Relationship between menthol cigarettes and smoking cessation among African American light smokers

Addiction. 2007 Dec;102(12):1979-86. doi: 10.1111/j.1360-0443.2007.02010.x. Epub 2007 Oct 4.

Abstract

Aims: To determine whether African American light smokers who smoked menthol cigarettes had lower cessation when treated with nicotine replacement therapy and counseling.

Design: Data were derived from a clinical trial that assessed the efficacy of 2 mg nicotine gum (versus placebo) and counseling (motivational interviewing counseling versus Health Education) for smoking cessation among African American light smokers (smoked < or = 10 cigarettes per day).

Participants: The sample consisted of 755 African American light smokers.

Measurements: The primary outcome variable was verified 7-day point-prevalence smoking cessation at 26 weeks follow-up. Verification was by salivary cotinine.

Findings: Compared to non-menthol smokers, menthol smokers were younger and less confident to quit smoking (P = 0.023). At 26 weeks post-randomization, 7-day verified abstinence rate was significantly lower for menthol smokers (11.2% versus 18.8% for non-menthol, P = 0.015).

Conclusions: Among African American light smokers, use of menthol cigarettes is associated with lower smoking cessation rates. Because the majority of African American smokers use menthol cigarettes, a better understanding of the mechanism for this lower quit rate is needed.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • African Americans / ethnology*
  • African Americans / psychology
  • Age Factors
  • Female
  • Health Education
  • Humans
  • Male
  • Menthol*
  • Middle Aged
  • Regression Analysis
  • Smoking / adverse effects*
  • Smoking Cessation / ethnology*
  • Smoking Cessation / psychology
  • Smoking Cessation / statistics & numerical data
  • Tobacco / adverse effects*

Substances

  • Menthol