Health disparities continue to exist between and within populations and little is known about the causes of population differences observed in tobacco use, nicotine dependence, and related diseases. More importantly, an age-race paradox exists in which African American youth consistently report lower prevalence of tobacco use than their Caucasian counterparts, yet African American adult smokers suffer a disproportionate burden of tobacco-related morbidity and mortality. Nicotine dependence is the most formidable impediment to quitting smoking among adolescents. Despite the recognition of the central role of nicotine dependence in smoking cessation, there is a paucity of information about how nicotine dependence is expressed among youth who smoke. For these reasons, researchers have called for additional research to address the insufficient understanding of and gap in the literature on adolescent nicotine dependence and its impact on cessation. Thus, I describe a plan to examine critical factors of nicotine dependence among urban African American youth utilizing individual and group (class) trajectory analysis (Study 1) as well as mixed methods research, including a validated measure of nicotine dependence, focus groups, and in-depth interviews (Study 2) to elucidate the complexities of adolescent nicotine dependence.

Public Health Relevance

African Americans bear the greatest burden of death and illness due to cigarette smoking. Most adults began smoking as adolescents and nicotine dependence is a critical barrier in quitting smoking. This Award will allow me to examine the nicotine dependence experiences of both adults and youth to better understand how we can help African American youth quit smoking.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01CA148789-04
Application #
8298231
Study Section
Subcommittee G - Education (NCI)
Program Officer
Ojeifo, John O
Project Start
2010-08-01
Project End
2015-07-31
Budget Start
2012-08-01
Budget End
2013-07-31
Support Year
4
Fiscal Year
2012
Total Cost
$134,186
Indirect Cost
$9,940
Name
University of Maryland College Park
Department
Type
Schools of Public Health
DUNS #
790934285
City
College Park
State
MD
Country
United States
Zip Code
20742
Butler 3rd, James; Fryer, Craig S; Ward, Earlise et al. (2017) The Health Equity Leadership Institute (HELI): Developing workforce capacity for health disparities research. J Clin Transl Sci 1:153-159
Fryer, Craig S; Seaman, Elizabeth L; Clark, Rachael S et al. (2017) Mixed methods research in tobacco control with youth and young adults: A methodological review of current strategies. PLoS One 12:e0183471
Trapl, Erika S; O'Rourke-Suchoff, Danielle; Yoder, Laura D et al. (2017) Youth Acquisition and Situational Use of Cigars, Cigarillos, and Little Cigars:: A Cross-sectional Study. Am J Prev Med 52:e9-e16
Garza, Mary A; Quinn, Sandra Crouse; Li, Yan et al. (2017) The Influence of Race and Ethnicity on Becoming a Human Subject: Factors Associated with Participation in Research. Contemp Clin Trials Commun 7:57-63
Sterling, Kymberle L; Fryer, Craig S; Fagan, Pebbles (2016) The Most Natural Tobacco Used: A Qualitative Investigation of Young Adult Smokers' Risk Perceptions of Flavored Little Cigars and Cigarillos. Nicotine Tob Res 18:827-33
Fryer, Craig S; Passmore, Susan R; Maietta, Raymond C et al. (2016) The Symbolic Value and Limitations of Racial Concordance in Minority Research Engagement. Qual Health Res 26:830-41
Sterling, K; Fryer, C; Pagano, I et al. (2016) Association between menthol-flavoured cigarette smoking and flavoured little cigar and cigarillo use among African-American, Hispanic, and white young and middle-aged adult smokers. Tob Control 25:ii21-ii31
Sterling, Kymberle Landrum; Fryer, Craig S; Pagano, Ian et al. (2016) Little Cigars and Cigarillos Use Among Young Adult Cigarette Smokers in the United States: Understanding Risk of Concomitant Use Subtypes. Nicotine Tob Res 18:2234-2242
Brooks, Alyssa Todaro; Krumlauf, Michael; Fryer, Craig S et al. (2016) Critical Transitions: A Mixed Methods Examination of Sleep from Inpatient Alcohol Rehabilitation Treatment to the Community. PLoS One 11:e0161725
Passmore, Susan R; Fryer, Craig S; Butler, James et al. (2016) Building a ""Deep Fund of Good Will"": Reframing Research Engagement. J Health Care Poor Underserved 27:722-40

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