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Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
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Related Experiment Video

Updated: Aug 4, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Monday-Enhanced CEASE Program for Underserved Ethnic Minorities: a Mixed-Methods Study.

Jummai Apata1,2, Adewumi Oladele1, Saman Fahimi1

  • 1Center for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.

Journal of Racial and Ethnic Health Disparities
|March 30, 2023
PubMed
Summary

A Monday-enhanced smoking cessation program showed increased participant engagement and follow-up completion rates in low-income ethnic minority communities. This innovative approach shows promise for improving smoking cessation outcomes in at-risk populations.

Keywords:
Community-based participatory researchMonday campaignsPeer educationSmoking cessation

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Disparities

Background:

  • Persistent tobacco-related health disparities necessitate innovative cessation strategies for underserved ethnic minority populations.
  • Mondays often see increased contemplation for health behavior changes, suggesting a potential intervention point.

Purpose of the Study:

  • To compare a Monday-enhanced smoking cessation program with a standard program.
  • To assess the feasibility and effect of the enhanced program on quitting outcomes.
  • To understand participant experiences within both program arms.

Main Methods:

  • A mixed-methods study randomly assigned affordable housing complexes and a church to either a Monday-enhanced or standard Communities Engaged and Advocating for a Smoke-free Environment (CEASE) program.
  • Both programs included twelve weekly group counseling sessions and nicotine replacement products.
  • The Monday-enhanced program encouraged participants to select Mondays as their quit day.

Main Results:

  • While no significant difference in quit rates was observed, the Monday-enhanced CEASE program demonstrated significantly higher follow-up survey completion (82.4% vs. 36.0%).
  • Qualitative data indicated higher motivation for quitting and overall participant satisfaction in the Monday-enhanced arm.
  • Combined, participants reduced tobacco consumption from 7.7 to 5.6 cigarettes per day.

Conclusions:

  • The Monday-enhanced smoking cessation program shows promise for improving engagement and willingness to quit among low-income ethnic minority individuals.
  • Further research with larger sample sizes is recommended to validate efficacy across diverse populations.