Predictors of Retention in Smoking Cessation Treatment Among Latino Smokers in the Northeast United States

This study recruited Latino participants from community and primary-care settings to receive home-based asthma education for their children and discuss their smoking, although they did not have to want to quit to participate. The prevalence of pediatric asthma is higher among Latinos than other racial/ethnic groups and exposure to second-hand smoke exacerbates asthma.

During the first visit the parents received an educational curriculum about asthma. On the second visit they received one of two smoking-cessation interventions, which was followed-up with a third visit. One counseling was more consistent with Latino cultural values, emphasizing the importance of family connection. Participants received three follow-up assessments.

Among the predictors measured at pretreatment—demographics, smoking history and attitudes, psychosocial variables and cultural variables.

Those who completed the intervention (82%) reported fewer pros of smoking and had greater motivation to quit, and confidence that they could quit than noncompleters. Those who completed the three follow-up assessments (62%) had more friends who smoked and fewer pros of smoking than noncompleters. The participants who completed all six contacts of the study (62%) were less likely to be working.

Interestingly, concern over one’s own health did not predict completion of the smoking-cessation treatment but concern over one’s child’s asthma did.