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Regional Rural-Urban Differences in E-Cigarette Use and Reasons for Use in the United States.

Published on Jun 1, 2019in Journal of Rural Health2.471
· DOI :10.1111/jrh.12333
Elizabeth A. Mumford10
Estimated H-index: 10
(U of C: University of Chicago),
Frances A. Stillman1
Estimated H-index: 1
(U of C: University of Chicago)
+ 4 AuthorsDevi Chelluri1
Estimated H-index: 1
(U of C: University of Chicago)
Abstract
PURPOSE: To determine whether there are rural/urban differences in e‐cigarette use and reasons for use that vary across the 10 Health & Human Services (HHS) regions. METHODS: Age‐adjusted bivariate and multivariable analyses were conducted for n = 225,413 respondents to the 2014–2015 Tobacco Use Supplement‐Current Population Survey to estimate the prevalence of e‐cigarette use. Reasons for e‐cigarette use were collected from n = 16,023 self‐respondents who reported ever using e‐cigarettes. FINDINGS: While nationally rural residents appeared more likely to use e‐cigarettes, adjusted results indicated that current e‐cigarette use was significantly less likely across the northern and western regions (New England, East North Central, Heartland, North Central Mountain, Northwest, and Southwest Pacific regions). Reasons for e‐cigarette use differed by urban/rural status and region; for example, the rationale to use e‐cigarettes as a smoking cessation aid was significantly more common among rural compared to urban adults in the New England and New York/New Jersey regions, but less common in the Southeast. CONCLUSIONS: For several regions, there were no significant rural/urban differences in e‐cigarette use and reasons for use. Yet those regions that present differences face the need to develop public health approaches to minimize urban/rural disparities in health education, services, and outcomes related to tobacco use, particularly where access to health care is limited. Public health campaigns and guidance for clinical care within HHS regions should be tailored to reflect regional differences in beliefs about e‐cigarettes.
  • References (35)
  • Citations (1)
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References35
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Rural areas of the United States have a higher smoking prevalence than urban areas. However, no recent studies have rigorously examined potential changes in this disparity over time or whether the disparity can be explained by demographic or psychosocial characteristics associated with smoking. The present study used yearly cross sectional data from the National Survey on Drug Use and Health from 2007 through 2014 to examine cigarette smoking trends in rural versus urban areas of the United Stat...
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Studies have examined the characteristics of individuals who use e-cigarettes, including sociodemographic and smoking characteristics, and the relationship of e-cigarette use to tobacco control policies. While most studies consider a subset of these characteristics with weak measures of regular e-cigarette use, this study uses a large, recent U.S. survey to simultaneously consider the association of each of these factors with different use measures. Data from the May 2014 Tobacco Use Supplement-...
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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 s...
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The FDA’s new tobacco strategy aims to reduce the addictiveness of combustible cigarettes while recognizing and clarifying the role that potentially less harmful tobacco products could play in improving public health.
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#2Adam M.T. Robarts (Cornell University)H-Index: 1
Abstract Purpose Adults and adolescents who reside in rural areas of the United States are traditionally more likely to be tobacco users. This urban-rural disparity remains largely unexplained and, more recently, it is unclear what impact the emergence of electronic cigarettes (e-cigarettes) has had on adolescent tobacco use in urban and rural areas. Our objective is to evaluate the influence of sociodemographics and tobacco control policy environments on adolescent tobacco use in urban versus r...
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Introduction Although the impact of long-term use of electronic cigarettes (e-cigarettes) on health is still unknown, current scientific evidence indicates that e-cigarettes are less harmful than combustible cigarettes. The study examined whether perceived relative harm of e-cigarettes and perceived addictiveness have changed during 2012–2015 among U.S. adults. Methods Data were from Tobacco Products and Risk Perceptions surveys of probability samples representative of U.S. adults in 2012, 2014,...
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Introduction Electronic cigarettes (e-cigarettes) are gaining in popularity as an alternative to regular cigarettes, as they are viewed as potentially less harmful. However, it remains unclear how awareness about e-cigarettes is permeating through the general U.S. population. This study seeks to extend previous research and examine trends in e-cigarette awareness and perceived harmfulness, and their association with smoking-cessation efforts. Methods Data from three cycles (2012, 2013, and 2014)...
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