ArticlePreventive medicine2020
Shared and unique risk factors for tobacco use among rural versus urban adolescents.
Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Efficacy of an acceptance and commitment therapy-based smartphone application for helping rural populations quit smoking: Results from the iCanQuit randomized trial.Preventive medicine · 2022Trial
- Beyond contextual smoking norms: The importance of family-level nicotine use risk factors among rural and nonrural youth living in Arkansas.Preventive medicine reports · 2026Article
- Prevalence and Factors Associated with Tobacco Use Among Adults Attending Selected Healthcare Facilities in the OR Tambo District, Rural Eastern Cape Province, South Africa.International journal of environmental research and public health · 2026Article
- Health Needs and Challenges in Preventing Secondhand Smoke Exposure Among Rural Adolescents: Implications for Innovative Health Education.The journal of nursing research : JNR · 2026Article
- Rurality, risk factors, and stage at diagnosis in head and neck cancer: insights from a Spanish hospital.Cancer causes & control : CCC · 2026Article
- Tobacco retailer density and rurality across four US states: California, Connecticut, North Carolina, and Ohio.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Tobacco Susceptibility and Use Among Rural Adolescents: The Role of Tobacco Marketing Exposure and Screen Media Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Prevalence and predictors of chronic disease among rural and medically underserved populations using smokeless tobacco.Frontiers in public health · 2025Article
- Magnitude of risk factors for chronic noncommunicable diseases in adolescents and young adults in Brazil: A population-based study.PloS one · 2023Article
- Perceptions of oral nicotine pouches & their marketing among Ohio Appalachia smokers and smokeless tobacco users.PloS one · 2023Article
- The Impact of a Virtual Tobacco Prevention and Advocacy Training Among Youth in Appalachian Kentucky Communities.Tobacco use insights · 2023Article
- Testing if attitudes mediate the association between advertising exposure and adolescent tobacco use.Addictive behaviors · 2022Article
- Mapping the Lay of the Land: Using Interactive Network Analytic Tools for Collaboration in Rural Cancer Prevention and Control.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- 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 · 2022Article
- Behavior change, health, and health disparities 2020: Some current challenges in tobacco control and regulatory science.Preventive medicine · 2020Article
- Prevalence of Cigarette Smoking, E-cigarette Use, and Dual Use Among Urban and Rural Women During the Peripartum Period, PRAMS 2015-2020.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
5 authors.
Funding
Abstract
Researchers have proposed numerous factors that may contribute to rural adolescents' heightened risk for tobacco use. Some of these include well-known risk factors for tobacco use, whereas others concern factors unique to rural populations, reflecting norms and values ("rural culture") that accept and encourage tobacco use. This study aimed to test a broad range of tobacco-use risk factors to determine which were a) universal risk factors for both urban and rural adolescents vs. b) unique risk factors for rural adolescents. Data came from a prospective cohort study of 1220 adolescent males in Ohio who were aged 11-16 (average = 14 years) when surveyed at baseline (2015-2016). Follow-up surveys occurred every 6 months. The present study examined tobacco-use outcomes-prevalent use and incident use-by the two-year follow-up (2017-2018). Findings indicated a higher prevalence of ever-use of cigarette and smokeless tobacco among rural, vs. urban, adolescents at baseline. By the two-year follow-up, the urban/rural difference was attenuated but remained. Stratified multivariable logistic regression indicated that some baseline risk factors were associated with subsequent tobacco use for both rural and urban adolescents. Having an adult tobacco user in the home (for prevalent use) and susceptibility to a male family member offer of tobacco products (for both prevalent and incident use) were associated with tobacco use only for rural adolescents. These findings align with qualitative work demonstrating that masculinity and an intergenerational tobacco culture are important to male adolescents. This unique rural profile should be considered when developing prevention efforts.
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