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Tob Control. Dec 2002; 11(4): 361–367.
PMCID: PMC1747696

Evaluation of a culturally appropriate smoking cessation intervention for Latinos


Background: Many believe that smoking cessation programmes for Latinos should be tailored to the values and beliefs of the culture. However, randomised studies of culturally appropriate smoking cessation interventions with Latinos are rare.

Methods: Latino smokers (n = 313) were randomised to an intervention condition or a comparison group. The intervention was a three month programme based on social cognitive constructs and delivered in the smoker's home by trained lay health advisors, or promotores. Comparison group participants were referred to the California Smoker's Helpline in Spanish. Predictors of abstinence among all participants also were examined.

Results: About one week post-intervention, validated (carbon monoxide) past week abstinence rates were more than twice as high in the intervention group (20.5%) than in the comparison (8.7%) (p ≤ 0.005). The pattern of results held for self reported abstinence, and after recoding dropouts to non-abstinence. The primary predictor of abstinence was number of cigarettes smoked per day at baseline, a common measure of addiction.

Conclusions: The culturally appropriate intervention facilitated abstinence in Latino smokers, at least in the short term. Strengths and weaknesses of the study are discussed.

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Selected References

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  • Abad V, Ramos J, Boyce E. A model for delivery of mental health services to Spanish-speaking minorities. Am J Orthopsychiatry. 1974 Jul;44(4):584–595. [PubMed]
  • Nevid JS, Javier RA. Preliminary investigation of a culturally specific smoking cessation intervention for Hispanic smokers. Am J Health Promot. 1997 Jan-Feb;11(3):198–207. [PubMed]
  • Baker EA, Bouldin N, Durham M, Lowell ME, Gonzalez M, Jodaitis N, Cruz LN, Torres I, Torres M, Adams ST. The Latino Health Advocacy Program: a collaborative lay health advisor approach. Health Educ Behav. 1997 Aug;24(4):495–509. [PubMed]
  • Meister JS, Warrick LH, de Zapién JG, Wood AH. Using lay health workers: case study of a community-based prenatal intervention. J Community Health. 1992 Feb;17(1):37–51. [PubMed]
  • Vellozzi CJ, Romans M, Rothenberg RB. Delivering breast and cervical cancer screening services to underserved women: Part I. Literature review and telephone survey. Womens Health Issues. 1996 Mar-Apr;6(2):65–73. [PubMed]
  • Navarro AM, Senn KL, Kaplan RM, McNicholas L, Campo MC, Roppe B. Por La Vida intervention model for cancer prevention in Latinas. J Natl Cancer Inst Monogr. 1995;(18):137–145. [PubMed]
  • Castro FG, Elder J, Coe K, Tafoya-Barraza HM, Moratto S, Campbell N, Talavera G. Mobilizing churches for health promotion in Latino communities: Compañeros en la Salud. J Natl Cancer Inst Monogr. 1995;(18):127–135. [PubMed]
  • Alcalay R, Alvarado M, Balcazar H, Newman E, Huerta E. Salud para su Corazón: a community-based Latino cardiovascular disease prevention and outreach model. J Community Health. 1999 Oct;24(5):359–379. [PubMed]
  • Marin G. AIDS prevention among Hispanics: needs, risk behaviors, and cultural values. Public Health Rep. 1989 Sep-Oct;104(5):411–415. [PMC free article] [PubMed]
  • Marin BV, Perez-Stable EJ, Marin G, Sabogal F, Otero-Sabogal R. Attitudes and behaviors of Hispanic smokers: implications for cessation interventions. Health Educ Q. 1990 Fall;17(3):287–297. [PubMed]
  • Pérez-Stable EJ, Marín G, Posner SF. Ethnic comparison of attitudes and beliefs about cigarette smoking. J Gen Intern Med. 1998 Mar;13(3):167–174. [PMC free article] [PubMed]
  • Zhu SH, Stretch V, Balabanis M, Rosbrook B, Sadler G, Pierce JP. Telephone counseling for smoking cessation: effects of single-session and multiple-session interventions. J Consult Clin Psychol. 1996 Feb;64(1):202–211. [PubMed]
  • Becoña E, Vázquez FL. Self-reported smoking and measurement of expired air carbon monoxide in a clinical treatment. Psychol Rep. 1998 Aug;83(1):316–318. [PubMed]
  • Coultas DB, Howard CA, Peake GT, Skipper BJ, Samet JM. Discrepancies between self-reported and validated cigarette smoking in a community survey of New Mexico Hispanics. Am Rev Respir Dis. 1988 Apr;137(4):810–814. [PubMed]
  • Biglan A, Hood D, Brozovsky P, Ochs L, Ary D, Black C. Subject attrition in prevention research. NIDA Res Monogr. 1991;107:213–234. [PubMed]
  • McWhorter WP, Boyd GM, Mattson ME. Predictors of quitting smoking: the NHANES I followup experience. J Clin Epidemiol. 1990;43(12):1399–1405. [PubMed]
  • Bjornson W, Rand C, Connett JE, Lindgren P, Nides M, Pope F, Buist AS, Hoppe-Ryan C, O'Hara P. Gender differences in smoking cessation after 3 years in the Lung Health Study. Am J Public Health. 1995 Feb;85(2):223–230. [PMC free article] [PubMed]
  • Ward KD, Klesges RC, Zbikowski SM, Bliss RE, Garvey AJ. Gender differences in the outcome of an unaided smoking cessation attempt. Addict Behav. 1997 Jul-Aug;22(4):521–533. [PubMed]
  • Halpern MT. Effect of smoking characteristics on cognitive dissonance in current and former smokers. Addict Behav. 1994 Mar-Apr;19(2):209–217. [PubMed]
  • Halpern MT, Warner KE. Motivations for smoking cessation: a comparison of successful quitters and failures. J Subst Abuse. 1993;5(3):247–256. [PubMed]
  • Gulliver SB, Hughes JR, Solomon LJ, Dey AN. An investigation of self-efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction. 1995 Jun;90(6):767–772. [PubMed]
  • Haaga DA, Stewart BL. Self-efficacy for recovery from a lapse after smoking cessation. J Consult Clin Psychol. 1992 Feb;60(1):24–28. [PubMed]
  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119–1127. [PubMed]
  • Farkas AJ, Pierce JP, Zhu SH, Rosbrook B, Gilpin EA, Berry C, Kaplan RM. Addiction versus stages of change models in predicting smoking cessation. Addiction. 1996 Sep;91(9):1271–1292. [PubMed]
  • Muñoz RF, Marín BV, Posner SF, Pérez-Stable EJ. Mood management mail intervention increases abstinence rates for Spanish-speaking Latino smokers. Am J Community Psychol. 1997 Jun;25(3):325–343. [PubMed]
  • Flay BR. Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Prev Med. 1986 Sep;15(5):451–474. [PubMed]

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