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African Americans and Tobacco Use
Black/African American | SAMHSA
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Although African Americans usually smoke fewer cigarettes and start smoking cigarettes at an older age, they are more likely to die from smoking-related diseases than Whites. The supplement focuses on disparities in tobacco use and tobacco-related health outcomes between African Americans and Whites. Research studies in the supplement highlight that African Americans have disproportionately higher rates of several smoking-related diseases even though African Americans start smoking later in life and smoke fewer cigarettes per day than Whites. Interventions to prevent smoking initiation and facilitate quitting among African Americans can help reduce disparities in this population. In addition, addressing other broader, systemic issues such as access to health care, screening and diagnostic services, and quality of care may help reduce disparities in morbidity and mortality from tobacco-attributable disease.
However, the historical Black and African American experience in America has and continues to be characterized by trauma and violence more often than for their White counterparts and impacts emotional and mental health of both youth and adults. See prevalence statistics below. Historical dehumanization, oppression, and violence against Black and African American people has evolved into present day racism - structural, institutional, and individual — and cultivates a uniquely mistrustful and less affluent community experience, characterized by a myriad of disparities including inadequate access to and delivery of care in the health system. Processing and dealing with layers of individual trauma on top of new mass traumas from COVID uncertainty, isolation, grief from financial or human losses , police brutality and its fetishization in news media, and divisive political rhetoric adds compounding layers of complexity for individuals to responsibly manage. Help-seeking behavior is affected by mistrust of the medical system and often begins with faith-based outreach.