Currently, 19.8% of Americans or one out of every four Americans is a current smoker (Centers for Disease Control and Prevention 2008). Unfortunately this statistic does not apply equally to all races living in the USA. The smoking rate in the USA can vary from 12% to 33% depending on the race of the smoker. This translates to one out of every four white Americans, one out of every four African Americans, two out of every three American Indians/Alaskan Natives, and one out of eight Asian Americans being smokers (American Lung Association et al. January 2006; Center for Disease Control and Prevention 2006). Although over 70% of all smokers indicate a desire to stop smoking, it is noteworthy that African-American adults, who smoke fewer cigarettes and have more frequent quit attempts than white smokers (49% vs. 40%, respectively), are less successful (8% vs. 14%, respectively) in achieving smoking abstinence than white smokers (Center for Disease Control and Prevention 1993). Whether this is attributable to differences in nicotine metabolism (Murray et al. 2001) or environmental circumstances is unknown, but the fact
