Erika C. Ziller, Jennifer Dunbar Lenardson, Nathan C. Paluso, and Jean A. Talbot are with the Maine Rural Health Research Center, University of Southern Maine, Portland. Angela Daley is with the School of Economics, University of Maine, Orono.
Am J Public Health. 2019 May;109(5):771-773. doi: 10.2105/AJPH.2019.304995. Epub 2019 Mar 21.
To examine change over time in cigarette smoking among rural and urban adolescents and to test whether rates of change differ by rural versus urban residence.
We used the 2008 through 2010 and 2014 through 2016 US National Survey of Drug Use and Health to estimate prevalence and adjusted odds of current cigarette smoking among rural and urban adolescents aged 12 to 17 years in each period. To test for rural-urban differences in the change between periods, we included an interaction between residence and time.
Between 2008 to 2010 and 2014 to 2016, cigarette smoking rates declined for rural and urban adolescents; however, rural reductions lagged behind urban reductions. Controlling for socioeconomic characteristics, rural versus urban odds of cigarette smoking did not differ in 2008 through 2010; however, in 2014 through 2016, rural youths had 50% higher odds of smoking than did their urban peers.
Differential reductions in rural youth cigarette smoking have widened the rural-urban gap in current smoking rates for adolescents. Public Health Implications. To continue gains in adolescent cigarette abstinence and reduce rural-urban disparities, prevention efforts should target rural adolescents.
考察农村和城市青少年吸烟率随时间的变化情况，并检验农村和城市居住是否会影响变化率。
我们使用了 2008 年至 2010 年和 2014 年至 2016 年美国国家药物使用和健康调查的数据，以估算每个时期 12 至 17 岁农村和城市青少年当前吸烟的流行率和调整后的比值比。为了检验期间城乡差异变化，我们在居住地和时间之间加入了一个交互作用。
在 2008 年至 2010 年和 2014 年至 2016 年期间，农村和城市青少年的吸烟率都有所下降；然而，农村地区的降幅落后于城市地区。在控制了社会经济特征后，2008 年至 2010 年期间农村与城市青少年吸烟的比值比没有差异；然而，在 2014 年至 2016 年期间，农村青少年吸烟的几率比城市青少年高 50%。
农村青少年吸烟率的差异下降，扩大了青少年当前吸烟率的城乡差距。公共卫生意义。为了继续在青少年中减少吸烟，减少城乡差距，预防工作应针对农村青少年。
