Faculty Collaboration Database

Trend differences in men and women in rural and urban U.S. settings. Prev Med 2018 Dec;117:69-75

Date

04/09/2018

Pubmed ID

29627511

Pubmed Central ID

PMC6173654

DOI

10.1016/j.ypmed.2018.04.008

Scopus ID

2-s2.0-85045713009 (requires institutional sign-in at Scopus site)   40 Citations

Abstract

BACKGROUND: Smoking prevalence is declining at a slower rate in rural than urban settings in the United States (U.S.), and known predictors of smoking do not readily account for this trend difference. Given that socioeconomic and psychosocial determinants of health disparities accumulate in rural settings and that life-course disadvantages are often greater in women than men, we examined whether smoking trends are different for rural and urban men and women.

METHOD: We used yearly cross-sectional data (n = 303,311) from the U.S. National Survey on Drug Use and Health (NSDUH) from 2007 through 2014 to compare cigarette smoking trends in men and women across rural and urban areas. Current smoking status was modelled using logistic regression controlling for confounding risk factors.

RESULTS: Regression derived graphs predicting unadjusted prevalence estimates and 95% confidence bands revealed that whereas the smoking trends of rural men, urban men, and urban women significantly declined from 2007 to 2014, the trend for rural women was flat. Controlling for demographic, socioeconomic and psychosocial predictors of smoking did not explain rural women's significantly different trend from those of the other three groups.

CONCLUSION: Rural women lag behind rural men, urban men and urban women in decreasing smoking, a health disparity finding that supports the need for tobacco control and regulatory policies and interventions that are more effective in reducing smoking among rural women.

Author List

Cepeda-Benito A, Doogan NJ, Redner R, Roberts ME, Kurti AN, Villanti AC, Lopez AA, Quisenberry AJ, Stanton CA, Gaalema DE, Keith DR, Parker MA, Higgins ST

Author

Alexa Anderson PhD Associate Professor in the Nursing department at University of Wisconsin - Milwaukee

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Cross-Sectional Studies
Female
Health Surveys
Humans
Male
Middle Aged
Prevalence
Risk Factors
Rural Population
Sex Factors
Smoking
Socioeconomic Factors
Tobacco Products
Tobacco Use
United States
Urban Population
Young Adult