Socio-economic factors sway African-Americans

Socio-economic factors are a major influence on why Blacks are less likely than Whites to quit smoking once they have started, although Blacks are more likely to be lifetime nonsmokers than Whites, according to researchers.

Differences between Black and White cessation rates are reduced considerably when comparisons factor in gender, educational levels, age, marital status and geographic region, says Dr. Gary King, associate professor of biobehavioral health in the College of Health and Human Development.

"Disparities in quitting rates between the two groups are strongly influenced by socioeconomic status and do not appear as fixed attributes reflecting biological or genetic differences between African Americans and whites," King adds. "Adjusted differences in quitting between Black and White women were not statistically significant for most years."

King is lead author of the paper, "Disparities in Smoking Cessation Between African Americans and Whites: 1990-2000," in the November issue of the American Journal of Public Health. His co-authors are: Dr. Anthony Polednak, Department of Community Medicine and Health Care, University of Connecticut Health Center; Dr. Robert B. Bendel, School of Nursing, Washington State University; My C. Vilsaint, University of Buffalo Medical School; and Sunny B. Nahata, a recent graduate student at Penn State. The research team analyzed data from the National Health Interview Surveys of 30,660 African Americans and 209,828 Whites, ages 18 to 64 years old.

In the period 1990-2000, African Americans reported a noticeably lower annual average of former smokers or tobacco "quitters" (14.6 percent) than did Whites (25.8 percent), although this trend became less pronounced after 1994. During the same decade, an annual average percentage of Blacks who said that they had never taken up smoking was 59.4, compared to 48.7 for Whites.

"The higher percentage of lifelong nonsmokers among Blacks can probably be

Contact: Paul Blaum
Penn State

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