Rural Health
Resources by Topic: Tobacco use
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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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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Veteran Satisfaction With Lung Cancer Screening Care: A Cross-Sectional Evaluation
Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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The Role of Rurality and Area-Level Disadvantage in Lifestyle Risk Factors and Psychological Well-Being among Cancer Survivors: Findings from the 2021 NCI HINTS-SEER
Examines how rurality and area-level disadvantage are associated with obesity, smoking, and depression or anxiety among cancer survivors, using 2021 HINTS-SEER data. Compares the roles of area-level and individual factors in influencing cancer survivorship outcomes in rural and urban areas.
Author(s): Anita M. Kumar, Carrie A. Miller, Reyna Han, et al.
Citation: Cancer Causes & Control, 37, 125
Date: 07/2026
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Examines how rurality and area-level disadvantage are associated with obesity, smoking, and depression or anxiety among cancer survivors, using 2021 HINTS-SEER data. Compares the roles of area-level and individual factors in influencing cancer survivorship outcomes in rural and urban areas.
Author(s): Anita M. Kumar, Carrie A. Miller, Reyna Han, et al.
Citation: Cancer Causes & Control, 37, 125
Date: 07/2026
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Understanding Smokeless Tobacco Use in Rural United States: A Narrative Synthesis of Contributing Factors and Prevention Efforts
Narrative review examining research on smokeless tobacco (SLT) use in rural areas. Covers prevalence, risk factors, and prevention strategies, giving particular attention to youth SLT use.
Author(s): Mariyam Abbas, Steven A. Cohen
Citation: Public Health in Practice, 11, 100801
Date: 06/2026
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Narrative review examining research on smokeless tobacco (SLT) use in rural areas. Covers prevalence, risk factors, and prevention strategies, giving particular attention to youth SLT use.
Author(s): Mariyam Abbas, Steven A. Cohen
Citation: Public Health in Practice, 11, 100801
Date: 06/2026
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Vermont Cancer Surveillance: Data Pages
Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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Cigarette and Electronic Cigarette Use Among Adults by Urbanization Level: United States, 2024
Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Adult Tobacco Use in Vermont: 2024 Behavioral Risk Factor Surveillance System (BRFSS)
Data brief summarizing tobacco measures from the 2024 Vermont Behavioral Risk Factor Surveillance System, a phone survey of adult Vermonters. Features statistics with breakdowns by urban and rural areas and a county-level map showing smoking rates.
Date: 02/2026
Sponsoring organization: Vermont Department of Health
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Data brief summarizing tobacco measures from the 2024 Vermont Behavioral Risk Factor Surveillance System, a phone survey of adult Vermonters. Features statistics with breakdowns by urban and rural areas and a county-level map showing smoking rates.
Date: 02/2026
Sponsoring organization: Vermont Department of Health
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