期刊
ADDICTION
卷 102, 期 12, 页码 1979-1986出版社
WILEY
DOI: 10.1111/j.1360-0443.2007.02010.x
关键词
African Americans; clinical trial; counseling; health education; light smokers; menthol; motivational interviewing; nicotine replacement therapy; secondary analysis; smoking cessation
资金
- NCI NIH HHS [R01 CA091912] Funding Source: Medline
Aims To determine whether African American light smokers who smoked menthol cigarettes had lower cessation when treated with nicotine replacement therapy and counseling. Design Data were derived from a clinical trial that assessed the efficacy of 2 mg nicotine gum (versus placebo) and counseling (motivational interviewing counseling versus Health Education) for smoking cessation among African American light smokers (smoked <= 10 cigarettes per day). Participants The sample consisted of 755 African American light smokers. Measurements The primary outcome variable was verified 7-day point-prevalence smoking cessation at 26 weeks follow-up. Verification was by salivary cotinine. Findings Compared to non-menthol smokers, menthol smokers were younger and less confident to quit smoking (P = 0.023). At 26 weeks post-randomization, 7-day verified abstinence rate was significantly lower for menthol smokers (11.2% versus 18.8% for non-menthol, P = 0.015). Conclusions Among African American light smokers, use of menthol cigarettes is associated with lower smoking cessation rates. Because the majority of African American smokers use menthol cigarettes, a better understanding of the mechanism for this lower quit rate is needed.
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