Treating Tobacco Dependence Among African Americans: A Meta-Analytic Review

Monica S. Webb

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Objective: African Americans suffer disproportionately from smoking-related morbidity and mortality; yet it is unclear whether existing treatments benefit this population. The purposes of this meta-analysis were to evaluate the overall efficacy of smoking cessation interventions (SCIs) among African American adults and to examine specific study characteristics and methods that influence treatment outcome. Design: Twenty published and unpublished studies representing 32 hypothesis tests and 12,743 smokers compared SCIs to control conditions. Main Outcome Measures: (1) Smoking abstinence post-treatment; (2) abstinence at the first follow-up assessment; and (3) 11 potential moderators of treatment effects. Results: Overall, SCIs increased the odds of cessation by 40% at posttest and 30% at follow-up. Treatment type, setting, cultural specificity, unit of analysis, outcome measure, nature of control group, and biochemical verification moderated the overall treatment effect size. Conclusion: SCIs are efficacious among African Americans. Theoretical, clinical, and future research implications are discussed.

Original languageEnglish (US)
Pages (from-to)S271-S282
JournalHealth Psychology
Volume27
Issue number3 SUPPL.
DOIs
StatePublished - May 1 2008

Keywords

  • African American smokers
  • health disparities
  • smoking intervention
  • tobacco dependence

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

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