ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022
Rural disparities in adolescent smoking prevalence.
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 12 papers.
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Who cites it
12 citing papers in PubMed.
- Tobacco Use Patterns From Adolescence to Young Adulthood Among Latinx Youth From Rural Communities.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Trial
- Demographic factors and rural residence history associated with smoking history.Journal of the American Association of Nurse Practitioners · 2026Article
- Place-based risk: Examining relationships between adolescent perceptions of community risk factors and adolescent substance use across geographic contexts.American journal of community psychology · 2026Article
- Neighborhood Disadvantage and Adolescent Substance Use: Differences by Urbanicity and Substance Type.Journal of studies on alcohol and drugs · 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
- Examining US adolescent cigarette smoking prevalence by rurality and gender, 2002-2019.Preventive medicine · 2025Article
- Who Reports Greater Chronic Disease Risk Behaviours? A Closer Look at Sociodemographic Differences Among Australian Adolescents: A Cross-Sectional Analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 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
- 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
- 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
- Cancer Epidemiology in the Northeastern United States (2013-2017).Cancer research communications · 2023Article
- Changes in buprenorphine visits in frontier and remote locations: Effects of the SARS-CoV-2 pandemic.Drug and alcohol dependence reports · 2023Article
Corrections and comments
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2 authors.
Funding
Abstract
introductionRural residence is a well-established risk factor for risk behaviors and subsequent morbidity and mortality in the United States. Smoking is the primary cause of preventable death and is more prevalent in rural America. As chronic smoking habits typically develop during adolescence, the discrepancy in smoking rates between rural and urban youth likely contributes to a significant geographic disparity in the long-term health of adults.
methodsData were extracted from 12th-grader surveys of the US Monitoring the Future study from 1998 to 2018. The historic trends of smoking initiation, ever-regular and current-regular smoking rates of rural and urban adolescents were estimated with intercept-only time-varying effect models. Differences in prevalence between rural and urban youth were calculated for each smoking behavior.
resultsThough overall smoking prevalence continues to decline, this trend is significantly attenuated among rural adolescents compared to urban youth. The absolute difference in lifetime smoking prevalence between rural and urban youth has markedly increased from 6.9% in 1998 to 13.5% in 2018, which is among the highest in the past 20 years and is a potentially alarming upward trend. However, the absolute differences in ever-regular and current-regular smoking prevalence have shown an overall net decline, decreasing from 6.4 to 4.8%, and from 5.5 to 3.0%, respectively.
conclusionsThis geographic disparity between rural and urban adolescents represents a potentially modifiable cause of increased morbidity and mortality in rural areas. Interventions and regulatory efforts should be tailored for rural adolescents to reduce the narrowing but persistent disparity in regular smoking.
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