title: Characteristics of six-month tobacco use outcomes of Black patients seeking smoking cessation intervention.
abstract: Although Blacks experience disproportionately greater morbidity and mortality attributable to smoking than other racially-classified social groups, few studies have examined the impact of clinical interventions for nicotine dependence within this population. The main objective of this study was to examine 6-month outcomes among 146 self-identified adult Black patients who received an individually-tailored nicotine dependence intervention in an academic medical setting. Measures included a baseline demographic questionnaire and telephone follow-up to obtain self-reported 6-month tobacco use status. Univariate analysis was performed to assess the association of baseline patient characteristics with tobacco abstinence at 6 months following the clinic intervention. Of the 146 patients, 83% were seen in an outpatient clinic setting, while 17% were seen as inpatients in the hospital. At baseline, 53% reported smoking an average of 20 or more cigarettes per day, 32% were highly nicotine dependent, and 53% were in the preparation or action stage of change. Six months following the intervention, the 7-day point-prevalence tobacco abstinence rate was 43/146 (29%; 95% C.I. 22% to 37%). An individualized nicotine dependence intervention conducted in an academic medical setting yielded encouraging abstinence rates for Black smokers.
authors.affiliation: Department of Behavioral Science, College of Medicine, University of Kentucky, USA. afern2@uky.edu
authors.forename: Anita F
authors.initials: AF
authors.lastname: Fernander
authors.forename: Christi A
authors.initials: CA
authors.lastname: Patten
authors.forename: Darrell R
authors.initials: DR
authors.lastname: Schroeder
authors.forename: Susanna R
authors.initials: SR
authors.lastname: Stevens
authors.forename: Ivana T
authors.initials: IT
authors.lastname: Croghan
authors.forename: Kenneth P
authors.initials: KP
authors.lastname: Offord
authors.forename: Richard D
authors.initials: RD
authors.lastname: Hurt
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D001741:Black or African American; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D016540:Smoking Cessation / Q000208:ethnology*; D011795:Surveys and Questionnaires