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Gary King, PhD, Anthony Polednak, PhD, Robert B. Bendel, PhD, My C. Vilsaint, BA and Sunny B. Nahata, MS

Gary King and Sunny B. Nahata are with the Department of Biobehavioral Health at Pennsylvania State University, University Park, Pa. My C. Vilsaint is with the University of Buffalo Medical School, Buffalo, NY. Anthony Polednak is with the Department of Community Medicine and Health Care at the University of Connecticut Health Center, Farmington, Conn. Robert B. Bendel is with the School of Nursing at Washington State University, Pullman, Wash.

Correspondence: Requests for reprints should be sent to Gary King, PhD, Department of Biobehavioral Health, Pennsylvania State University, 315 East Health and Human Development, University Park, PA 16802 (e-mail: gxk14{at}psu.edu).

Objectives. We examined disparities in smoking cessation rates between African Americans and Whites from 1990 through 2000.

Methods. We performed an analysis of smoking cessation with data from the National Health Interview Surveys of 30660 African Americans and 209828 Whites, 18 to 64 years old, with adjustment for covariates in multiple logistic regression models.

Results. Whites were significantly more likely than African Americans to be former smokers, and this disparity in the quit ratio persisted from 1990 through 2000. After adjustment for covariates, disparities were substantially reduced especially among women. Among former smokers, African Americans were significantly more likely than Whites to have quit successfully within the past 10 years.

Conclusions. Statistical adjustment for covariates reduces African American–White disparities in quit ratios, and recent cessation patterns suggest possible future reductions in disparities.

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