.lastname: Freeman
authors.forename: A A
authors.initials: AA
authors.lastname: Caesar
authors.forename: M A
authors.initials: MA
authors.lastname: Orlandi
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D009726:Nurses; D010820:Physicians; D016540:Smoking Cessation