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cross-sectional

Tobacco Use by Urbanization Level Among U.S. Adults, 2024.

Lee J, Parker MA · AJPM focus, 2026

combustiblesnuse-cigarette

A 2024 analysis of U.S. adults found that rural residents use tobacco products at notably higher rates than urban residents, particularly cigarettes and smokeless tobacco. Rural dwellers were about 1.4 times more likely to use any tobacco and 2.3 times more likely to use smokeless tobacco compared to city dwellers.

Relevance to India: None stated.

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