Rural tobacco use across the United States: How rural and urban areas differ, broken down by census regions and divisions

Megan E. Roberts, Nathan J. Doogan, Allison N. Kurti, Ryan Redner, Diann E. Gaalema, Cassandra A. Stanton, Thomas J. White, Stephen T. Higgins

Research output: Contribution to journalArticlepeer-review

Abstract

This project compared urban/rural differences in tobacco use, and examined how such differences vary across regions/divisions of the U.S. Using pooled 2012-2013 data from the National Survey on Drug Use and Health (NSDUH), we obtained weighted prevalence estimates for the use of cigarettes, menthol cigarettes, chewing tobacco, snuff, cigars, and pipes. NSDUH also provides information on participants' residence: rural vs. urban, and Census region and division. Overall, use of cigarettes, chew, and snuff were higher in rural, compared to urban areas. Across all tobacco products, urban/rural differences were particularly pronounced in certain divisions (e.g., the South Atlantic). Effects did not appear to be fully explained by differences in poverty. Going beyond previous research, these findings show that urban/rural differences vary across different types of tobacco products, as well as by division of the country. Results underscore the need for regulatory efforts that will reduce health disparities.

Original languageEnglish (US)
Pages (from-to)153-159
Number of pages7
JournalHealth and Place
Volume39
DOIs
StatePublished - May 1 2016
Externally publishedYes

Keywords

  • Disparities
  • Rural health
  • Tobacco use

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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