Evidence map›Paper›PMID 30430643›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2019

Regional Rural-Urban Differences in E-Cigarette Use and Reasons for Use in the United States.

Elizabeth A Mumford, Frances A Stillman, Erin Tanenbaum, Nathan J Doogan, M E Roberts, M E Wewers, Devi Chelluri

Open access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

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  7. Rural-urban movement and stability in relation to minority stress-related factors, tobacco norms, and tobacco use among a sample of US sexual minority-identifying young adults.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  8. Rural-urban differences in smoking quit ratios and cessation-related factors: Results from a nationally representative sample.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  9. Article
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  13. Rural and urban differences in perceptions, behaviors, and health care disruptions during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
  14. Review
  15. Geographic isolation predicts tobacco product use among youth: A latent class analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
  16. Rural disparities in adolescent smoking prevalence.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
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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

7 authors at 5 institutions in 1 country.

Elizabeth A MumfordPublic Health Research, NORC at The University of Chicago, Bethesda, Maryland.
Frances A StillmanPublic Health Research, NORC at The University of Chicago, Bethesda, Maryland.
Erin TanenbaumStatistics and Methodology, NORC at The University of Chicago, Bethesda, Maryland.
Nathan J DooganOhio Colleges of Medicine Government Resource Center, The Ohio State University, Columbus, Ohio.
M E RobertsDivision of Health Behavior & Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio.
M E WewersDivision of Health Behavior & Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio.
Devi ChelluriStatistics and Methodology, NORC at The University of Chicago, Bethesda, Maryland.
The Ohio State University · USUniversity of Chicago · USChicago Department of Public Health · USNational Opinion Research Center · USOhio Department of Health · US

Funding

Defining the urban-rural continuum and distinguishing rural differences to prevent tobacco useR21CA205589 · NCI · NATIONAL OPINION RESEARCH CENTER · PI STILLMAN, FRANCES ALENA, WEWERS, MARY ELLEN · 2016 to 2018
$529k
NCI NIH HHS R21 CA205589
6 · The paper itself

Abstract

purposeTo 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.

methodsAge-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.

findingsWhile 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.

conclusionsFor 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.

Indexed as

AdolescentAdultElectronic Nicotine Delivery SystemsFemaleHumansMaleMiddle AgedPrevalenceRural PopulationSmokersSmokingSurveys and QuestionnairesUnited StatesUrban Populatione-cigaretteshealth beliefsregional analysesrural-urban differencessmoking

Identifiers

PMID30430643
PMCPMC6699764
OpenAlexW2901295209

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.