Noonan Devon, Frisbee Suzanne, Bittencourt Lorna, Rubenstein Dana, McClernon F Joseph, Carroll Dana Mowls
Duke University School of Nursing, Durham, North Carolina, USA.
Duke Cancer Institute, Durham, North Carolina, USA.
J Rural Health. 2025 Jan;41(1):e12870. doi: 10.1111/jrh.12870. Epub 2024 Aug 19.
There are significant rural/urban disparities that exist in cancer and chronic disease morbidity and mortality, many of which are attributed to increased tobacco use prevalence in rural populations compared to urban. Understanding differences in rural and urban tobacco use patterns is key to developing targeted interventions.
Using nationally representative data from Wave 5 of the Population Assessment of Tobacco Use and Health (PATH), we examined weighted frequencies and conducted multivariable logistic regression to examine the use of cessation supports in people who currently smoke with a quit attempt in the last 12 months (recent attempters) by rural and urban status and geographic region. Our second objective was to examine lifetime quitting in rural versus urban people who smoke and by geographic region.
Rural people who recently attempted to quit were less likely to use any FDA-approved cessation aids, less likely to use Nicoctine Replacement Therapy (NRT), and less likely to be exposed to a home smoking ban in the adjusted analysis. The adjusted odds of quitting were lower in the rural Northeast, Midwest, and South compared to the urban regions.
Findings from this data can serve to inform the development of targeted interventions for rural communities.
癌症和慢性病的发病率及死亡率存在显著的城乡差异，其中许多归因于农村人口的烟草使用率高于城市。了解城乡烟草使用模式的差异是制定针对性干预措施的关键。
利用来自烟草使用与健康人口评估（PATH）第5波的全国代表性数据，我们检查了加权频率，并进行多变量逻辑回归，以按城乡状况和地理区域检查过去12个月内有戒烟尝试的当前吸烟者（近期尝试戒烟者）对戒烟支持的使用情况。我们的第二个目标是按地理区域检查农村和城市吸烟者的终身戒烟情况。
在调整分析中，近期尝试戒烟的农村居民使用任何美国食品药品监督管理局（FDA）批准的戒烟辅助工具的可能性较小，使用尼古丁替代疗法（NRT）的可能性较小，且接触家庭吸烟禁令的可能性较小。与城市地区相比，农村东北部、中西部和南部的调整后戒烟几率较低。
这些数据的结果可为农村社区针对性干预措施的制定提供参考。
