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Tobacco Use Among Arab American Youth

This study has been completed.
Information provided by (Responsible Party):
Virginia H. Rice, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Identifier:
First received: April 28, 2003
Last updated: April 3, 2017
Last verified: April 2017
Michigan has the 10th highest smoking rate in the nation. Smoking rates are also very high in the Middle East and in Arab American families. The purpose of this study is to learn about tobacco use in Michigan Arab American youth ages 14 to 18. The study will evaluate why some young people start smoking and others do not. The study will also test an educational program designed to encourage young people to either quit tobacco use or to avoid it.

Condition Intervention
Tobacco Use Disorder
Behavioral: Modified Project Toward No Tobacco Use

Study Type: Observational
Study Design: Observational Model: Other
Time Perspective: Cross-Sectional
Official Title: Arab American Youth: Tobacco Use and Intervention

Further study details as provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):

Enrollment: 2300
Actual Study Start Date: May 2000
Study Completion Date: May 2006
Primary Completion Date: April 2005 (Final data collection date for primary outcome measure)
Detailed Description:

Cigarette smoking is the chief avoidable cause of death and disease in Michigan, the United States, and the world. In 1996, 25.9% of the Michigan adult population smoked cigarettes; Michigan has the 10th highest smoking rate in the nation. When the indirect costs of lost income due to smoking-related illnesses and premature death are added to the cost of medical care, tobacco use costs Michigan citizens more than $2.6 billion per year (Michigan Department of Community Health (MDCH), 1996). Contributing to tobacco use statistics in Michigan is a rapidly growing Arab American immigrant population. Studies have shown cigarette smoking rates in Middle-Eastern adolescents range from 33% to 58%. This study will examine cultural, personal, social, and environmental forces operating in Arab American youths at risk for habitual tobacco use. The study will also test the effects of a smoking cessation/prevention intervention on smoking behavior.

The settings for this study are the Arab Community Center for Economic and Social Services (ACCESS) Teen Health Center, which services almost 2,500 youth visits each year, and local high schools with a significant population of Arab American youth. The majority of the people served by the clinic are poor, under-educated, live in extended families of 3 to 5 adults, are immigrants, and speak Arabic as a first language. A total of 4,000 adolescents over 14 years old will be asked to provide information on demographic and cultural variables, self-esteem, stress, family and peer tobacco use, intention to use tobacco, history of tobacco use, initial stage of change, and perceived health.

Youths with the highest risk for tobacco use will be randomly assigned to either a Modified Project Toward No Tobacco Use (Project TNT) intervention or a wait list control group. Project TNT, the precursor to the Arab American-specific modified Project TNT, was designed to target the primary causes of tobacco use among adolescents and has been shown to be effective in diverse cultural groups. The modified Project TNT consists of weekly 40-minute sessions with a health educator over 4 weeks. Bilingual health educators will deliver the intervention in a small group (four to six adolescents) or classroom context. Follow-up data will be collected at 3, 6, and 12 months after the program is completed. Youth assigned to the wait list control group will participate in the modified Project TNT after the Month 6 follow-up data is collected from the first group.


Ages Eligible for Study:   14 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

2300 + school-based Arab American adolescents (14-18 years) were recruited for participation in this study of tobacco use.

1700 students provided detailed health and tobacco use histories. 616 students were assigned by classroom to a smoking cessation intervention or to a class on health.


Inclusion Criteria

  • 14-18 years
  • Self-identify as Arab American
  • Attendee of a teen health clinic or high school

Exclusion Criteria

  • older than 18 years
  • does not identify as Arab or Arab American
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00059514

United States, Michigan
Arab American Center for Economic & Social Services
Dearborn, Michigan, United States, 48124
Sponsors and Collaborators
Wayne State University
Principal Investigator: Virginia H Rice, PhD, RN Wayne State University
  More Information

Responsible Party: Virginia H. Rice, Principal Investigator, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Identifier: NCT00059514     History of Changes
Other Study ID Numbers: 5R01HD37498-3
Study First Received: April 28, 2003
Last Updated: April 3, 2017
Individual Participant Data  
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):
Smoking cessation
Smoking prevention
Risk factors
Arab Americans

Additional relevant MeSH terms:
Tobacco Use Disorder
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders processed this record on May 24, 2017