Shelley, DonnaFahs, MarianneScheinmann, RobertaSwain, SusanQu, JiaojieBurton, DeeObjectives: We examined the relationship between acculturation and tobacco behaviors among Chinese Americans. Methods: Using a Chinese-language instrument based on validated questions from several national surveys, we conducted in-person, household-based interviews with 712 representative adults aged 18-74 years. Results: Observed smoking prevalence was 29% for men and 4% for women. Predictors of smoking cessation included being 35 years and older and having a high level of tobacco-related knowledge. Acculturation was positively associated with a histroy of never smoking, as was being younger than 35 years and having a high level of tobacco-related knowledge. Conclusions: Acculturation was positively associated with never smoking among men but not with smoking cessation. However, knowledge of tobacco-related health risks was associated with both. Results indicate a need for language-specific educational interventions.HealthSmoking & Tobacco UseResearchacculturationtobacco useChinese AmericanArticle