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American Journal of Public Health, Vol 91, Issue 2 213-218, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

Ten-year changes in smoking among young adults: are racial differences explained by socioeconomic factors in the CARDIA study?

CI Kiefe, OD Williams, CE Lewis, JJ Allison, P Sekar and LE Wagenknecht
Department of Medicine, University of Alabama at Birmingham, 1717 11th Ave S, MT 700, Birmingham, AL 35205-4785, USA. ckiefe@uab.edu

OBJECTIVES: This study investigated whether socioeconomic factors explain racial/ethnic differences in regular smoking initiation and cessation. METHODS: Data were derived from the CARDIA study, a cohort of 5115 healthy adults aged 18 to 30 years at baseline (1985-1986) and recruited from the populations of 4 US cities. Respondents were followed over 10 years. RESULTS: Among 3950 respondents reexamined in 1995-1996, 20% of Whites and 33% of African Americans were smokers, as compared with 25% and 32%, respectively, in 1985-1986. On average, African Americans were of lower socioeconomic status. Ten-year regular smoking initiation rates for African American women, White women, African American men, and White men were 7.1%, 3.5%, 13.2%, and 5.1%, respectively, and the corresponding cessation rates were 25%, 35.1%, 19.2%, and 31.3%. After adjustment for socioeconomic factors, most 95% confidence intervals of the odds ratios for regular smoking initiation and cessation in African Americans vs Whites included 1. CONCLUSIONS: Less beneficial 10-year changes in smoking were observed in African Americans, but socioeconomic factors explained most of the racial disparity.


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