African American Women and Smoking: Starting Later

Moon-Howard, Joyce

doi:10.2105/ajph.93.3.418

Cited by 51 publications

(40 citation statements)

References 8 publications

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“…Smoking initiation during the late teens and early adulthood is also an important public health issue because these ages coincide with the peak childbearing and child-rearing ages. 8 The present results suggest prevention and intervention efforts need to consider individual groups (not just overall averages) and tobacco control efforts need to be targeted beyond the teenage years. For instance, one suggested US tobacco policy is to raise the minimum age for legal access to cigarettes from 18 to 21; analyses on the impact of such policies need to consider race, to test whether they are more effective among whites than other racial/ethnic groups, with the potential consequence of widening tobacco-related health disparities.…”

Section: Moving Forwardmentioning

confidence: 83%

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Understanding Tobacco Use Onset Among African Americans

Roberts

Colby

Lü

et al. 2016

NICTOB

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Section: Moving Forwardmentioning

confidence: 83%

“…4,[6][7][8] This pattern is varyingly referred to as a "crossover" 9,10 or "convergence" in smoking. 11,12 Many factors may explain this racial convergence in smoking.…”

mentioning

confidence: 99%

Understanding Tobacco Use Onset Among African Americans

Roberts

Colby

Lü

et al. 2016

NICTOB

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Section: Discussionmentioning

confidence: 99%

“…Several recent studies have shown that a sizeable proportion of AfricanAmerican smokers begin smoking after age 18 [38,39]. For example, Moon-Howard [39] reported that and African-American women begin smoking, on average, one year later than non-Hispanic white women. Most studies report that smoking initiation is largely a youth behavior [1], but our finding underscores the need to develop smoking initiation prevention programs specifically for young African-American adults.…”

Section: Discussionmentioning

confidence: 99%

Age-related differences in factors associated with smoking initiation

Wilkinson

Schabath

Prokhorov

et al. 2007

Cancer Causes Control

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We sought to determine whether the influence of two factors known to influence smoking initiation (parental smoking and lower academic attainment) vary by age of smoking initiation and to develop profiles of smokers based on their age of smoking initiation. We analyzed data on demographic and smoking characteristics from 1,447 former and current cancer-free smokers, born between 1912 and 1975, who served as controls in an ongoing lung cancer case-control study, and who reported initiating smoking before their 31st birthday. Parental smoking exerted a significant influence among the youngest initiators (<15 years) only, and the magnitude of the influence from academic attainment decreased with increasing age of initiation. The youngest initiators were less likely to have quit, had smoked for more years, and reported higher levels of nicotine dependence than the oldest initiators. Our results underscore the continued need to target smoking prevention messages toward individuals younger than 15 years. Because the influence of parental smoking was pronounced among the youngest initiators, family smoking dynamics must be addressed to develop effective prevention programs tailored to this at-risk age group.

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“…The age when a person starts to smoke cigarettes regularly may be associated with addiction and may be disregarded by persons who do not consider themselves to be regular smokers 67 . As noted previously, African Americans tend to initiate tobacco use later in life 26 , 68 , 69 compared with whites and are more likely to be nondaily smokers 70 . Thus, it is important to evaluate measures of age of initiation of tobacco use among African Americans.…”

Section: Methodsmentioning

confidence: 99%

National Surveys and Tobacco Use Among African Americans: A Review of Critical Factors

Rolle

Beasley

Kennedy

et al. 2016

NICTOB

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Introduction: Beginning in the 1970s, US national surveys showed African American youth having a lower prevalence of cigarette smoking than white youth. Yet, during adulthood, African Americans have a smoking prevalence comparable to white adults. Data sources chosen can contribute in different ways to understanding tobacco use behaviors among African American youth and adults; this article is a review of national and/or state-based health surveys to examine their methodology, racial and ethnic classifications, and tobacco-use related measures. Methods: Eleven national and/or state based surveys were selected for review. Eight surveys were multitopic and included questions on tobacco use and three surveys were tobacco specific. Survey methods included telephone (4), household (3), and school (4). Three major characteristics examined for each survey were: (1) survey design and methods, (2) racial and ethnic background classification, and (3) selected tobacco smoking questions. Within these three characteristics, 15 factors considered to be important for examining tobacco use behaviors by African Americans were identified a priori using previously published reviews and studies. Results: Within survey design and methods, the majority of surveys (≥7) oversampled African Americans and did not use proxy respondents for tobacco questions. All surveys used Office of Management and Budget standard classification for race/ethnicity classification. The majority of surveys (≥7) captured five of the seven tobacco-related smoking questions. Conclusions: Programmatic objectives and/or research questions should guide the selection of data sources for tobacco control programs and researchers examining African American tobacco use behaviors. Implications: This review of 11 national and state tobacco-related surveys shows that these surveys provide much needed estimates of tobacco use behaviors. However, as tobacco programs and researchers seek to examine tobacco use behaviors among African Americans, it is important to consider multiple surveys as each can contribute to informing the tobacco experience in African Americans. Most importantly, programmatic objectives and/or research questions should guide the selection of data sources for tobacco control programs and researchers examining African American tobacco use behaviors.

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African American Women and Smoking: Starting Later

Cited by 51 publications

References 8 publications

Understanding Tobacco Use Onset Among African Americans

Understanding Tobacco Use Onset Among African Americans

Age-related differences in factors associated with smoking initiation

National Surveys and Tobacco Use Among African Americans: A Review of Critical Factors

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