Rural Versus Urban Use of Traditional and Emerging Tobacco Products in the United States, 2013-2014. Am J Public Health 2017 Oct;107(10):1554-1559
Date
08/18/2017Pubmed ID
28817323Pubmed Central ID
PMC5607677DOI
10.2105/AJPH.2017.303967Scopus ID
2-s2.0-85029541245 (requires institutional sign-in at Scopus site) 58 CitationsAbstract
OBJECTIVES: To examine urban-rural differences in US prevalences of traditional and emerging tobacco product use as well as dual or polytobacco use of these products.
METHODS: Our data were derived from wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study. We estimated weighted prevalences of adult tobacco use across urban-rural geographies and examined prevalences classified by gender, poverty level, and region of the country.
RESULTS: Nationally, cigarette use and smokeless tobacco use, as well as dual or polytobacco use of traditional products, were more prevalent in rural than in urban areas. Conversely, cigarillo and hookah use and dual or polytobacco use of emerging products were higher in urban areas. There was no significant urban-rural difference in use of e-cigarettes. Gender, poverty, and region of the country did not seem to be driving most urban-rural differences, although differences related to cigarillo use and dual or polytobacco use of emerging products became nonsignificant after control for covariates.
CONCLUSIONS: Our findings highlight important urban-rural differences in tobacco use. Whether the changing tobacco product landscape will contribute to a continuation of rural health disparities remains to be seen.
Author List
Roberts ME, Doogan NJ, Stanton CA, Quisenberry AJ, Villanti AC, Gaalema DE, Keith DR, Kurti AN, Lopez AA, Redner R, Cepeda-Benito A, Higgins STAuthor
Alexa Anderson PhD Associate Professor in the Nursing department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Electronic Nicotine Delivery Systems
Female
Humans
Male
Middle Aged
Residence Characteristics
Risk Factors
Rural Population
Sex Factors
Socioeconomic Factors
Tobacco Products
Tobacco Use
Tobacco, Smokeless
United States
Urban Population
Young Adult
