ArticlePreventive medicine2025
Examining rural disparities in cigarette smoking among U.S. women by chronological age: 2002-2022.
Article in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
objectiveThis study investigated rural disparities in cigarette smoking among U.S. women by age (18-65+ years) across survey years (2002-2022). METHODS, DATA SOURCE: Data came from the National Survey on Drug Use and Health. Women were categorized by rural-urban residence and age. We examined associations between residence, age, and time on current-smoking prevalence and quit ratios in two-year bins using weighted logistic-regression adjusting for race/ethnicity, education, annual income.
resultsEffects of residence on current-smoking prevalence interacted with time (t[df = 430,180] = 4.51, P < .001), with reductions over time among urban (AOR = 0.95, 95 %CI: 0.94-0.96, P < .001) but not rural residents (AOR = 0.99, 95 %CI: 0.98-1.01, P = .66). Residence interacted with age (t[df = 430,180] = -4.90, P < .001), with greater smoking among rural women in younger (AORs≥1.23, 95 %CI: 1.01-1.44, Ps ≤ 0.008), but not older age brackets (AORs ≤1.04, 95 %CI: 0.74-1.35, Ps ≥ 0.688). Rural residence predicted lower odds of quitting smoking (AOR = 0.80, 95 %CI: 0.71-0.91, P < .001).
conclusionsThere is a growing disparity in smoking prevalence that disproportionately impacts rural women ages 18-49 years raising concerns about multigenerational adverse effects as this demographic is most likely to be pregnant or parenting young children. There is also a rural disparity in quitting smoking across age groups underscoring a need for greater access to smoking-cessation services among rural women.
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