1. Building a world where young people reject tobacco and anyone can quit 1 Understanding Smokers and Cessation Racial/Ethnic Minority Issues Helen Lettlow, Dr PH December 7-8, 2005

2. Building a world where young people reject tobacco and anyone can quit 2 Percent of Current African American Adult Smokers, by Income: 2001-2002 HP 2010 Goal (12%) $1-$4,999 $5,000-$9,999 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $10,000--$14,999 $50,000+ Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health

3. Building a world where young people reject tobacco and anyone can quit 3 Percent of Current American Indian Adult Smokers, by Income: 2001-2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health HP 2010 Goal (12%) $1-$4,999 $5,000-$9,999 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $10,000--$14,999 $50,000+

4. Building a world where young people reject tobacco and anyone can quit 4 Percent of Current Asian Adult Smokers, by Income: 2001-2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health HP 2010 Goal (12%) $1-$4,999 $5,000-$9,999$15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $10,000--$14,999$50,000+

5. Building a world where young people reject tobacco and anyone can quit 5 Percent of Current Hispanic Adult Smokers, by Income: 2001-2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health HP 2010 Goal (12%) $1-$4,999 $5,000-$9,999 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $10,000--$14,999 $50,000+

6. Building a world where young people reject tobacco and anyone can quit 6 Percent of Current Smokers Among U.S. Born African American Adults, by Education: 2001-2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health HP 2010 Goal (12%) No High School Diploma Some College High School College

7. Building a world where young people reject tobacco and anyone can quit 7 Percent of Current Smokers among American Indian Adults, by Education: 2001-2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health HP 2010 Goal (12%) No High School Diploma Some CollegeHigh School College

8. Building a world where young people reject tobacco and anyone can quit 8 Percent of Current Smokers Among U.S. Born Asian Adults, by Education: 2001- 2002 HP 2010 Goal (12%) No High School Diploma Some College High School College Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health

9. Building a world where young people reject tobacco and anyone can quit 9 Percent of Current Smokers Among U.S. Born Hispanic Adults, by Education: 2001-2002 HP 2010 Goal (12%) No High School Diploma Some College High School College Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health

10. Building a world where young people reject tobacco and anyone can quit 10 SES Employment Status

11. Building a world where young people reject tobacco and anyone can quit 11 Percent of Current Smokers Among Native Born Adults, by Race and Hispanic Origin and by Employment Status: 2003 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health Employed Unemployed

12. Building a world where young people reject tobacco and anyone can quit 12 No Health Insurance, by Race and Hispanic Origin: 2002 Source: U.S. Census Bureau: Income, Poverty, and Health Insurance Coverage in the United States: 2003

13. Building a world where young people reject tobacco and anyone can quit 13 Percent of Current Smokers Among Native Born Adults, by Race and Hispanic Origin and by Poverty Status: 2002 Source: Current Population Survey, 2001 and 2003, Courtesy of Ralph S. Caraballo, PhD, Office on Smoking and Health Not Poor Poor

14. Building a world where young people reject tobacco and anyone can quit 14 Systems-Level Promising Practices Multiple service settings with related health programs Long-standing, trusting and established client relationships Provider involvement Staff training and buy-in Peer led activities Availability of treatment for clinic personnel Accessible service locations and convenient hours Cultural tailoring

15. Building a world where young people reject tobacco and anyone can quit 15 System-Level Promising Practices Findings indicate that effective delivery of cessation services require: –A setting that provides multiple services –Written policies and protocols –Written intake procedures –A tracking system to identify obstacles to treatment –A feedback loop and tracking system –A brief intervention on the part of health care providers –Project staff training and buy-in –Client follow-up services

16. Building a world where young people reject tobacco and anyone can quit 16 Contact Us American Legacy Foundation 2030 M Street, NW, 6th floor Washington, DC 20036 (202) 454-5555 www.americanlegacy.org hlettlow@americanlegacy.org