A brief smoking cessation intervention for Chinese and Korean American smokers

Prev Med. 2006 Oct;43(4):321-4. doi: 10.1016/j.ypmed.2006.06.009. Epub 2006 Jul 24.


Objective: This study evaluated changes in smoking-related beliefs and behavior following a brief, culturally adapted smoking cessation intervention for Chinese and Korean smokers.

Method: From May 2002 to March 2003, 66 smokers residing in or around southeastern Pennsylvania were randomly assigned to a theory-based smoking cessation intervention or general health counseling. Participants completed assessments of perceived risks of smoking, pros and cons of quitting, quitting self-efficacy, and distress at baseline and follow-up time points. Sessions were conducted in the participant's native language (Korean, Cantonese, or Mandarin). Both groups received nicotine replacement therapy.

Results: Overall, 38% of participants reported quitting smoking at 3-month follow-up. Quit rates were higher (52.6% among Chinese, 60.0% among Korean) in the intervention condition compared to the control condition (23.5% among Chinese, 40.0% among Korean) at 1-month, but not 3-month, follow-up. There was a main effect of treatment condition for self-efficacy with intervention participants reporting significantly higher levels of self-efficacy compared to control participants. Further, a treatment x time interaction was observed for cons of quitting, reflecting fewer cons in the intervention group than the control group at 1-month and 3-month follow-up.

Conclusion: A culturally adapted intervention for Chinese and Korean Americans can be effective in changing specific smoking-related cognitions and behavior. This study represents a promising first step toward advancing our understanding of the associations between smoking-related cognitions and behavior among Asian American smokers.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian Americans / psychology*
  • China / ethnology
  • Counseling
  • Female
  • Health Behavior / ethnology*
  • Health Promotion / methods*
  • Humans
  • Korea / ethnology
  • Male
  • Middle Aged
  • Pennsylvania
  • Program Development
  • Program Evaluation
  • Self Efficacy
  • Smoking Cessation / ethnology*
  • Smoking Cessation / methods
  • Smoking Cessation / psychology