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Ethn Dis. 1998 Autumn;8(3):385-93.

Knowledge about smoking, reasons for smoking, and reasons for wishing to quit in inner-city African Americans.

Author information

1
University of Kansas School of Medicine, Kansas City 66160, USA. jahluwal@kumc.edu

Abstract

OBJECTIVE:

To determine knowledge about smoking, reasons for smoking, and reasons for wishing to quit and the association of these variables with abstinence at ten weeks and six months.

DESIGN:

Descriptive study and longitudinal intervention.

SETTING:

Inner-city public hospital clinics.

PARTICIPANTS:

410 African-American cigarette smokers interested in quitting were surveyed at baseline and subsequently enrolled into a double-blind, placebo-controlled, randomized trial of the transdermal nicotine patch.

MAIN OUTCOME MEASURES:

Descriptive information about smoking knowledge, reasons for smoking, and reasons for wishing to quit, and association of these variables with abstinence at 10 weeks and 6 months.

RESULTS:

Among the 410 patients randomized, mean age was 48 years, 61% were female, 41% had less than a high school education, 51% had an annual household income less than $8,000, and the average number of cigarettes smoked a day was twenty. The average number of questions answered correctly was nine out of eleven (84%). The most cited reason for smoking was relaxation/tension reduction and the least cited were stimulation and handling of the cigarette. Ninety-nine percent of patients stated they wished to quit for health reasons. Knowledge, reasons for smoking, and reasons for wishing to quit were not significantly associated with 10-week or 6-month abstinence.

CONCLUSIONS:

In this group of inner-city African-American smokers, knowledge about cigarette smoking was high. Reasons for smoking were related to relaxation, craving, and pleasure, and reasons for wishing to quit were largely health-related. Knowledge, reasons for smoking, and reasons for wishing to quit were not associated with 10 week or 6 month abstinence. Since knowledge about smoking is already high, future efforts should be directed at promoting cessation through proven behavioral and pharmacological approaches, rather than didactic patient education.

PMID:
9926909
[Indexed for MEDLINE]

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