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© 2024 National Rural Health Association..

PURPOSE: This exploratory study described facilitators and barriers to reducing tobacco disparities in 2 small rural communities and identified ways to reduce tobacco use.

METHODS: This was a descriptive design using qualitative methods. We created a resource database for 2 rural Kentucky counties, using a Culture of Health Framework. We recruited 16 organizational stakeholders serving low-socioeconomic populations and conducted focus groups and key informant interviews. We also completed key informant interviews with 7 tobacco users. Lastly, we tailored Community Action Plans for each county based on the data and then solicited feedback from the key stakeholders.

FINDINGS: The 2 counties were similar in population size, but County A had fewer resources than County B, and the stakeholders expressed differences toward tobacco use and quitting. County A stakeholders talked most about the protobacco culture and that tobacco users accept the risks of smoking outweighing the benefits of quitting; they also expressed concerns about youth use and the influences of family, society, and industry. County B stakeholders described ambivalence about the health effects of use and quitting. County A's Action Plan identified an opportunity to build Community Health Worker-delivered tobacco treatment into a new school-based health center. County B's Action Plan focused on reaching tobacco users by providing incentives for participation and tailoring messages to different audiences.

CONCLUSIONS: Tobacco control resources and stakeholder perspectives vary in small rural communities, implying a need for tailored approaches. Tobacco users in rural areas are a critical population to target with cessation resources.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association - (2024) vom: 11. Apr.

Sprache:

Italienisch

Weiterer Titel:

Tobacco use disparities in rural communities

Beteiligte Personen:

Hahn, Ellen J [VerfasserIn]
Bucher, Amanda [VerfasserIn]
Rademacher, Kathy [VerfasserIn]
Beckett, Whitney [VerfasserIn]
Taylor, LeeAnn [VerfasserIn]
Darville, Audrey [VerfasserIn]
Ickes, Melinda J [VerfasserIn]

Links:

Volltext

Themen:

Community participation
English Abstract
Journal Article
Rural population
Smoking
Smoking cessation
Socioeconomic status

Anmerkungen:

Date Revised 11.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/jrh.12838

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370916239