Journal of Social Distressand the Homeless, Vol. 5, No. L 1996
Smoking Cessation with
Themes and Approaches
Jeffrey S. Nevid ~
Ethnic Minorities:
Research investigating ethnic group differences in smoking prevalences, and
smoking attitudes and behavior, is reviewed. Factors relating to the
development of culturally sensitive smoking cessation interventions are
discussed and several examples are provided of recent efforts to target smoking
cessation initiatives toward minority communities. The problem of recruitment
and retention of minority participants in health behavior research remains a
vexing issue, which may best be addressed by incorporating smoking cessation
interventions within regular health care, workplace, or school settings.
KEY WORDS: smokingcessation;ethnicminorities;cultural factors.
INTRODUCTION
Smoking is the single most preventable cause of death in the U.S. due
to such diseases as cancer, emphysema, chronic bronchitis, and cardiovas-
cular disease (USDHHS, 1982, 1989, 1992). Despite overall declines in
smoking prevalences in the general population since the landmark 1964
Surgeon General's report on smoking, antismoking campaigns have gener-
ally been less effective in promoting smoking cessation among women and
ethnic minority groups (Fiore, Novotny, Pierce, Jatziandreu, Patel, & Davis,
1989). Cigarette companies have also increasingly targeted their advertising
efforts toward minority communities. Smoking has also become increasingly
associated with lower socioeconomic status. Given these factors,-it is not
surprising that smoking prevalences are greater among some groups of eth-
nic minorities, especially among groups that are disproportionately repre-
1Departmentof Psychology, St. John's University, 8000 Utopia Parkway, Jamaica.NY 11439.
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1053-0789/96/0100-0039509.50/0 © 1996 Human Sciences Press, Inc.