Principal Investigator(s): Bernat, Debra
Sponsor: NIH - NCI (National Cancer Institute)

Individuals living in rural areas suffer disproportionately from tobacco use and tobacco-related illness, with national and state-level surveys consistently showing higher prevalence rates of both youth and adult tobacco use in rural areas, compared to metropolitan areas. The aims of this project are to:

  • Examine differences in the progression of tobacco use (including cigarette smoking and smokeless tobacco use among rural and metropolitan youth during adolescence and young adulthood
  • Assess how the social and tobacco control environment differs in rural and metropolitan areas, and how these account for differences in rates and patterns of smoking among rural and metropolitan youth.

This project is significant because it is expected to advance our understanding of tobacco-related disparities among rural youth by providing a detailed understanding of the progression of tobacco use and factors associated with tobacco use among rural youth.