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 #
5K01CA148789-06
Application #
8700332
Study Section
Subcommittee G - Education (NCI)
Program Officer
Wali, Anil
Project Start
2010-08-01
Project End
2015-07-31
Budget Start
2014-08-01
Budget End
2015-07-31
Support Year
6
Fiscal Year
2014
Total Cost
$122,496
Indirect Cost
$9,074
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; Garza, Mary A et al. (2018) Commentary: Critical Race Theory Training to Eliminate Racial and Ethnic Health Disparities: The Public Health Critical Race Praxis Institute. Ethn Dis 28:279-284
Jackson, Devlon N; Passmore, Susan; Fryer, Craig S et al. (2018) Mission of Mercy emergency dental clinics: an opportunity to promote general and oral health. BMC Public Health 18:878
Trapl, Erika S; Koopman Gonzalez, Sarah J; Fryer, Craig S (2018) Adolescent dual-product users: Acquisition and situational use of cigarettes and cigars. Drug Alcohol Depend 188:356-363
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
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
Passmore, Susan R; Fryer, Craig S; Butler 3rd, James et al. (2016) Building a ""Deep Fund of Good Will"": Reframing Research Engagement. J Health Care Poor Underserved 27:722-40
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

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