title: Health disparities and culturally specific treatment: perspectives and expectancies of African American smokers.
abstract: When the following article originally appeared in the Journal of clinical Psychology (Volume 63, number 6, june 2007), a number of author corrections were omitted. We regret this oversight and now reprint the article in full. Researchers suggest that culturally specific (CS) interventions are important in addressing smoking-related health disparities. Yet, little research has examined the perspectives of African American smokers regarding these efforts. This qualitative study sought to gain insight into perceptions related to (a) the smoking prevalence among African Americans, (b) smoking-related health disparities, (c) expectancies for CS interventions, (d) methods of recruiting research participants, and (e) key intervention components. Six focus groups were conducted with 41 African American smokers (aged 21-64) at a community health center. Content analyses revealed several themes, including the perception that smoking is normative among African Americans, limited knowledge of racial health disparities, mixed perceptions regarding race as a risk factor for illness, and mixed expectancies for the efficacy of CS interventions. In conclusion, individual differences, such as smoking norms, knowledge of health disparities, and intervention expectations may influence receptivity to CS treatments. Implications for tobacco interventions among African Americans are discussed.
authors.affiliation: Center for Health and Behavior, Syracuse University, Syracuse, NY 13244-2340, USA. mswebb@syr.edu
authors.forename: Monica S
authors.initials: MS
authors.lastname: Webb
authors.forename: Joan
authors.initials: J
authors.lastname: Francis
authors.forename: Bill C
authors.initials: BC
authors.lastname: Hines
authors.forename: Frankie B
authors.initials: FB
authors.lastname: Quarles
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data*; D001294:Attitude to Health; D003151:Community Health Centers / Q000458:organization & administration; D003430:Cross-Sectional Studies; D003469:Culture; D017144:Focus Groups / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D033262:Narration; D009518:New York / Q000453:epidemiology; D018579:Patient Selection; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D044469:Racial Groups / Q000523:psychology; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*