Public Health Research, NORC at The University of Chicago, Bethesda, Maryland.
Statistics and Methodology, NORC at The University of Chicago, Bethesda, Maryland.
J Rural Health. 2019 Jun;35(3):395-404. doi: 10.1111/jrh.12333. Epub 2018 Nov 14.
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.
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.
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.
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.
确定在 10 个卫生与公众服务部（HHS）区域内，电子烟使用情况以及使用原因是否存在城乡差异。
对 2014-2015 年烟草使用补充-当前人口调查中 225413 名受访者进行年龄调整后的双变量和多变量分析，以估计电子烟使用率。从报告曾使用过电子烟的 16023 名自我报告者中收集电子烟使用原因。
尽管全国范围内农村居民似乎更有可能使用电子烟，但调整后的结果表明，在北部和西部地区（新英格兰、东北中部、中心地带、中北部山区、西北部和西南太平洋地区），当前电子烟使用率显著较低。电子烟使用原因因城乡状况和地区而异；例如，在新英格兰和纽约/新泽西地区，农村成年人将电子烟作为戒烟辅助工具的理由明显比城市成年人更常见，但在东南部则不太常见。
对于几个地区，电子烟使用和使用原因方面没有明显的城乡差异。然而，那些存在差异的地区需要制定公共卫生措施，以尽量减少与烟草使用相关的健康教育、服务和结果方面的城乡差异，特别是在医疗保健获取有限的地区。HHS 区域内的公共卫生运动和临床护理指南应根据对电子烟的信念差异进行调整。
