Prevalence and trends in smoking: A national rural study

Mark P. Doescher, J. Elizabeth Jackson, Anthony F Jerant, L. Gary Hart

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)112-118
Number of pages7
JournalJournal of Rural Health
Volume22
Issue number2
DOIs
StatePublished - Apr 2006

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smoking
Smoking
trend
rural area
Smoke
Healthy People Programs
Behavioral Risk Factor Surveillance System
Mississippi
cause of death
Telephone
Tobacco Products
telephone
surveillance
Cause of Death
urban area
Public Health
public health
Outcome Assessment (Health Care)
resident
human being

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Prevalence and trends in smoking : A national rural study. / Doescher, Mark P.; Jackson, J. Elizabeth; Jerant, Anthony F; Gary Hart, L.

In: Journal of Rural Health, Vol. 22, No. 2, 04.2006, p. 112-118.

Research output: Contribution to journalArticle

Doescher, Mark P. ; Jackson, J. Elizabeth ; Jerant, Anthony F ; Gary Hart, L. / Prevalence and trends in smoking : A national rural study. In: Journal of Rural Health. 2006 ; Vol. 22, No. 2. pp. 112-118.
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