Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 4/2011

01-12-2011

Interest in Participating in Smoking Cessation Treatment Among Latino Primary Care Patients

Authors: Lisa Sanderson Cox, A. Paula Cupertino, Kenneth P. Tercyak

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2011

Login to get access

Abstract

Smoking is the leading preventable cause of disease and death for U.S. Latinos. This study identified correlates of interest in participating in a smoking cessation program among urban Latinos seen in community clinics. Interviews were completed with 141 current smokers. Participants were predominantly Spanish-speaking (93%) males (66%), who were on average 37.6 years old and smoked 8.7 cigarettes per day. Over two-thirds (63%) of participants were “definitely interested” in participating in a smoking cessation program. Participants who smoked more cigarettes per day and reported greater nicotine dependence, depression, and readiness to quit were more likely to be interested, while those employed fulltime were less likely to report high interest. Treatment preferences were consistent with Clinical Practice Guidelines recommending counseling, social support, and pharmacotherapy. Results support recommendations that healthcare providers intervene with all Latino smokers, including light smokers and those who do not report initial interest in smoking cessation.
Literature
go back to reference American Cancer Society (ACS). (2009). Cancer facts and figures for Hispanics/Latinos-2009–2011. Atlanta, GA.: American Cancer Society, Inc. American Cancer Society (ACS). (2009). Cancer facts and figures for Hispanics/Latinos-2009–2011. Atlanta, GA.: American Cancer Society, Inc.
go back to reference Augustson, E., Wanke, K. L., Rogers, S., Bergen, A. W., Chatterjee, N., Synder, K., et al. (2008). Predictors of sustained smoking cessation: A prospective analysis of chronic smokers from the alpha-tocopherol beta-carotene cancer prevention study. American Journal of Public Health, 98, 549–555.PubMedCrossRef Augustson, E., Wanke, K. L., Rogers, S., Bergen, A. W., Chatterjee, N., Synder, K., et al. (2008). Predictors of sustained smoking cessation: A prospective analysis of chronic smokers from the alpha-tocopherol beta-carotene cancer prevention study. American Journal of Public Health, 98, 549–555.PubMedCrossRef
go back to reference Ayanian, J. Z., & Cleary, P. D. (1999). Perceived risks of heart disease and cancer among cigarette smokers. JAMA, 281, 1019–1021.PubMedCrossRef Ayanian, J. Z., & Cleary, P. D. (1999). Perceived risks of heart disease and cancer among cigarette smokers. JAMA, 281, 1019–1021.PubMedCrossRef
go back to reference Bethel, J. W., & Schenker, M. B. (2005). Acculturation and smoking patterns among Hispanics: A review. American Journal of Preventive Medicine, 29, 143–148.PubMedCrossRef Bethel, J. W., & Schenker, M. B. (2005). Acculturation and smoking patterns among Hispanics: A review. American Journal of Preventive Medicine, 29, 143–148.PubMedCrossRef
go back to reference Center for Disease Control (CDC). (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. Morbidity and Mortality Weekly Report (MMWR), 57, 1226–1228. Center for Disease Control (CDC). (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. Morbidity and Mortality Weekly Report (MMWR), 57, 1226–1228.
go back to reference Center for Disease Control (CDC). (2009). Cigarette smoking among adults—United States, 2008. Morbidity and Mortality Weekly Report (MMWR), 58, 1227–1232. Center for Disease Control (CDC). (2009). Cigarette smoking among adults—United States, 2008. Morbidity and Mortality Weekly Report (MMWR), 58, 1227–1232.
go back to reference Cokkinides, V. E., Halpern, M. T., Barbeau, E. M., Ward, E., & Thun, M. J. (2008). Racial and ethnic disparities in smoking-cessation interventions: Analysis of the 2005 National Health Interview Survey. American Journal of Preventive Medicine, 34, 404–412.PubMedCrossRef Cokkinides, V. E., Halpern, M. T., Barbeau, E. M., Ward, E., & Thun, M. J. (2008). Racial and ethnic disparities in smoking-cessation interventions: Analysis of the 2005 National Health Interview Survey. American Journal of Preventive Medicine, 34, 404–412.PubMedCrossRef
go back to reference Cox, L. S., Feng, S., Canar, J., McGlinchey Ford, M., & Tercyak, K. P. (2005). Social and behavioral correlates of cigarette smoking among mid-Atlantic Latino primary care patients. Cancer Epidemiology, Biomarkers and Prevention, 14, 1976–1980.CrossRef Cox, L. S., Feng, S., Canar, J., McGlinchey Ford, M., & Tercyak, K. P. (2005). Social and behavioral correlates of cigarette smoking among mid-Atlantic Latino primary care patients. Cancer Epidemiology, Biomarkers and Prevention, 14, 1976–1980.CrossRef
go back to reference Cox, L. S., Okuyemi, K., Choi, W. S., Ahluwalia, J. S. (2011). A review of tobacco use treatments in U.S. ethnic minority populations. American Journal of Health Promotion, 25, S11–30.PubMedCrossRef Cox, L. S., Okuyemi, K., Choi, W. S., Ahluwalia, J. S. (2011). A review of tobacco use treatments in U.S. ethnic minority populations. American Journal of Health Promotion, 25, S11–30.PubMedCrossRef
go back to reference Cupertino, A. P., Cox, L. S., Garrett, S., Suarez, N., Sandt, H., Mendoza, I., et al. (2011). Tobacco use and interest in smoking cessation among Latinos attending community health fairs. Journal of Immigrant and Minority Health, 13, 719–724.CrossRef Cupertino, A. P., Cox, L. S., Garrett, S., Suarez, N., Sandt, H., Mendoza, I., et al. (2011). Tobacco use and interest in smoking cessation among Latinos attending community health fairs. Journal of Immigrant and Minority Health, 13, 719–724.CrossRef
go back to reference Cupertino, A. P., Richter, K., Cox, L. S., Garrett, S., Ramirez, R., Mujica, F., et al. (2010b). Feasibility of a computerized decision aid to promote utilization of cessation resources among underserved communities. Journal of Healthcare for the Poor and Underserved, 21, 504–517.CrossRef Cupertino, A. P., Richter, K., Cox, L. S., Garrett, S., Ramirez, R., Mujica, F., et al. (2010b). Feasibility of a computerized decision aid to promote utilization of cessation resources among underserved communities. Journal of Healthcare for the Poor and Underserved, 21, 504–517.CrossRef
go back to reference DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 295–304.PubMedCrossRef DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 295–304.PubMedCrossRef
go back to reference Fagan, P., Moolchan, E. T., Lawrence, D., Fernander, A., & Ponder, P. K. (2007). Identifying health disparities across the tobacco continuum. Addiction, 102, 5–29.PubMedCrossRef Fagan, P., Moolchan, E. T., Lawrence, D., Fernander, A., & Ponder, P. K. (2007). Identifying health disparities across the tobacco continuum. Addiction, 102, 5–29.PubMedCrossRef
go back to reference Ferguson, J. A., Patten, C. A., Schroeder, D. R., Offord, K. P., Eberman, K. M., & Hurt, R. D. (2003). Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence. Addictive Behaviors, 28, 1203–1218.PubMedCrossRef Ferguson, J. A., Patten, C. A., Schroeder, D. R., Offord, K. P., Eberman, K. M., & Hurt, R. D. (2003). Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence. Addictive Behaviors, 28, 1203–1218.PubMedCrossRef
go back to reference Fiore, M., Jaen, C. R., & Baker, T. B. (2008). Treating tobacco use and dependence: 2008 update (May 2008 ed.). Rockville, MD: U.S. Department of Health and Human Services. Fiore, M., Jaen, C. R., & Baker, T. B. (2008). Treating tobacco use and dependence: 2008 update (May 2008 ed.). Rockville, MD: U.S. Department of Health and Human Services.
go back to reference Grandes, G., Cortada, J. M., Arrazola, A., & Laka, J. P. (2003). Predictors of long-term outcome of a smoking cessation programme in primary care. British Journal of General Practice, 53, 101–107.PubMed Grandes, G., Cortada, J. M., Arrazola, A., & Laka, J. P. (2003). Predictors of long-term outcome of a smoking cessation programme in primary care. British Journal of General Practice, 53, 101–107.PubMed
go back to reference Harris, K. J., Okuyemi, K. S., Catley, D., Mayo, M. S., Ge, B., & Ahluwalia, J. S. (2004). Predictors of smoking cessation among African-Americans enrolled in a randomized controlled trial of bupropion. Preventive Medicine, 38, 498–502.PubMedCrossRef Harris, K. J., Okuyemi, K. S., Catley, D., Mayo, M. S., Ge, B., & Ahluwalia, J. S. (2004). Predictors of smoking cessation among African-Americans enrolled in a randomized controlled trial of bupropion. Preventive Medicine, 38, 498–502.PubMedCrossRef
go back to reference Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström tolerance questionnaire. British Journal of Addiction, 86, 1119–1127.PubMedCrossRef Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström tolerance questionnaire. British Journal of Addiction, 86, 1119–1127.PubMedCrossRef
go back to reference Huerta, E. (2003). Cancer statistics for Hispanics, 2003: Good news, bad news, and the need for a health system paradigm change. CA: Cancer Journal for Clinicians, 53, 205–207.CrossRef Huerta, E. (2003). Cancer statistics for Hispanics, 2003: Good news, bad news, and the need for a health system paradigm change. CA: Cancer Journal for Clinicians, 53, 205–207.CrossRef
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.PubMedCrossRef Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.PubMedCrossRef
go back to reference Lee, D. J., Fleming, L. E., Arheart, K. L., LeBlanc, W. G., Caban, A. J., Chung-Bridges, K., et al. (2007). Smoking rate trends in U.S. occupational groups: The 1987 to 2004 National Health Interview Survey. Journal of Occupational and Environmental Medicine, 49, 75–81. Lee, D. J., Fleming, L. E., Arheart, K. L., LeBlanc, W. G., Caban, A. J., Chung-Bridges, K., et al. (2007). Smoking rate trends in U.S. occupational groups: The 1987 to 2004 National Health Interview Survey. Journal of Occupational and Environmental Medicine, 49, 75–81.
go back to reference Leischow, S. J., Hill, A., & Cook, G. (1996). The effects of transdermal nicotine for the treatment of Hispanic smokers. American Journal of Health Behavior, 20, 304–311. Leischow, S. J., Hill, A., & Cook, G. (1996). The effects of transdermal nicotine for the treatment of Hispanic smokers. American Journal of Health Behavior, 20, 304–311.
go back to reference Levinson, A. H., Perez-Stable, E. J., Espinoza, P., Flores, E. T., & Byers, T. E. (2004). Latinos report less use of pharmaceutical aids when trying to quit smoking. American Journal of Preventive Medicine, 26, 105–111.PubMedCrossRef Levinson, A. H., Perez-Stable, E. J., Espinoza, P., Flores, E. T., & Byers, T. E. (2004). Latinos report less use of pharmaceutical aids when trying to quit smoking. American Journal of Preventive Medicine, 26, 105–111.PubMedCrossRef
go back to reference Löwe, B. K. K., & Gräfe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58, 163–171.PubMedCrossRef Löwe, B. K. K., & Gräfe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58, 163–171.PubMedCrossRef
go back to reference Marin, G., & Perez-Stable, E. J. (1995). Effectiveness of disseminating culturally appropriate smoking-cessation information: Programa Latino Para Dejar de Fumar. Journal of the National Cancer Institute Monographs, 18, 155–163.PubMed Marin, G., & Perez-Stable, E. J. (1995). Effectiveness of disseminating culturally appropriate smoking-cessation information: Programa Latino Para Dejar de Fumar. Journal of the National Cancer Institute Monographs, 18, 155–163.PubMed
go back to reference Marín, G., Sabogal, F., Marin, B., Otero-Sabogal, R., & Pérez-Stable, E. J. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183–205.CrossRef Marín, G., Sabogal, F., Marin, B., Otero-Sabogal, R., & Pérez-Stable, E. J. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183–205.CrossRef
go back to reference Munoz, R. F., Marin, B. V., Posner, S. F., & Perez-Stable, E. J. (1997). Mood management mail intervention increases abstinence rates for Spanish-speaking Latino smokers. American Journal of Community Psychology, 25, 325–343.PubMedCrossRef Munoz, R. F., Marin, B. V., Posner, S. F., & Perez-Stable, E. J. (1997). Mood management mail intervention increases abstinence rates for Spanish-speaking Latino smokers. American Journal of Community Psychology, 25, 325–343.PubMedCrossRef
go back to reference Perez-Stable, E. J., Marin, B. V., & Marin, G. (1993). A comprehensive smoking cessation program for the San Francisco Bay Area Latino community: Programa Latino Para Dejar de Fumar. American Journal of Health Promotion, 7, 430–442, 475. Perez-Stable, E. J., Marin, B. V., & Marin, G. (1993). A comprehensive smoking cessation program for the San Francisco Bay Area Latino community: Programa Latino Para Dejar de Fumar. American Journal of Health Promotion, 7, 430–442, 475.
go back to reference Perez-Stable, E. J., Ramirez, A., Villareal, R., Talavera, G. A., Trapido, E., Suarez, L., et al. (2001). Cigarette smoking behavior among US Latino men and women from different countries of origin. American Journal of Public Health, 91, 1424–1430.PubMedCrossRef Perez-Stable, E. J., Ramirez, A., Villareal, R., Talavera, G. A., Trapido, E., Suarez, L., et al. (2001). Cigarette smoking behavior among US Latino men and women from different countries of origin. American Journal of Public Health, 91, 1424–1430.PubMedCrossRef
go back to reference Ramirez, A. G., Villarreal, R., Suarez, L., & Flores, E. T. (1995). The emerging Hispanic population: A foundation for cancer prevention and control. Journal of the National Cancer Institute Monographs, 18, 1–9.PubMed Ramirez, A. G., Villarreal, R., Suarez, L., & Flores, E. T. (1995). The emerging Hispanic population: A foundation for cancer prevention and control. Journal of the National Cancer Institute Monographs, 18, 1–9.PubMed
go back to reference Reitzel, L. R., Costello, T. J., Mazas, C. A., Vidrine, J. I., Businelle, M. S., Kendzor, D. E., et al. (2009). Low-level smoking among Spanish-speaking Latino smokers: Relationships with demographics, tobacco dependence, withdrawal, and cessation. Nicotine and Tobacco Research, 11, 178–184.PubMedCrossRef Reitzel, L. R., Costello, T. J., Mazas, C. A., Vidrine, J. I., Businelle, M. S., Kendzor, D. E., et al. (2009). Low-level smoking among Spanish-speaking Latino smokers: Relationships with demographics, tobacco dependence, withdrawal, and cessation. Nicotine and Tobacco Research, 11, 178–184.PubMedCrossRef
go back to reference Schane, R. E., Ling, P. M., & Glantz, S. A. (2010). Health effects of light and intermittent smoking: A review. Circulation, 121, 1518–1522.PubMedCrossRef Schane, R. E., Ling, P. M., & Glantz, S. A. (2010). Health effects of light and intermittent smoking: A review. Circulation, 121, 1518–1522.PubMedCrossRef
go back to reference Serrano, V. A., & Woodruff, S. I. (2003). Smoking-related attitudes and their sociodemographic correlates among Mexican-origin adult smokers. Journal of Community Health, 28, 209–220.PubMedCrossRef Serrano, V. A., & Woodruff, S. I. (2003). Smoking-related attitudes and their sociodemographic correlates among Mexican-origin adult smokers. Journal of Community Health, 28, 209–220.PubMedCrossRef
go back to reference Sheppard, V. B., Cox, L. S., Kanamori, M. J., Canar, J., Rodriguez, Y., Goodman, M., et al. (2005). Brief report: If you build it, they will come: Methods for recruiting Latinos into cancer research. Journal of General Internal Medicine, 20, 444–447.PubMedCrossRef Sheppard, V. B., Cox, L. S., Kanamori, M. J., Canar, J., Rodriguez, Y., Goodman, M., et al. (2005). Brief report: If you build it, they will come: Methods for recruiting Latinos into cancer research. Journal of General Internal Medicine, 20, 444–447.PubMedCrossRef
go back to reference Tong, E. K., Ong, M. K., Vittinghoff, E., & Perez-Stable, E. J. (2006). Nondaily smokers should be asked and advised to quit. American Journal of Preventive Medicine, 30, 23–30.PubMedCrossRef Tong, E. K., Ong, M. K., Vittinghoff, E., & Perez-Stable, E. J. (2006). Nondaily smokers should be asked and advised to quit. American Journal of Preventive Medicine, 30, 23–30.PubMedCrossRef
go back to reference United States Census Bureau. (2010). Annual estimates of the resident population by sex, race, and Hispanic origin for the United States: April 1, 2000 to July 1, 2008. United States Census Bureau. (2010). Annual estimates of the resident population by sex, race, and Hispanic origin for the United States: April 1, 2000 to July 1, 2008.
go back to reference United States Department of Health and Human Services (USDHHS). (1998). Tobacco use among U.S. racial/ethnic minority groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A report of the surgeon general. United States Department of Health and Human Services (USDHHS). (1998). Tobacco use among U.S. racial/ethnic minority groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A report of the surgeon general.
go back to reference Velicer, W., Fava, J. L., Prochaska, J. O., Abrams, D. B., Emmons, K. M., & Pierce, J. P. (1995). Distribution of smokers by stage in three representative samples. Preventive Medicine, 24, 401–411.PubMedCrossRef Velicer, W., Fava, J. L., Prochaska, J. O., Abrams, D. B., Emmons, K. M., & Pierce, J. P. (1995). Distribution of smokers by stage in three representative samples. Preventive Medicine, 24, 401–411.PubMedCrossRef
go back to reference Wetter, D. W., Mazas, C., Daza, P., Nguyen, L., Fouladi, R. T., Li, Y., et al. (2007). Reaching and treating Spanish-speaking smokers through the National Cancer Institute’s Cancer Information Service. A randomized controlled trial. Cancer, 109, 406–413.PubMedCrossRef Wetter, D. W., Mazas, C., Daza, P., Nguyen, L., Fouladi, R. T., Li, Y., et al. (2007). Reaching and treating Spanish-speaking smokers through the National Cancer Institute’s Cancer Information Service. A randomized controlled trial. Cancer, 109, 406–413.PubMedCrossRef
go back to reference Wilkinson, A. V., Spitz, M. R., Strom, S. S., Prokhorov, A. V., Barcenas, C. H., Cao, Y., et al. (2005). Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent. American Journal of Public Health, 95, 1043–1049.PubMedCrossRef Wilkinson, A. V., Spitz, M. R., Strom, S. S., Prokhorov, A. V., Barcenas, C. H., Cao, Y., et al. (2005). Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent. American Journal of Public Health, 95, 1043–1049.PubMedCrossRef
go back to reference Zhu, S. H., Pulvers, K., Zhuang, Y., & Baezconde-Garbanati, L. (2007). Most Latino smokers in California are low-frequency smokers. Addiction, 102, 104–111.PubMedCrossRef Zhu, S. H., Pulvers, K., Zhuang, Y., & Baezconde-Garbanati, L. (2007). Most Latino smokers in California are low-frequency smokers. Addiction, 102, 104–111.PubMedCrossRef
go back to reference Zuniga, E., Castaneda, X., Averbach, A., & Wallace, S. P. (2006). Mexican and Central American Immigrants in the United States: Health Care Access. Published by the Regents of the University of California and The Mexican Secretariat of Health (SSA). ISBN: 970-721-331-0. Zuniga, E., Castaneda, X., Averbach, A., & Wallace, S. P. (2006). Mexican and Central American Immigrants in the United States: Health Care Access. Published by the Regents of the University of California and The Mexican Secretariat of Health (SSA). ISBN: 970-721-331-0.
Metadata
Title
Interest in Participating in Smoking Cessation Treatment Among Latino Primary Care Patients
Authors
Lisa Sanderson Cox
A. Paula Cupertino
Kenneth P. Tercyak
Publication date
01-12-2011
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2011
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-011-9259-y

Other articles of this Issue 4/2011

Journal of Clinical Psychology in Medical Settings 4/2011 Go to the issue