ArticleFrontiers in public health2025
Prevalence and predictors of chronic disease among rural and medically underserved populations using smokeless tobacco.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Predictors of health-related quality of life among rural adult residents of western Maharashtra, India.Frontiers in public health · 2026Article
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12 authors.
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Abstract
Introduction: Smokeless tobacco (SLT) is significant public health problem in the U.S. and is associated with chronic diseases, which includes both physical and mental health conditions. Inequities in use exist as rural and other medically underserved populations use SLT more than that of the general population. Our study examined prevalence of chronic disease and identified associated risk factors among rural and medically underserved populations using smokeless tobacco. Methods: We conducted a cross-sectional analysis of baseline data ( Results: Over 60% of our sample of rural and medically underserved adults who use SLT also have at least one chronic disease. The most common chronic diseases were hypertension (38%), arthritis/orthopedic (23%), mental health (21%), and diabetes (12%). Increasing age and poor/fair health were associated with having hypertension, arthritis/orthopedic conditions, and/or diabetes. In addition, drinking alcohol <5 days per week was associated with having diabetes. Meanwhile, greater nicotine dependence, marital status, and having stained teeth were associated with having a mental health condition. Conclusions: Findings may inform the development of SLT cessation interventions as part of broader chronic disease management programs and as part of secondary prevention to minimize tobacco related morbidity.
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