building a world where young people reject tobacco and anyone can quit 1 understanding smokers and...
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Building a world where young people reject tobacco and anyone can quit
Understanding Smokers and CessationRacial/Ethnic Minority Issues
Helen Lettlow, Dr PH December 7-8, 2005
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Building a world where young people reject tobacco and anyone can quit
Percent of Current African American Adult Smokers, by Income: 2001-2002
35.4
22.919.4
14.4
28.626.3 24.1
0
10
20
30
40
50
60
Per
cen
t
HP 2010Goal(12%)
$1-$4,999
$5,000-$9,999 $15,000-$24,999
$25,000-$34,999
$35,000-$49,999
$10,000--$14,999 $50,000+
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
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Building a world where young people reject tobacco and anyone can quit
Percent of Current American Indian Adult Smokers, by Income: 2001-2002
30.233
29.6
22.9
44.6
36.5 36.2
0
10
20
30
40
50
60
Per
cen
t
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
HP 2010Goal(12%)
$1-$4,999
$5,000-$9,999 $15,000-$24,999$25,000-$34,999
$35,000-$49,999
$10,000--$14,999 $50,000+
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Asian Adult Smokers, by Income: 2001-2002
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
HP 2010Goal(12%)
$1-$4,999
$5,000-$9,999 $15,000-$24,999
$25,000-$34,999
$35,000-$49,999
$10,000--$14,999 $50,000+
22.3
15.512.1
30
0
10
20
30
40
50
60
Pe
rce
nt
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Hispanic Adult Smokers, by Income: 2001-2002
26.422
15.9 14.9
27.1
18.5 19.5
0
10
20
30
40
50
60
Pe
rce
nt
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
HP 2010Goal(12%)
$1-$4,999$5,000-$9,999 $15,000-$24,999
$25,000-$34,999$35,000-$49,999
$10,000--$14,999 $50,000+
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers Among U.S. Born African American Adults, by Education:
2001-2002
27.3 25.4
17.4
11.7
0
10
20
30
40
50
60
Pe
rce
nt
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
HP 2010Goal(12%)
No HighSchool Diploma
Some CollegeHigh School College
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers among American Indian Adults, by Education:
2001-2002
35.831.5
28.6
16.9
0
10
20
30
40
50
60
Pe
rce
nt
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
HP 2010Goal(12%)
No HighSchool Diploma
Some CollegeHigh School College
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers Among U.S. Born Asian Adults, by Education: 2001-
2002
21.425.9
18.0
10.6
0
10
20
30
40
50
60
Pe
rce
nt
HP 2010Goal(12%)
No HighSchool Diploma
Some CollegeHigh School College
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers Among U.S. Born Hispanic Adults, by Education: 2001-2002
20 18.616.7
10.1
0
10
20
30
40
50
60
Pe
rce
nt
HP 2010Goal(12%)
No HighSchool Diploma
Some CollegeHigh School College
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
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Building a world where young people reject tobacco and anyone can quit
SES
Employment Status
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers Among Native Born Adults, by Race and Hispanic Origin and by
Employment Status: 2003
23.520.9
31.4
19.0 18.5
33.7
39.3
27.9
39.7
0
10
20
30
40
50
White AfricanAmerican
AmericanIndian
Asian Hispanic
Pe
rce
nt
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
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Building a world where young people reject tobacco and anyone can quit
No Health Insurance, by Race and Hispanic Origin: 2002
10.4
19.6
27.4
18.3
32.8
0
10
20
30
40
50
White AfricanAmerican
AmericanIndian
Asian Hispanic
Source: U.S. Census Bureau: Income, Poverty, and Health Insurance Coverage in the United States: 2003
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Building a world where young people reject tobacco and anyone can quit
Percent of Current Smokers Among Native Born Adults, by Race and Hispanic Origin and
by Poverty Status: 2002
21.019.3
29.5
15.7 17.0
30.5
36.6
29.0
21.6
38.0
0
10
20
30
40
50
Pe
rce
nt
Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health
Not Poor Poor
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Building a world where young people reject tobacco and anyone can quit
Systems-Level Promising Practices
• Multiple service settings with related health programs
• Long-standing, trusting and established client relationships
• Provider involvement
• Staff training and buy-in
• Peer led activities
• Availability of treatment for clinic personnel
• Accessible service locations and convenient hours
• Cultural tailoring
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Building a world where young people reject tobacco and anyone can quit
System-Level Promising Practices
• Findings indicate that effective delivery of cessation services require:– A setting that provides multiple services– Written policies and protocols– Written intake procedures– A tracking system to identify obstacles to treatment– A feedback loop and tracking system– A brief intervention on the part of health care providers– Project staff training and buy-in– Client follow-up services
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Building a world where young people reject tobacco and anyone can quit
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Washington, DC 20036
(202) 454-5555