OBJECTIVE Racial and ethnic disparities in smoking cessation persist. This randomized controlled trial compared the efficacy of group cognitive behavioral therapy (CBT) for cessation among African American/Black, Latino/Hispanic, and White adults. METHOD African American/Black (39%), Latino/Hispanic (29%), and White (32%) adults (N = 347) were randomly assigned to eight group sessions of CBT or general health education (GHE), both including nicotine patch therapy. Biochemically confirmed 7-day point prevalence abstinence (7-day ppa) was measured at the end-of-therapy, and at 3-, 6-, and 12-month follow-ups. Generalized linear mixed models and logistic regressions tested abstinence rates by condition, stratified by race and ethnicity, and interaction effects. RESULTS CBT led to greater abstinence than GHE across 12-months of follow-up (AOR = 1.84, 95% CI [1.59, 2.13]) overall [12-month follow-up: CBT = 54% vs. GHE = 38%] and within racial and ethnic groups [12-months: African American/Black (CBT = 52%, GHE = 29%), Latino/Hispanic (CBT = 57%, GHE = 47%), and White (CBT = 54%, GHE = 41%)]. African American participants were less likely than White participants to quit irrespective of condition, as were persons with lower education and income. Socioeconomic status indicators positively predicted abstinence among racial and ethnic minority participants, but not White participants. CONCLUSIONS Group CBT was efficacious compared with GHE. However, cessation patterns suggested that intensive group interventions were less beneficial over the longer term among lower socioeconomic African American and Latino individuals, compared with White participants. Tobacco interventions should target racial and ethnic and socioeconomic differences, via culturally specific approaches and other means. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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认知行为疗法与戒烟一般健康教育：针对不同治疗寻求者的随机对照试验。

目标 戒烟方面的种族和民族差异仍然存在。这项随机对照试验比较了团体认知行为疗法 (CBT) 对非裔美国人/黑人、拉丁裔/西班牙裔和白人成年人戒烟的疗效。方法 非裔美国人/黑人 (39%)、拉丁裔/西班牙裔 (29%) 和白人 (32%) 成年人 (N = 347) 被随机分配到八组 CBT 或一般健康教育 (GHE) 课程，均包含尼古丁贴片疗法。在治疗结束以及 3、6 和 12 个月的随访时测量经生化证实的 7 天点戒断率（7 天 ppa）。广义线性混合模型和逻辑回归测试了按条件、按种族和民族分层的戒断率以及交互作用。结果 总体而言，在 12 个月的随访中，CBT 比 GHE 的戒烟率更高（AOR = 1.84，95% CI [1.59，2.13]）[12 个月的随访：CBT = 54% vs. GHE = 38%]以及种族和族裔群体内 [12 个月：非裔美国人/黑人（CBT = 52%，GHE = 29%）、拉丁裔/西班牙裔（CBT = 57%，GHE = 47%）和白人（CBT = 54%， GHE = 41%）]。与白人参与者相比，非裔美国人参与者无论条件如何都不太可能戒烟，教育程度和收入较低的人也是如此。社会经济地位指标积极预测少数种族和族裔参与者的禁欲，但不能预测白人参与者的禁欲。结论 与 GHE 相比，CBT 组更有效。然而，戒烟模式表明，与白人参与者相比，从长远来看，对于社会经济地位较低的非裔美国人和拉丁裔个人来说，强化团体干预的益处较小。烟草干预措施应针对种族、民族和社会经济差异，通过针对文化的方法和其他手段。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。