Jonathan Foulds, Ph.D. Professor of Public Health Sciences & Psychiatry Penn State College of Medicine Explaining Racial/Ethnic Differences in Initiation and Cessation of Cigarette Smoking Presentation Abstract Adult cigarette smoking prevalence trends among African Americans (AAs) and Whites are similar. However, during the decline in youth smoking that occurred between the mid-1970s and the early 1990s, the drop in smoking rates among AA adolescents was more than double that among Whites. These dramatic racial differences in youth cigarette smoking persist and may even be widening to this day. The parallel trend in adult smoking prevalence between AAs and Whites, together with the dramatic drop in uptake of smoking among AA youth, implies a much lower rate of smoking cessation among AA adult smokers. This presentation will describe these differing trends in cigarette smoking by different ethnic and racial groups in the United States and will attempt to explain the reasons for these differences. These differences, and their causes, have implications for tobacco control policy, tobacco product regulation, and treatment strategies for smokers. References Foulds, J., Pletcher, M., Hooper, M., & Okuyemi, K. (2010). Do smokers of menthol cigarettes find it harder to quit smoking? Nicotine and Tobacco Research, 12 (Supplement 2), S102–S109. http://www.ncbi.nlm.nih.gov/pubmed/21177366 Oredein, T., & Foulds, J. (2011). Causes of the decline in cigarette smoking among African-American youths from the 1970s to the 1990? American Journal of Public Health, 101(10), e4–e14. http://ajph.aphapublications.org/cgi/content/full/101/10/e4?view=long&pmid=21852 655