African Americans and Tobacco: From Victims to Victors
Robert G. Robinson, Dr.PH and Norma J. Goodwin, M.D.
- to not begin smoking, or
- to quit smoking, or
- to not smoke around other people, sparing them secondhand and third hand smoke.
It was no wonder, when one considers the kind of stress many African Americans experienced [and continue to experience] each and every day, such as
- Unemployment and under employment,
- Lack of health insurance or inadequate insurance
- Police harassment, etc.
These and other problems led to African American smokers finding it more difficult to quit smoking, compared to Whites. Also, they had access to fewer quit smoking services, and received less advice from their physicians to quit. Both of these situations reinforced their addiction patterns, making the challenge to quit all the more difficult.
African Americans a Special Target of the Tobacco Industry
The only two solutions to smoking are:
- Not to begin smoking, or
- To quit smoking.
Menthol Cigarettes for African Americans: A Special Tobacco Industry Target
In the years 1990 – 2001 African Americans either chose not to smoke or quit smoking at rates two times greater than Whites; and in 2001 for the first time in 50 years they smoked at levels lower than Whites. However, It is important to note that African American men continue to smoke at higher levels than White men. In other words, it is mainly on the shoulders of Black woman that this Community victory was possible. And this victory has continued because in 2013 African Americans continue to smoke at lower levels than Whites.
What Made this African American Victory Possible?
There were multiple reasons to explain why Blacks began choosing health and life over disease and death: During the 1990’s there were several advocacy campaigns demonstrating the Community’s desire to confront the tobacco industry.
- African Americans Confront R J Reynolds – In 1990 R J Reynolds Tobacco Co. developed Uptown Cigarette in a black and gold package and stated, for the first time, it was a cigarette produced especially for the Black Community. The Black Community in Philadelphia, where the Uptown was test marketed, rose up and said no – we have the right to decide what comes into our Community. The protest was so successful that R J Reynolds withdrew Uptown cigarettes within 13 days – the first successful protest by the Black Community against the tobacco industry.
- African Americans Reject X Cigarette – Shortly thereafter, a distributor in Boston tried to market X Cigarette in a black, green and red package. They ignored the company’s use of a Black hero’s name, Malcolm X, and the fact that the colors are traditionally viewed as the liberation colors for the Black Community. The Black Community, led by clergy and joined nationally by others across the nation, also forced X Cigarette off the market.
Not surprisingly, both Uptown and X cigarette were menthol. Further, aside from Uptown, the only cigarette produced by R J Reynolds with a higher tar and nicotine content was unfiltered camels.
Other activities related to the success of the African American Community – Other successful activities of African Americans regarding elimination of the black-white tobacco-use disparity (differences or inequalities) are too numerous to detail. However, they included:
- National communication campaigns targeted by the Federal Government;
- A tobacco control movement that for the first time prioritized diversity in its membership and leadership;
- Support of national organizations like the National Medical Association, and National Association of African Americans for Positive Imagery regarding tobacco prevention and control in the Black Community;
- Multiple local programs in churches and community-based organizations focused on helping people quit, and advancing tobacco control policies; and
- Pathways to Freedom (PTF), a smoking cessation guide developed specifically for African Americans. Indeed, one of the factors that made the increase in non-smoking advocates in Black Churches and organizations possible was the distribution of over 1 million copies of Pathways to Freedom from 1993 to 2001. Churches were able to even reference prayer in PTF, and organizations for the first time, had something tangible they could deliver to the participants in their programs.
Parallels between Tobacco Industry Marketing and Slavery:
The journey from victim to victor parallels the history of slavery to freedom for the African American Community. The intersection of tobacco with each phase of this struggle is both symbolic and ironic.
- African Americans were in chains and they picked the cotton.
- After slavery, they continued to pick cotton, and they also worked the least desirable jobs in the tobacco industry factories.
- They witnessed their people’s images used to mock them in the marketing of cigarettes before they were smoking customers.
- They then saw the tobacco industry use Black middle class images in their advertising after they became addictive customers.
- Finally, based in part on a constant desire to quit smoking and a great concern about health, the African American Community achieved, at the beginning of the 2000’s, one of the great public health victories by eliminating the disparity in smoking that existed between the White and Black Communities.
- When the history of health disparities is written, the noteworthy role of the African American Community and the strategies and actions that made their victory possible, will assume a central part of the analysis and reporting.
Pathways to Freedom (PTF) : An Overview
A 3-part Guide with the Following Sections:
Section 1 of Pathways to Freedom – Basic Facts on Smoking and Tobacco Industry Targeting
– Introduction to health results of smoking;
– Smoking causes more deaths in the Black Community than auto accidents, AIDS, homicides, and drug and alcohol abuse combined;
– Smoking is the cause of several cancers including lung, throat, mouth, bladder, cervix, stomach and kidney;
– Smoking also causes heart disease, stroke, chronic obstructive pulmonary disease (COPD), or emphysema and chronic bronchitis, and diabetes;
– Secondhand smoke also is a cause of disease and makes life worse for those who have
Asthma. This is especially harmful for children in the Black Community, who have asthma
rates 25% higher than White children;
– Promotion of smoking by the tobacco industry (targeting) is sharp, and constant. Ads are everywhere, and the amount of money given to community service and art organizations is almost endless;
– Frequent stressors of Black life – – such as poverty, unemployment and harassment – –
strengthen the addiction; and the addiction is made worse by the high rate of menthol use in the Black Community.
Note: The Health Power Section on “Smoking and Health”, and our 5 “Quit Smoking and Win Tip Sheets” provide important additional information related to smoking. Click at the bottom of this page to find them.
Section 2 of Pathways to Freedom – Tips for Smokers Who Want to Quit Smoking
Helpful tips for smokers who want to quit include:
– First, identify the triggers or urges that make you smoke, and avoid them. For example, a person may smoke when they are upset, watching TV, playing cards, reading a book or drinking an alcoholic beverage. Make a list of your triggers and remove objects from around you such as
ashtrays and matches that remind you of smoking.
–Second, with the advice of a doctor, use pharmaceutical aids that help relieve the aches
–Third, you can seek counseling, join a class or support group, or call a telephone quitline (1-800-quitline).
–Fourth, set a quit day and make special preparations the night before you begin to quit;
–Fifth, always remember that you are not alone. Seek the help of family and friends; or seek prayer to give you strength.
–Sixth, remember the five D’s:
–Seventh, watch what you eat to avoid gaining weight, and exercise to relieve the stress and help with the weight.
–Eighth, if you begin smoking again, make a new commitment to try again. Most people who succeed in quitting don’t succeed on the first try.
Section 3 of Pathways to Freedom – What the Community Can Do
The third section of PTF focuses on what the Community can do to achieve a smoke-free society. In essence, the Community must (1) teach, (2) organize and (3) take action. This is very difficult because the number one enemy is the tobacco industry, and they have millions of dollars invested in (a) creating new smokers, and (b) keeping those who already smoke, smoking.
Fortunately, there are successful examples from which to learn:
- Uptown, X, and other campaigns that specifically went after emerging menthol brands being pushed by the tobacco industry.
- It takes a village: pastors, leaders, parents and children all joining together in the struggle. In this way the Black Community can put a lie to what was said by RJ Reynolds: “Health is a more active concern among Blacks than Whites…Fortunately, for this industry, this health concern does not translate strongly to anti-smoking attitudes….”
- 10 Recommended Community Actions:
(1) Join with others to stop the sale of tobacco,
(2) Meet with store owners and ask them to remove tobacco products,
(3) Make sure schools are teaching about the dangers of smoking,
(4) Hold programs in faith based institutions,
(5) Advocate and/or work with employers and union leaders to create smoke free
(6) Ask health clinics and professionals to provide low cost cessation programs,
(7) Help community groups say “no” to tobacco money,
(8) Support efforts to increase tobacco excise taxes,
(9) Urge elected officials to pass strong legislation (clean indoor/outdoor), and
(10) Share copies of Pathways to Freedom with friends, neighbors and family members.
History of Pathways to Freedom
Go to the home page of the Office on Smoking and Health at (CDC) – athttp://www.cdc.gov/tobacco/. Scroll down to the sixth bullet under “Tools and Resources” to access the Publications Catalog. Once there, enter the Publications title and click the “All of these words” button. Once the publication appears, click the box to the left of it and then the Continue button.
You can order up to 500 PTFs at a time. If you would like several lots of 500 delivered to the same address, I’d recommend spacing out your orders, because otherwise the system interprets the subsequent orders as duplicate (mistaken) orders and only fulfills the first one. Please also note the delivery time frame.
Research Tested Intervention Programs (RTIPs) Source: