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Wiley InterScience | |||||
  The Journal of Rural HealthVolume 22 Issue 2, Pages 112 - 118 Published Online: 13 Aug 2007 © 2010 National Rural Health Association Published on behalf of the National Rural Health Association
Abstract | References | Full Text: HTML, PDF (Size: 188K) | Related Articles | Citation Tracking  Tobacco Prevalence and Trends in Smoking: A National Rural Study This University of Washington Rural Health Research Center study was funded by the federal Office of Rural Health Policy, Health Resources and Services Administration, Department of Health and Human Services (Cooperative Agreement U1CRH00035-03). The authors gratefully acknowledge Denise Lishner and Martha Reeves for their assistance in the preparation of the manuscript. Copyright 2006 National Rural Health Association ABSTRACTABSTRACT: Context: Cigarette smoking is the leading preventable cause of death in the United States. Purpose: To estimate the prevalence of and recent trends in smoking among adults by type of rural location and by state. Methods: Random-digit telephone survey of adults aged 18 years or older who participated in the Behavioral Risk Factor Surveillance System in 1994-1996 (n = 342,055) and 2000-2001 (n = 385,384). The main outcome measure was current cigarette smoking, defined as persons who smoke every day or some days, while nonsmokers were those who smoke not at all or reported never having smoked as many as 100 cigarettes. Findings: The prevalence of smoking changed little from the mid-1990s; in 2000-2001, it was 22.0% in urban areas, 24.9% in rural adjacent areas, 24.0% in large rural nonadjacent areas, and 24.9% in small rural nonadjacent areas. For rural locations combined, smoking prevalence was not below the 12% goal of Healthy People 2010 for any state, although the 12.5% prevalence in rural Utah approached this target. Prevalence was ≥28% for rural residents of Kentucky, Ohio, and Indiana. Since the mid-1990s, the prevalence of smoking for rural respondents decreased by more than 2 percentage points in 6 states: California, Connecticut, Maryland, North Carolina, Tennessee, and Utah. However, it increased by 2 percentage points or more in 10 states: Alabama, Delaware, Georgia, Massachusetts, Michigan, Mississippi, New Hampshire, Oklahoma, South Carolina, and Texas. Conclusions: Smoking remains a refractory public health problem. Better ways to curb smoking in rural America are needed. Received: 10 January 2006; Accepted: 08 March 2006; | 
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