Evidence map›Paper›PMID 26000317›Full record

ArticleLGBT health2015

A Persistent Disparity: Smoking in Rural Sexual and Gender Minorities.

Keisa Bennett, Jane A McElroy, Andrew O Johnson, Niki Munk, Kevin D Everett

Open access · greenAbstract read
In one paragraph

Article in LGBT health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Structural Stigma and Inequities in Tobacco Use Among Sexual and Gender Minoritized People: Accounting for Context and Intersectionality.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Emotional Distress, Bullying Victimization, and Protective Factors Among Transgender and Gender Diverse Adolescents in City, Suburban, Town, and Rural Locations.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Keisa BennettDepartment of Family & Community Medicine, University of Kentucky, Lexington KY, USA.
Jane A McElroyDepartment of Family & Community Medicine, University of Missouri, Columbia MO, USA.
Andrew O JohnsonAcademic Planning, Analytics & Technologies, University of Kentucky, Lexington KY, USA.
Niki MunkDepartment of Health Sciences, Indiana University, Indianapolis IN, USA.
Kevin D EverettDepartment of Family & Community Medicine, University of Missouri, Columbia MO, USA.
University of Kentucky · USUniversity of Missouri · USIndiana University Health · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Kentucky Center for Clinical and Translational ScienceKL2TR000116 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$1.9M
NCATS NIH HHS KL2 TR000116NCATS NIH HHS KL2TR000116NCATS NIH HHS UL1 TR000117
6 · The paper itself

Abstract

purposeSexual and gender minorities (SGM) smoke cigarettes at higher rates than the general population. Historically, research in SGM health issues was conducted in urban populations and recent population-based studies seldom have sufficient SGM participants to distinguish urban from rural. Given that rural populations also tend to have a smoking disparity, and that many SGM live in rural areas, it is vitally important to understand the intersection of rural residence, SGM identity, and smoking. This study analyzes the patterns of smoking in urban and rural SGM in a large sample.

methodsWe conducted an analysis of 4280 adult participants in the Out, Proud, and Healthy project with complete data on SGM status, smoking status, and zip code. Surveys were conducted at 6 Missouri Pride Festivals and online in 2012. Analysis involved descriptive and bivariate methods, and multivariable logistic regression. We used GIS mapping to demonstrate the dispersion of rural SGM participants.

resultsSGM had higher smoking proportion than the non-SGM recruited from these settings. In the multivariable model, SGM identity conferred 1.35 times the odds of being a current smoker when controlled for covariates. Rural residence was not independently significant, demonstrating the persistence of the smoking disparity in rural SGM. Mapping revealed widespread distribution of SGM in rural areas.

conclusionThe SGM smoking disparity persists among rural SGM. These communities would benefit from continued research into interventions targeting both SGM and rural tobacco control measures. Recruitment at Pride Festivals may provide a venue for reaching rural SGM for intervention.

Indexed as

Health Status DisparitiesMinority GroupsRural PopulationSexualityTransgender PersonsAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMissouriSmokingSocial Determinants of HealthSurveys and Questionnairesdrug abusehealth disparitiessexual minoritiessocial determinants of health

Identifiers

PMID26000317
PMCPMC4436676
OpenAlexW1952410559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.