ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022
Geographic isolation predicts tobacco product use among youth: A latent class analysis.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Rural-Urban Patterns in Household Rules Limiting Combustible Tobacco, Noncombustible Tobacco, and E-Cigarette Use.Annals of the American Thoracic Society · 2025Article
- A comparison of classifications for geographic location and their associations with tobacco use among US adults.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- 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
- 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 · 2025Article
- Rural-urban Residence, Minority Stress, and Tobacco Use among Sexual and Gender Minority Young Adults in Oklahoma and Surrounding States.Journal of health care for the poor and underserved · 2025Article
- Socioecological Predictors of Change in Adolescent Tobacco Use Across Waves 1-4 of the Population Assessment of Tobacco and Health Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
purposeThe purpose of the current study was to evaluate associations between geographic rurality and tobacco use patterns among adolescents.
methodsHigh school students (N = 566) from north-central Appalachia reported on their lifetime and/or current use of cigarettes, electronic cigarettes (ECIGs), cigars, and smokeless tobacco. Geographic rurality was measured via the Isolation scale, whereby residential ZIP Codes determined the degree to which respondents have access to health-related resources. Latent class analysis (LCA) was used to identify discrete classes of adolescent tobacco users based on their use of tobacco products. Then, associations between participants' geographic rurality and class membership were evaluated using a series of multinomial logistic regressions.
findingsLCA classified participants as Nonusers, Current ECIG Users, Cigarette/ECIG Experimenters, and Polytobacco Users. Individuals with higher Isolation scores were more likely to be Polytobacco Users and Cigarette/ECIG Experimenters than Nonusers, and were more likely to be Polytobacco Users than Current ECIG Users.
conclusionsThe continuous Isolation scale used in the present study predicted polytobacco use patterns among adolescents in a manner that is consistent with, while simultaneously expanding upon, prior work. Tobacco control practices and policies should be viewed through a lens that considers the unique needs of geographically isolated areas.
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Registered trials
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