Rural Health
Resources by Topic: Tobacco use
Nicotine and Tobacco Product Use among US Youth in 10th and 12th Grade, 2023–2025: A Repeated Cross-Sectional Study
Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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Risk Factors for Adolescent Drug and Alcohol Abuse in Arkansas 2025
Provides state, region, and county-level data for Arkansas related to substance abuse by youth. Identifies risk factors associated with drug and alcohol abuse, such as the number of arrests, unemployment, school infractions, tobacco and cannabis retailers, and more, as well as associated public health outcomes such as substance use-related mortality.
Date: 10/2026
Sponsoring organizations: Arkansas Department of Human Services, Arkansas Foundation for Medical Care, UA Little Rock MidSOUTH Center for Prevention and Training
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Provides state, region, and county-level data for Arkansas related to substance abuse by youth. Identifies risk factors associated with drug and alcohol abuse, such as the number of arrests, unemployment, school infractions, tobacco and cannabis retailers, and more, as well as associated public health outcomes such as substance use-related mortality.
Date: 10/2026
Sponsoring organizations: Arkansas Department of Human Services, Arkansas Foundation for Medical Care, UA Little Rock MidSOUTH Center for Prevention and Training
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Urban-Rural and Demographic Differences in Substance Use Among High School Students — Youth Risk Behavior Survey, United States, 2025
Reports on substance use behaviors among students at urban and rural schools based on data from the 2025 Youth Risk Behavior Survey. Includes data for city, suburban/town, and rural schools for current and lifetime use of specific substances, including tobacco products, alcohol, prescription opioids, and a range of illicit drugs.
Author(s): Sanjana Pampati, Izraelle I. McKinnon, Joohyun Park, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 75(1), 54-66
Date: 10/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on substance use behaviors among students at urban and rural schools based on data from the 2025 Youth Risk Behavior Survey. Includes data for city, suburban/town, and rural schools for current and lifetime use of specific substances, including tobacco products, alcohol, prescription opioids, and a range of illicit drugs.
Author(s): Sanjana Pampati, Izraelle I. McKinnon, Joohyun Park, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 75(1), 54-66
Date: 10/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Cancer Risk Factors, Screening, and Neighborhood Socioeconomic Deprivation Across the U.S. Urban-to-Frontier Continuum
Presents a study on geographic variation in cancer risk behaviors and screening across the metropolitan-to-frontier continuum. Identifies demographic characteristics and cancer-related behaviors and screening access in rural, urban, and frontier areas. Explores rates of alcohol use, tobacco use, and physical activity, among other factors, by geography.
Author(s): Brody Gibson, Laurie Grieshober, Rachel M Ceballos, et al.
Citation: Journal of the National Cancer Institute Monographs, lgag021
Date: 10/2026
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Presents a study on geographic variation in cancer risk behaviors and screening across the metropolitan-to-frontier continuum. Identifies demographic characteristics and cancer-related behaviors and screening access in rural, urban, and frontier areas. Explores rates of alcohol use, tobacco use, and physical activity, among other factors, by geography.
Author(s): Brody Gibson, Laurie Grieshober, Rachel M Ceballos, et al.
Citation: Journal of the National Cancer Institute Monographs, lgag021
Date: 10/2026
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Place-Based Risk: Examining Relationships Between Adolescent Perceptions of Community Risk Factors and Adolescent Substance Use Across Geographic Contexts
Examines adolescent perceptions of structural and social factors that influence their substance use in rural and urban communities. Utilizes 2019 Florida Youth Substance Abuse Survey data from 9,819 adolescents to analyze alcohol, tobacco, marijuana, and illicit drug use according to sociodemographics, cultural norms, law enforcement response to substance use, availability of drugs, and urban, suburban, town, or rural location.
Author(s): Melissa Pearman Fenton, Sarah D. Lynne, Josie L. Bryan, Catherine Woodstock Striley, Larry F. Forthun
Citation: American Journal of Community Psychology, 78(1-2), 245-262
Date: 09/2026
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Examines adolescent perceptions of structural and social factors that influence their substance use in rural and urban communities. Utilizes 2019 Florida Youth Substance Abuse Survey data from 9,819 adolescents to analyze alcohol, tobacco, marijuana, and illicit drug use according to sociodemographics, cultural norms, law enforcement response to substance use, availability of drugs, and urban, suburban, town, or rural location.
Author(s): Melissa Pearman Fenton, Sarah D. Lynne, Josie L. Bryan, Catherine Woodstock Striley, Larry F. Forthun
Citation: American Journal of Community Psychology, 78(1-2), 245-262
Date: 09/2026
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Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Oregon by the Numbers - Key Measures for Oregon and Its Counties
Breaks down demographic and socioeconomic data in Oregon by county. Highlights data on various measures for each county such as food insecurity, unemployment rate, adult smoking, broadband access, and percent rural versus urban, among others.
Date: 08/2026
Sponsoring organizations: Oregon State University Rural Studies Program, The Ford Family Foundation
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Breaks down demographic and socioeconomic data in Oregon by county. Highlights data on various measures for each county such as food insecurity, unemployment rate, adult smoking, broadband access, and percent rural versus urban, among others.
Date: 08/2026
Sponsoring organizations: Oregon State University Rural Studies Program, The Ford Family Foundation
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Substance Use in Nonmetropolitan Counties
Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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School-Centered Tobacco Retailer Exposure and Neighborhood Opportunity Across Urban and Rural Tennessee
Examines the association between neighborhood opportunity and school-centered tobacco retailer exposure in Tennessee, including differences by rural or urban areas and Appalachian status. Features statistics and county-level maps with shadings showing school-centered tobacco retail exposure and tract-level quintiles of the Child Opportunity Index state percentile.
Author(s): Sima Namin, Jacob Black, Jennifer Ferris, Robert E. Heidel
Citation: Journal of Appalachian Health, 8(2), 29-52
Date: 08/2026
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Examines the association between neighborhood opportunity and school-centered tobacco retailer exposure in Tennessee, including differences by rural or urban areas and Appalachian status. Features statistics and county-level maps with shadings showing school-centered tobacco retail exposure and tract-level quintiles of the Child Opportunity Index state percentile.
Author(s): Sima Namin, Jacob Black, Jennifer Ferris, Robert E. Heidel
Citation: Journal of Appalachian Health, 8(2), 29-52
Date: 08/2026
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Provider Perspectives on a Tobacco-Free Workplace Program in Healthcare Settings Serving Rural and Medically Underserved Areas of Texas: A Mixed Methods Study on Perceived Resource Availability and Value
Analyzes healthcare provider perspectives on the Taking Rural Texas Tobacco Free program, a capacity building program for reducing tobacco use and secondhand smoke exposure among healthcare providers, patients, and visitors in rural or medically underserved areas of Texas. Provides data and interview excerpts from 347 substance use treatment center and medical healthcare center staff.
Author(s): Abigail E. Bergey, Isabel Martinez Leal, Maggie Britton, et al.
Citation: International Journal of Environmental Research and Public Health, 23(7), 898
Date: 07/2026
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Analyzes healthcare provider perspectives on the Taking Rural Texas Tobacco Free program, a capacity building program for reducing tobacco use and secondhand smoke exposure among healthcare providers, patients, and visitors in rural or medically underserved areas of Texas. Provides data and interview excerpts from 347 substance use treatment center and medical healthcare center staff.
Author(s): Abigail E. Bergey, Isabel Martinez Leal, Maggie Britton, et al.
Citation: International Journal of Environmental Research and Public Health, 23(7), 898
Date: 07/2026
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