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Lewis-Thames MW, Langston ME, Fuzzell L, et al. Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among U.S. adults in a nationally representative study. Prev Med. 2019;130:105898doi: 10.1016/j.ypmed.2019.105898.
Lewis-Thames, M. W., Langston, M. E., Fuzzell, L., Khan, S., Moore, J. X., & Han, Y. (2020). Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among U.S. adults in a nationally representative study. Preventive medicine, 130105898. https://doi.org/10.1016/j.ypmed.2019.105898
Lewis-Thames, Marquita W, et al. "Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among U.S. adults in a nationally representative study." Preventive medicine vol. 130 (2020): 105898. doi: https://doi.org/10.1016/j.ypmed.2019.105898
Lewis-Thames MW, Langston ME, Fuzzell L, Khan S, Moore JX, Han Y. Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among U.S. adults in a nationally representative study. Prev Med. 2020 Jan;130:105898. doi: 10.1016/j.ypmed.2019.105898. Epub 2019 Nov 21. PMID: 31760117; PMCID: PMC6945810.
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Prev Med. 2020 Jan;130:105898. doi: 10.1016/j.ypmed.2019.105898. Epub 2019 Nov 21.

Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among U.S. adults in a nationally representative study.

Preventive medicine

Marquita W Lewis-Thames, Marvin E Langston, Lindsay Fuzzell, Saira Khan, Justin X Moore, Yunan Han

Affiliations

  1. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA; Feinberg School of Medicine, Northwestern University, Department of Medical Social Sciences, 750 N. Lake Shore Dr., Chicago, IL 60611, USA. Electronic address: [email protected].
  2. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA; Division of Research, Kaiser Permanente, Northern California, Oakland, CA 94612, USA. Electronic address: [email protected].
  3. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA; Department of Health Outcomes & Behavior, H. Lee Moffitt Cancer Center, Tampa, FL, USA. Electronic address: [email protected].
  4. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA; Epidemiology Program, College of Health Sciences, University of Delaware, Newark, DE 19716, USA. Electronic address: [email protected].
  5. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA; Division of Epidemiology, Department of Population Health Sciences, Augusta University at the Medical College of Georgia, 1120 15th St. AE-1037, Augusta, GA 30912, USA.. Electronic address: [email protected].
  6. Washington University in St. Louis School of Medicine, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave., Campus Box 8100, St. Louis, MO 63110, USA. Electronic address: [email protected].

PMID: 31760117 PMCID: PMC6945810 DOI: 10.1016/j.ypmed.2019.105898

Abstract

Adults living in rural areas, compared to their urban counterparts, are at an increased risk of using tobacco-related products and mortality due to tobacco-related diseases. The harms and benefits of e-cigarette use are mixed, and similarly obscure messaging about these harms and benefits have a critical influence on e-cigarette uptake and perceptions. However, little is known about rural-urban differences in the prevalence of adult e-cigarette daily usage. Using the Health Information National Trends Survey-Food and Drug Administration (HINTS-FDA) cycles 1 and 2, we conducted weighted logistic regressions to assess rural-urban differences in the prevalence of adult e-cigarette daily usage, perceived harm, and e-cigarette information seeking behaviors. This analysis included adults aged 18 years and older in the United States (N = 4229). Both rural and urban respondents reported a similar history of e-cigarette use. Rural respondents were significantly more likely than urban respondents to trust religious organizations and leaders and tobacco companies for information about e-cigarettes. Rural and urban respondents were equally as likely to believe e-cigarettes are addictive, perceive e-cigarette use as harmful, and believe e-cigarettes are more harmful than tobacco cigarettes. Respondents were equally as likely to look for information on e-cigarettes, the health effects of e-cigarettes, and cessation; and, to seek e-cigarette information from healthcare professionals, family and friends, and health organizations and groups. Given our findings, it will be pertinent to continue to research the potential harms of e-cigarette use and develop accurate health communication messages to avoid rural-urban disparities observed for cigarette smoking-related outcomes.

Copyright © 2019 Elsevier Inc. All rights reserved.

Keywords: Electronic nicotine delivery systems; Health communication; Information seeking behavior; Prevalence; Rural health; Smoking

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