The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.
SMJ // Article
Perspectives
Facilitating Smoking Cessation in America’s Highest Risk Population: Community-Centered Interventions in Rural Appalachian Kentucky
Abstract
Cigarette smoking in rural Appalachian Kentucky remains prevalent, and smoking cessation interventions continue to be challenged by a host of social and behavioral factors. Appalachian Kentucky has one of the highest smoking rates in the United States, with between 24% and 34% of adults using tobacco compared with 21% nationwide, contributing to increased morbidity and decreased life expectancy for Appalachian Kentuckians relative to the general US population.1,2This content is limited to qualifying members.
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References
1. Kruger TM, Howell BM, Haney A, et al. Perceptions of smoking cessation programs in rural Appalachia. Am J Health Behav 2012;36:373-384.
2. Centers for Disease Control and Prevention. Tobacco control state highlights, 2010. Atlanta, GA: Department of Health and Human Services; 2010.
3. American Cancer Society. Cancer facts & figures 2012. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2012.html. Published 2012. Accessed January 2, 2023.
4. US Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. https://www.ncbi.nlm.nih.gov/books/NBK44695/. Published 2004. Accessed September 2, 2022.
5. Kentucky Institute of Medicine. The health of Kentucky: a county assessment. https://www.kentuckyhealthfacts.org/Download/KIOM%20County%20Assessment%202007.pdf. Published 2007. Accessed September 2, 2022.
6. Gometz ED. Health effects of smoking and the benefits of quitting. AMA J Ethics 2011;13:31-35.
7. American Lung Association. Helping smokers quit saves money. https://www.lung.org/getmedia/8d023b16-ea93-486b-a5d9-aed38c2daf4a/quit-smoking-saves-money.pdf.pdf. Published December 6, 2011. Accessed September 2, 2022.
8. Gallaway MS, Huang B, Chen Q, et al. Smoking and smoking cessation among persons with tobacco-and non-tobacco-associated cancers. J Community Health 2019;44:552-560.
9. Nahar VK, Wilkerson AH, Patel FC, et al. Utilizing multi-theory model in determining intentions to smoking cessation among smokers. Tob Use Insights 2019;12:1179173X19843524.
10. Appalachian Regional Commission. Demographic and health information. 2006. Available at: https://www.arc.gov/. Accessed March 2, 2023.
11. Schoenberg NE, Huang B, Seshadri S, et al. Trends in cigarette smoking and obesity in Appalachian Kentucky. South Med J 2015;108: 170-177.
12. Harris M, Reynolds B. A pilot study of home-based smoking cessation programs for rural, Appalachian, pregnant smokers. J Obstet Gynecol Neonatal Nurs 2015;44:236-245.
13. Butler KM, Hedgecock S, Record RA, et al. An evidence-based cessation strategy using rural smokers’ experiences with tobacco. Nurs Clin 2012; 47:31-43.
14. Meyer MG, Toborg MA, Denham SA, et al. Cultural perspectives concerning adolescent use of tobacco and alcohol in the Appalachian mountain region. J Rural Health 2008;24:67-74.
15. Service Kentucky Agricultural Statistics. Kentucky Agricultural Statistics 2000–2001. Louisville, Kentucky: U.S. Department of Agriculture and Kentucky Department of Agriculture; 2002. Available at: https://downloads.usda.library.cornell.edu/usda-esmis/files/j3860694x/6m311r891/vh53wz60j/Agstat-05-02-2002.pdf. Accessed March 2, 2023.
16. Wewers ME, Shoben A, Conroy S, et al. Effectiveness of two community health worker models of tobacco dependence treatment among community residents of Ohio Appalachia. Nicotine Tob Res 2017;19:1499-1507.
17. Gupta S, Scheuter C, Kundu A, et al. Smoking-cessation interventions in Appalachia: a systematic review and meta-analysis. Am J Prev Med 2020; 58:261-269.
18. Cardarelli K, Westneat S, Dunfee M, et al. Persistent disparities in smoking among rural Appalachians: evidence from the Mountain Air Project. BMC Public Health 2021;21:270.
19. Schoenberg NE, Bundy HE, Baeker Bispo JA, et al. A rural Appalachian faith-placed smoking cessation intervention. J Relig Health 2015;54:598-611.
20. Moore D, Aveyard P, Connock M, et al. Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ 2009;338.
21. Liberman JN, Lichtenfeld MJ, Galaznik A, et al. Adherence to varenicline and associated smoking cessation in a community-based patient setting. J Manag Care Pharm 2013;19:125-131.
22. Vander Weg MW, Cozad AJ, Howren MB, et al. An individually-tailored smoking cessation intervention for rural veterans: a pilot randomized trial. BMC Public Health 2016;16:811.
23. Rodriguez EM, Twarozek AM, Erwin DO, et al. Perspectives on smoking cessation in northern Appalachia. J Community Health 2016;41:211-219.
