Trends in cigarette smoking and obesity in Appalachian Kentucky

Southern Medical Journal
Nancy E SchoenbergThomas C Tucker

Abstract

The southern region of the United States, particularly central and southern Appalachia, has long been identified as an area of health inequities. An updated and more complete understanding of the association among the leading risk factors for such health inequities allows researchers, clinicians, and policymakers to focus their efforts on the most effective strategies to minimize these risks. Using the most recent survey data from the Behavioral Risk Factor Surveillance System, we examined 10-year trends in rates of cigarette smoking and obesity in Appalachian Kentucky, comparing these trends with national and non-Appalachian Kentucky rates. Women and men from Appalachian Kentucky smoke cigarettes at rates 1.8 times and 1.6 times higher, respectively, than their national counterparts. Although rates of smoking in Appalachian Kentucky, non-Appalachian Kentucky, and the United States have decreased, such decreases among Appalachian Kentucky women have been minimal. Adding to these concerning trends, obesity rates in Appalachian adults are much higher than in non-Appalachian Kentucky or the United States overall, although Appalachian Kentucky smokers are less likely to be obese than nonsmokers. Low socioeconomic status and impeded...Continue Reading

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Citations

Mar 5, 2016·Nature Reviews. Endocrinology·Kindred K HarrisTheodore C Friedman
Aug 24, 2016·Disability and Rehabilitation·Anne L HarrisonPatrick Kitzman
May 24, 2018·Public Health Reports·Elise L RiceRobin C Vanderpool
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Jan 22, 2020·Substance Abuse Treatment, Prevention, and Policy·Amie GoodinAmanda Fallin-Bennett
May 18, 2019·American Society of Clinical Oncology Educational Book·Ana Maria LopezMara Schonberg
Aug 4, 2019·Southern Medical Journal·Aasha I HooglandNancy E Schoenberg
Mar 17, 2015·Southern Medical Journal·Francisco Soto Mas
Jan 8, 2020·Health Promotion Practice·Melinda J IckesEllen J Hahn
Nov 1, 2018·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jinpeng LiuSusanne M Arnold
Sep 15, 2019·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Patrick H KitzmanMichael R Dobbs

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