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February 2004, Vol 94, No. 2 | American Journal of Public Health 293-299
© 2004 American Public Health Association

RESEARCH AND PRACTICE

From Adolescence to Young Adulthood: Racial/Ethnic Disparities in Smoking

Phyllis L. Ellickson, PhD, Maria Orlando, PhD, Joan S. Tucker, PhD and David J. Klein, MS

The authors are with RAND, Santa Monica, Calif.

Correspondence: Requests for reprints should be sent to Phyllis L. Ellickson, PhD, RAND, 1700 Main St, PO Box 2138, Santa Monica, CA 90407-2138 (e-mail: phyllis_ellickson{at}rand.org).

Objectives. We used data gathered from 6259 youths between the ages of 13 and 23 years to compare trends in smoking among 4 racial/ethnic groups.

Methods. We weighted trend data to represent baseline respondent characteristics and evaluated these data with linear contrasts derived from multiple regression analyses.

Results. Although African Americans exhibited higher initiation rates than Whites, they exhibited consistently lower rates of regular smoking than both Whites and Hispanics. This seeming anomaly was explained by African Americans’ lower rates of transition to regular smoking and greater tendency to quit. Racial/ethnic disparities were accounted for by differences in pro-smoking influences.

Conclusions. Reducing racial/ethnic disparities in smoking may require reducing differences in the psychosocial factors that encourage smoking.




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