Article ID Journal Published Year Pages File Type
5723766 Preventive Medicine Reports 2017 6 Pages PDF
Abstract

•The study used a sample of 20,693 U.S. current non-occasional smokers.•Racial/ethnic disparities in intentions to quit within 6 months were assessed.•Non-Hispanic (NH) Whites had lower rate of intending to quit than had NH Blacks.•NH Asians had lower rate of intending to quit than had NH multiracial.•Quit attempts, daily smoking, and doctor's advice strongly impact intentions to quit.

The study examined racial/ethnic differences in smokers' intentions to quit smoking within the next 6 months. The sample included 20,693 current non-occasional smokers in the U.S. who responded to the 2010-2011 Tobacco Use Supplement to the Current Population Survey. The rates of intention to quit within 1 month were significantly higher for non-Hispanic (NH) Black (21%; OR = 1.44, CI = 1.24-1.67) and Hispanic (21%; OR = 1.42, CI = 1.20-1.68) than for the NH Whites (NHW, 15%). The rates of intention to quit within 6 months were significantly higher for NH Blacks (46%; OR = 1.35, CI = 1.18-1.55) than for NH Whites (39%) and significantly lower for NH American Indians/Alaska Natives (38%; OR = 0.54, CI = 0.33-0.90) and NH Asians (39% OR = 0.55, CI = 0.35-0.86) than for NH multiracial (53%) smokers. Most disparities existed even after adjusting for smoking-related and sociodemographic factors. For most racial/ethnic groups, non-daily smoking and doctor's advice to quit were positively associated with the odds of intending to quit. For each racial/ethnic group, having a longer quit attempt in the past 12 months was positively associated with the odds of intending to quit. For NH Whites, NH Blacks, and Hispanics, the specific differences between racial/ethnic groups also depended on getting a doctor's advice, education, and survey mode. Although a smoker's intention to quit may not necessarily lead to immediate smoking cessation, the lack of intention may drastically delay smoking cessation. The study highlights the importance of accounting for racial/ethnic disparities when designing and implementing interventions to motivate smokers to quit and aid smoking cessation.

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