| By Hazel
Trice Edney | SACOBSERVER.COM
WIRE SERVICES Editor's Note: More than a
half million African Americans have died from smoking-related
diseases over the past decade. That's enough people to fill
the cities of Atlanta, New Orleans, Kansas City, Mo., or Cleveland,
Ohio. Yet, 'cigarette smoking is the single most preventable
cause of premature death in the United States', according
to the Centers for Disease Control. Then why are so many Black
people dying from cigarettes and why is it so difficult to
quit? This eight-part series - ''Nicotine Addiction'' - seeks
to explore these questions by featuring real people, real
circumstances, and real answers.
WASHINGTON (NNPA) - Twelve years ago, Henry
W. 'Chuck' Richardson became a convicted felon after an illegal
drug violation.
After 23 years of shooting up heroin, an addiction that
started during the Vietnam war, he was finally able to break
free from the drug while serving jail time and has now been
'clean' for 12 years. Clean of heroine, that is, but not drug-free.
Like millions of former users of illegal substances, Richardson,
a Marine machine gunner with two Purple Hearts and the Vietnamese
Cross of Gallantry simply doesn't have the brawn to give up
cigarettes. The drug he now craves is nicotine.
'It's not a matter of logic,' he tries to explain his once
two-pack-a-day habit that he has now been able to hone down
to a half pack. 'I can't explain it. There is no high. There
is no rewarding feeling. It's just a desire to inhale. It's
quite an absurd phenomenon. At the end of every cigarette
I'm saying, 'Why did I smoke it? I don't want it.' And within
10 minutes the urge is right back.'
It's no secret. On May 17, 1988, nearly 19 years ago, Surgeon
General C. Edward Coop issued a 618-page report on addictions
in which he said cigarettes are as addictive as heroine and
cocaine.
'The pharmacologic and behavioral processes that determine
tobacco addiction are similar to those that determine addiction
to drugs such as heroin and cocaine,'' the report concluded.
The information led to tougher laws regulating sales to
minors, but left adults, like Richardson, struggling.
'It's just difficult. And I've had event after event to
occur that seems to make it more difficult to stop,' says
Richardson, 59, whose wife and mother died last year only
months apart. Magnify those circumstances times the everyday
stresses of being Black in America and cigarettes serve the
same medicating purpose as a hard drug, says Robert Robertson,
a medical doctor and former associate director of the Office
of Minority Health at the Centers for Disease Control in Atlanta.
'This country continues to have a policy of criminalization
in regard to drugs like cocaine and heroine and marijuana.
But, when you look at the consequences of cocaine and marijuana
and heroine compared to tobacco, tobacco kills far more people
than those drugs combined. They make far more people sick
compared to those drugs,' says Robertson. 'If you're thinking
what kinds of programs would we need based on mortality and
morbidity, tobacco would be the number one drug that you would
be attempting to attack.'
Robertson also confirmed that racial oppression could also
be among the reasons that African Americans struggle harder
to quit smoking.
'The environment that African Americans live in is just
10 times more stressful than that experienced by Whites because
of the issues that African Americans have to deal with,' Robertson
says. 'Whether it's the stress of driving a car and wondering
if you're going to be profiled to the stress of looking at
a job that's not available to you because of lack of education,
whether it's the absence of social support in the African
American community; the fragmentation resulting from issues
of underemployment, poor housing, racism, all of those factors,
I think leads to a tremendous amount of pressure, a tremendous
amount of stress and you see that in terms of the inability
of African Americans to quit smoking.
Among other factors that cause African Americans to struggle
to quit smoking:
∑ The lack of availability of smoking cessation
programs in the Black community.
Richardson says he is about to join such a program through
the Veterans' Administration Hospital in Richmond, Va., where
he lives. But, Robertson says such programs are rare in the
Black community.
∑ The fact that three out of four African
Americans smoke mentholated cigarettes.
A CDC report, 'Pathways to Freedom', says that three out of
four Black smokers buy mentholated cigarettes, the most dangerous
of all brands.
'Chemicals are added to menthol cigarettes to give them a
fresh, minty taste. This can make it easier for a smoker to
inhale deeply, which may allow more chemicals to enter the
lungs,' the report states.
∑ The fact that mentholated cigarettes
are marketed in the Black community, purposely targeting Blacks.
'The tobacco industry is profoundly skilled at understanding
the dynamics of a community, understanding the issues, understanding
the kinds of imagery and words that click with a community.
And they will build a campaign around that understanding and
the result is that it works,' says Robertson. 'They targeted
White people with the [Marlboro man] cowboy. The tobacco industry,
they don't care if you're Black, White blue or green. It's
pure dollars and cents. And they will exploit any vulnerability
in the community.'
∑ The fact that, until recently - few organizations
that normally defend the rights of African Americans have
stood up to say that targeting Blacks for the addiction of
cigarettes is wrong.
'The tobacco industry penetrated the African American community,
not simply with marketing campaigns and advertisements and
imagery and words,' says Robertson. 'But it penetrated the
African American community with money. It put money into every
African American organization that you can think of.'
Some research has indicated that some people are genetically
and environmentally inclined to be more addictive than others.
Robertson says there is no proof that African Americans are
among this group.
'Those studies are 50-50. There seems to be an underlying
genetic predictor of addiction,' Robertson says. 'But, there
really has been no African Americans or Blacks in those studies
so none of those studies help to answer the question of is
there a genetic underpinning.'
Even as a three-year partnership of six Black community
organizations, funded by the American Legacy Foundation, ended
earlier this month, Robertson says it has never been clearer
how dire the need is for escalated anti-smoking and cessation
programs in the Black community.
'We know that African Americans want to quit. They express
a desire to quit at a higher level than Whites. We know that
when they quit they are more likely to go back to smoking
than Whites,' Robertson says.
More than 45,000 African Americans a year die of smoking-related
diseases.
'It's a world view that says, 'Oh my God, heroine and cocaine
and marijuana are horrible. Tobacco on the other hand is backed
by RJ Reynolds and Phillip Morris and thousands and thousands
of dollars go into the coffers of politicians. Therefore,
we do not have a legislative policy that deals with the issue
that tobacco is the number one preventable cause of death
in this country.'
Richardson is a living witness: 'I won't stop trying,' he
says. 'No.'
Hazel Trice Edney is an NNPA Washington correspondent.
Roshni Roundtree, a writer for the Capstone News Service,
contributed to this article.
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