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Rural Health
Resources by Topic: Tobacco use

Geographic and Socioeconomic Landscape of Veterans With Head and Neck Cancer
Explores the geographic and socioeconomic factors that correlate with the higher rates and worse outcomes for head and neck squamous cell carcinomas among veterans compared to civilians. Breaks down data by socioeconomic factors, such as marital status, unemployment, and service connection, among other factors, as well as rurality, travel distance, and drive time.
Author(s): Kristen L. Zayan, Jennifer L. McCoy, Monique Y. Boudreaux-Kelly, et al.
Citation: Head & Neck, 47(10), 2845-2855
Date: 10/2025
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A Systematic Review and Meta-Analysis of Tobacco 21 Policies and Youth Tobacco Use: Implications for Future Policy Research
Examines the impact of Tobacco 21 (T21) policies that raise the sales age of tobacco to 21 on youth smoking. Utilizes 24 completed studies to analyze T21 regulations on smoking behaviors of respondents aged 11 to 20. Discusses T21 impacts in rural and urban areas.
Author(s): Danyi Li, Shiyou Wu, Steve Sussman, Mary Ann Pentz
Citation: The Lancet Regional Health - Americas, 50, 101208
Date: 10/2025
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Geographic Disparities by Rural-Urban Status and Drive Time to Care in Tobacco Treatment for COPD
Explores the potential relationship between the drive-time to tobacco dependence treatment (TDT) services and the development of COPD among smokers. Details distances of rural smokers to TDT services. Draws from Veterans Affairs data and breaks down data by demographic characteristics, treatment type, and rural versus urban location, among other measures.
Author(s): Arianne K. Baldomero, Anne C. Melzer, Ken M. Kunisaki, et al.
Citation: JAMA Network Open, 8(8), e2528898
Date: 08/2025
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California Tobacco Facts and Figures 2025
Reports data on current use and trends in tobacco use and tobacco-related behaviors in California. Includes demographic breakdowns, including rural-urban comparisons, in addition to county-level data for select topics.
Date: 08/2025
Sponsoring organization: California Department of Public Health
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Tobacco Product Use or Nicotine Vaping in the Past Month
Report discusses rates of tobacco and nicotine vaping use detailed in the National Survey on Drug Use and Health (NSDUH) from 2022, 2023, and 2024. Features breakdowns by demographics, years and rurality, among other measures.
Date: 08/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Comprehensive Mixed-Methods Analysis of Women's Cardiovascular Health Needs in Georgia, United States
Examines cardiovascular disease (CVD) in women living in rural Georgia, with a focus on barriers to care and strategies to improve health outcomes. Analyzes environmental factors in rural and urban counties in Georgia as well qualitative data from 56 women and 11 healthcare providers. Includes data on health indicators/behaviors in rural versus urban counties.
Author(s): Marlo Vernon, Brianna McIndoe, Michael J. Ryan, et al.
Citation: Biology of Sex Differences, 16, 62
Date: 08/2025
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Adult Tobacco Use in Vermont
Data brief summarizing tobacco measures from the 2023 Vermont Behavioral Risk Factor Surveillance System, a phone survey of adult Vermonters. Features a county-level map showing smoking rates, and statistics with breakdowns by urban and rural areas.
Date: 07/2025
Sponsoring organization: Vermont Department of Health
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Examining US Adolescent Cigarette Smoking Prevalence by Rurality and Gender, 2002–2019
Examines rural and urban prevalence of cigarette smoking among adolescents by sex, utilizing 2002-2019 U.S. National Survey on Drug Use and Health data. Analyzes changes over time and discusses rural-specific smoking disparities.
Author(s): Tyler G. Erath, Fang Fang Chen, Michael DeSarno, Stephen T. Higgins
Citation: Preventive Medicine, 108377
Date: 07/2025
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"If We Can Get Them to Stop, They Can Have Such a Better Life": Implementing Tobacco and Nicotine Dependence Treatment Services in Community Pharmacies in North Dakota
Discusses the role of community pharmacies in North Dakota in providing smoking cessation treatment, including medication provision and behavioral therapy referrals. Highlights rural tobacco and nicotine dependence treatment as a public health priority.
Author(s): Hailey M. Wanner, Kelley Corr
Citation: Preventing Chronic Disease, 22, 250088
Date: 07/2025
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Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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