Racial and Ethnic Differences in Delivery of Tobacco-Cessation Services

Sonnenfeld, Nancy; Schappert, Susan M.; Lin, Susan

doi:10.1016/j.amepre.2008.09.028

Cited by 37 publications

(34 citation statements)

References 30 publications

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“…41 Despite the applicability of these guidelines for diverse populations, the unequal implementation of these guidelines has been documented. 8,17–19 Among those who smoke, Hispanics and those with low socioeconomic status are less likely to receive advice and assistance from their health care professional about smoking cessation compared with non-Hispanic whites and those with higher socioeconomic status, respectively. 17–19 Access to evidence-based smoking cessation methods is also lacking for individuals with limited or no English proficiency.…”

Section: Cancer Preventionmentioning

confidence: 99%

“…8,17–19 Among those who smoke, Hispanics and those with low socioeconomic status are less likely to receive advice and assistance from their health care professional about smoking cessation compared with non-Hispanic whites and those with higher socioeconomic status, respectively. 17–19 Access to evidence-based smoking cessation methods is also lacking for individuals with limited or no English proficiency. 42 The absence of readily available, Spanish-language, evidence-based materials has been cited as a key barrier to the ability of primary care physicians to assist with smoking cessation.…”

Section: Cancer Preventionmentioning

confidence: 99%

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Tobacco-Related Health Disparities across the Cancer Care Continuum

et al. 2016

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Background Use of tobacco is the leading preventable cause of death in the United States. Racial/ethnic minorities and individuals of low socioeconomic status disproportionately experience tobacco-related disease and illness. Unique challenges and circumstances exist at each point in the cancer care continuum that may contribute to the greater cancer burden experienced by these groups. Methods We reviewed tobacco-related disparities from cancer prevention to cancer survivorship. We also describe research that seeks to reduce tobacco-related disparities. Results Racial/ethnic minorities and low-income individuals experience unique social and environmental contextual challenges such as greater environmental cues to smoke and greater levels of perceived stress and social discrimination. Clinical practice guidelines support the effectiveness of pharmacotherapy and behavioral counseling for racial and ethnic minorities, yet smoking cessation rates are lower in this group when compared with non-Hispanic whites. Superior efficacy for culturally adapted interventions has not yet been established. Conclusions To reduce health disparities in this population, a comprehensive strategy is needed with efforts directed at each point along the cancer care continuum. Strategies are needed to reduce the impact of contextual factors such as targeted tobacco marketing and social discrimination on smoking initiation and maintenance. Future efforts should focus on increasing the use of evidence-based cessation treatment methods and studying its effectiveness in these populations. Attention must also be focused on improving treatment outcomes by reducing smoking in diverse racial and ethnic patient populations.

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Section: Cancer Preventionmentioning

confidence: 99%

Section: Cancer Preventionmentioning

confidence: 99%

Tobacco-Related Health Disparities across the Cancer Care Continuum

et al. 2016

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“…Racial differences in continued smoking may be attributable to socioeconomic vulnerabilities, such as poverty, stress, and secondhand smoke exposure [28]. Although the majority of black smokers express a desire to quit [29], they are less likely to receive and use evidencebased treatments [30,31] (e.g., screening for tobacco use and advice to quit [32][33][34], smoking cessation pharmacotherapy [35][36][37][38], and counseling [31]). In addition, black smokers are less likely to enroll in smoking cessation trials [39].…”

Section: Blacks Are At Risk For Continued Smoking and Poor Cessation mentioning

confidence: 99%

Disparities Between Blacks and Whites in Tobacco and Lung Cancer Treatment

et al. 2011

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Racial disparities exist in lung cancer incidence, morbidity, and mortality. Smoking is responsible for the majority of lung cancers, and racial disparities also exist in smoking outcomes. Black smokers are less likely than white smokers to engage in evidence-based tobacco treatment, and black smokers are less likely than white smokers to stop smoking. Continued smoking following a lung cancer diagnosis is a potential indicator of poor lung cancer treatment outcomes, yet lung cancer patients who smoke are unlikely to receive evidence-based tobacco treatment. The risks from continued smoking after diagnosis deserve attention as a modifiable factor toward lessening racial disparities in lung cancer outcomes.

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“…In a 1997 American study, only 16% of the identified smokers received smoking cessation advice from physicians [4] , which increased somewhat to 27% in 2009 [5] . The incidence of tobacco counseling in developing countries is unknown; however, only 10% of the physicians in Indonesia and 32% in India asked about tobacco use [6] .…”

Section: Introductionmentioning

confidence: 99%

Preparedness for the Smoking Cessation Role among Health Sciences Students in Kuwait

2011

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Objective: Our aim was to assess students’ preparedness for the smoking cessation role after a teaching module on tobacco cessation and to assess the relationship between smoking status and preparedness. Methods: Pharmacy students attended a 4-hour module on the role of health professionals in smoking cessation based on the Rx for Change training program. Two years after the first introduction of the module, a questionnaire on preparedness and smoking status was filled in by 64 pharmacy students who had attended the module and 243 students from other health sciences that had not been exposed to the module. Results: Preparedness scores for the smoking cessation role for pharmacy students were significantly higher (mean = 19.5, n = 63) for the nonsmoking pharmacy students compared to other nonsmoking students in medicine (mean = 16.2, n = 149), dentistry (mean = 16.1, n = 40) and physical therapy (mean = 14.9, n = 16) (p = 0.009). The smoking prevalence was 3% among all females and 31% among all males. Smoking students were significantly less likely (p = 0.031) to agree that it is their professional responsibility to help patients quit smoking. Conclusion: Significant and long-lasting differences in students’ perception of preparedness for the smoking cessation role based on exposure to a short teaching module were demonstrated. Furthermore, our results support previous findings that smoking compromises attitude towards helping smokers to quit.

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Racial and Ethnic Differences in Delivery of Tobacco-Cessation Services

Cited by 37 publications

References 30 publications

Tobacco-Related Health Disparities across the Cancer Care Continuum

Tobacco-Related Health Disparities across the Cancer Care Continuum

Disparities Between Blacks and Whites in Tobacco and Lung Cancer Treatment

Preparedness for the Smoking Cessation Role among Health Sciences Students in Kuwait

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