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Findings from 2010-2020 NSDUH data support a persistent rural-urban disparity. Higher smoking prevalence and lower quit ratios were observed in rural vs urban areas after adjusting for sociodemographic characteristics. These results may reflect an earlier stage of motivation to quit 5 and reporting of higher nicotine dependence and heaviness of smoking among rural vs urban residents. Rural residents may also face structural barriers to cessation services, including lower rates of insurance coverage and fewer available health care practitioners, 3 which warrant future research.
Parker et al. (Wed,) studied this question.
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