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Background. Despite elevated risks of cardiovascular disease among African Americans with diabetes, few investigators have examined beliefs about cigarette smoking and smoking cessation among this underserved population. Methods. Focus groups (n = 4) and a short survey were used to assess cigarette use patterns, perceived smoking health effects, preferences for treatment, and attitudes toward smoking cessation among low income, African American smokers with type 2 diabetes. Results . Participants (n = 25, M = 48.5 years [+10.23], 60% female) smoked 20.9 (+12.54) cigarettes per day (CPD) and had on average 3.2 (+6.12) 24-hour quit attempts in the past year. Few had used clinic support or pharmacotherapy in their quit attempts. Participants smoked to control health-related stress, keep their appetite down, and to control their glucose. Conclusion . The results suggested that African American smokers with diabetes may be an appropriate group to target for smoking cessation. Cessation recommendations are discussed. KJM 2009; 2(2):20-32.

Knowledge and Beliefs about Smoking among Urban African Americans with Type 2 Diabetes-A Qualitative Inquiry