Evidence map›Paper›PMID 30388505›Full record

ArticleAddictive behaviors2019

Cigarette smoking rates among veterans: Association with rurality and psychiatric disorders.

Lara N Coughlin, Sarah M Wilson, Meredith C Erwin, Jean C Beckham, VA Mid-Atlantic MIRECC Workgroup, Patrick S Calhoun

Abstract read
In one paragraph

Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Patient-centered development of a bladder cancer survivorship care plan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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  15. Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review.International journal of environmental research and public health · 2019
    Review
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

6 authors.

Lara N CoughlinAddiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, VA, United States; Durham VA Health Care System, Durham, NC, United States.
Sarah M WilsonDurham VA Health Care System, Durham, NC, United States; Center for Health Services Research in Primary Care, Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
Meredith C ErwinDurham VA Health Care System, Durham, NC, United States.
Jean C BeckhamDurham VA Health Care System, Durham, NC, United States; Center for Health Services Research in Primary Care, Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, NC, United States.
VA Mid-Atlantic MIRECC WorkgroupVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, NC, United States.
Patrick S CalhounDurham VA Health Care System, Durham, NC, United States; Center for Health Services Research in Primary Care, Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, NC, United States. Electronic address: patrick.calhoun2@va.gov.

Funding

A Personalized mHealth Approach to Smoking Cessation for Veterans Living with HIVIK2HX002398 · VA · DURHAM VA MEDICAL CENTER · PI WILSON, SARAH MOSHER · 2018 to 2022
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CSR&D Research Career Scientist AwardIK6BX003777 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2017 to 2023
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BLRD VA IK6 BX003777HSRD VA IK2 HX002398
6 · The paper itself

Abstract

aimsCompared to the general U.S. population, military veterans and those living in rural areas disproportionately smoke cigarettes at higher rates, leading to increased health consequences. In the current study, prevalence and severity of cigarette smoking in Iraq and Afghanistan era veterans was assessed across rural and urban areas and comorbid mental health disorders.

methodIraq/Afghanistan era veterans who participated in the Post-Deployment Mental Health study from 2005 to 2017 (N = 3229) were cross-sectionally assessed for the probability of being a current cigarette smoker based on locality status and psychiatric comorbidity. Multivariate logistic and linear regressions, adjusted for demographic characteristics, were used to model the odds of being a current smoker and the severity of nicotine dependence, respectively.

resultsVeterans residing in rural regions, veterans with psychiatric comorbidities, and the interaction of locality and psychiatric disorders were significantly associated with smoking rates. Those veterans living in extremely rural areas and, independently, those living with psychiatric comorbidities were also more severely dependent on nicotine compared to urban veterans and veterans without psychiatric conditions.

conclusionsRural veterans and veterans with psychiatric comorbidities are at increased risk of smoking and are more severely dependent on nicotine than urban veterans. These findings underscore the need to reduce barriers for treatment both for smoking cessation and mental healthcare for veterans residing in the most rural areas.

Indexed as

VeteransAdultAfghan Campaign 2001-Cigarette SmokingComorbidityCross-Sectional StudiesFemaleHumansIraq War, 2003-2011MaleMental DisordersMiddle AgedPrevalenceRural PopulationTobacco Use DisorderUnited StatesCigarette smokingNicotine dependencePsychiatric burdenRuralUrbanVeteran

Identifiers

PMID30388505
PMCPMC6534270

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Registered trials

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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.