Differential success rates in racial groups: results of a clinical trial of smoking cessation among female prisoners.
BACKGROUND
This study replicated prior observations of racial differences in smoking cessation in which Black smokers have demonstrated lower smoking cessation rates than White smokers.


METHODS
The study used data from a smoking cessation intervention and compared White and Black female prisoners (N = 233) on a 10-week intervention of group psychotherapy and nicotine replacement (patch). Generalized estimating equations were used to model smoking cessation across the 12-month follow-up.


RESULTS
Compared with an untreated control group, both Black and White smokers benefited from the cessation treatment. However, after controlling for potential confounds, White smokers had significantly higher overall smoking cessation rates across time compared with Black smokers (e.g., 30% vs. 24% abstinent at 6 weeks; 13% vs. 10% abstinent at 12 months). Smoking mentholated cigarettes was not associated with these differences in quit rates.


CONCLUSIONS
Understanding differential treatment responses can lead to the development of more tailored and efficacious smoking cessation interventions that may reduce the morbidity and mortality associated with smoking in prison populations.
Cropsey
Karen L
KL
Department of Psychiatry, University of Alabama at Birmingham, 401 Beacon Parkway West, Birmingham, AL 35209, USA. kcropsey@beapsy1.his.uab.edu
Weaver
Michael F
MF
Eldridge
Gloria D
GD
Villalobos
Gabriela C
GC
Best
Al M
AM
Stitzer
Maxine L
ML
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology; D003376:Counseling / Q000706:statistics & numerical data; D005260:Female; D006293:Health Promotion / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data*; D012907:Smoking / Q000208:ethnology* / Q000628:therapy*; D016540:Smoking Cessation / Q000208:ethnology* / Q000379:methods; D011795:Surveys and Questionnaires; D044465:White People / Q000706:statistics & numerical data*