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Rural Health
Resources by Topic: Tobacco use

Rural-Urban Differences in the Decline of Adolescent Cigarette Smoking
Examines the decline in the rates of smoking for rural and urban adolescents aged 12-17. Compares the rates of decline in rural and urban areas from 2008-2010 and from 2014-2016. Bases conclusions on data drawn from the National Survey of Drug Use and Health and highlights implications of those conclusions for public health policymakers.
Author(s): Erika C. Ziller, Jennifer Dunbar Lenardson, Nathan C. Paluso, et al.
Citation: American Journal of Public Health, 109(5), 771-773
Date: 05/2019
Type: Document
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Improving the Health of Alaska Native People Through Use of a Policy Change Model and Capacity Building
Examines efforts by the Alaska Native Tribal Health Consortium in 2014-2017 to promote health and wellness through policy, systems, and environmental strategies. Describes a model outlining steps for policy change, including engaging the community, building support, and assessing education and outreach needed for decision makers and the public.
Author(s): Diane Redwood, Kristen Mitchell-Box, Erin Peterson, Ellen Provost
Citation: Preventing Chronic Disease, 16
Date: 05/2019
Type: Document
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Examining Cancer Equity in Rural and Tribal Communities
Presents a panel discussion of cancer-related health disparities among rural and tribal communities in North Dakota, South Dakota, and Minnesota. Focuses on the barriers to cancer care in these communities and discusses ways to promote equity and prevention.
Date: 04/2019
Type: Video/Multimedia
Sponsoring organizations: Collaborative Research Center for American Indian Health, SLM Consulting, LLC., South Dakota Public Health Association
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Health Disparities Related to Smoking in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on smoking in rural Appalachian communities. Highlights strategies and resources to reduce tobacco use. Covers recommendations to assist policymakers, funders, and leaders working to reduce health disparities related to smoking and tobacco use.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Cigarette Smoking Rates among Veterans: Association with Rurality and Psychiatric Disorders
Details a study on rates of smoking among Iraq and Afghanistan era veterans in rural and urban areas. Looks at co-occurring mental health disorders and presents data by demographic factors, such as sex, ethnicity, and employment, among others.
Author(s): Lara N. Coughlin, Sarah M. Wilson, Meredith C. Erwin, et al.
Citation: Addictive Behaviors, 90, 119-123
Date: 03/2019
Type: Document
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Exposures to the Tobacco Retail Environment among Adolescent Boys in Urban and Rural Environments
Presents a study on the exposure of rural and urban adolescents to tobacco retailers. Looks at the number of self-reported visits to tobacco stores by adolescent males in urban and Appalachian regions of Ohio.
Author(s): Montgomry L. Burgoon, Thomas Albani, Brittney Keller-Hamilton, et al.
Citation: The American Journal of Drug and Alcohol Abuse, 45(2), 217-226
Date: 01/2019
Type: Document
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Predictors of Smokeless Tobacco Susceptibility, Initiation, and Progression Over Time Among Adolescents in a Rural Cohort
Examines the factors associated with adolescent male athletes' use of smokeless tobacco including chewing tobacco over time. Questionnaires assessed socio-demographic characteristics, environmental influences, and tobacco-related perceptions and behaviors among 9-12th grade baseball players in 36 rural California schools.
Author(s): Benjamin W. Chaffee, Elizabeth T. Couch, Janelle Urata, et al.
Citation: Substance Use & Misuse (54),7, 1154-1166
Date: 01/2019
Type: Document
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Advancing Tobacco Prevention and Control in Rural America
Discusses different contexts for rural tobacco prevention and control, such as sociodemographic risk factors, culture, and infrastructure. Includes statistics on the national prevalence of tobacco users in the past month by rural and urban adults. Describes 3 types of tobacco control and prevention efforts in rural areas: cessation, prevention of initiation, and smoke free air. Offers recommendations on rural tobacco prevention and control for federal and state agencies, communities, tribes, and other stakeholders.
Additional links: Executive Summary
Author(s): Jean A. Talbot, Martha Elbaum Williamson, Karen Pearson, et al.
Date: 01/2019
Type: Document
Sponsoring organization: National Network of Public Health Institutes
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Comparison of US County-Level Public Health Performance Rankings With County Cluster and National Rankings: Assessment Based on Prevalence Rates of Smoking and Obesity and Motor Vehicle Crash Death Rates
Compares county-level percentile rankings on outcomes of smoking, motor vehicle crash deaths, and obesity, using demographic and health data from the 2014 Behavioral Risk Factor Surveillance System and the 2016 Robert Wood Johnson Foundation County Health Rankings data set. Features a map of sociodemographic-based county clusters and a table showing cluster variance and average percentile change, with breakdowns including 4 categories of rural status.
Author(s): Megan Wallace, Joshua M. Sharfstein, Joshua Kaminsky, Justin Lessler
Citation: JAMA Network Open 2(1)
Date: 01/2019
Type: Document
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