Smoking cessation among African Americans is a primary health objective for the nation. African American women are more likely than their counterparts to have a high dependency upon nicotine. Studies with African American women report lower quit rates than those for whites. A culturally sensitive pilot project was designed for African American women to investigate smoking, perception of family environment (FES-R, Life Events Scale, family survey), feasibility of family-focused followup sessions, and an exercise program. Baseline cigarettes were negatively correlated with the FES-R subscales for cohesion, active-recreational orientation, and moral/ religious emphasis; they were positively correlated with negativity in an important relationship. Predictors of ending cigarettes were scores for life events internal to the family and the FES-R subscale for independence. Interview and survey data identified potential sources of social support and perceived relational injustices. Future studies will explore expressed emotion, relational ethics, and interventions that improve relationships.
Hanna, Suzanne M.; Walker, Patricia W.; Walker, Jerome F.; Claes, Jacalyn A.; Stewart, Cheryl K.; Swank, Ann M.; and Goldsmith, L. Jane, "A Smoking Cessation Project For African American Women: Implications For Relational Research" (2003). SHU Faculty Publications. Paper 10.