Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US

Introduction: Medical prescriptions for opioids are higher in rural areas of the US as compared to urban areas. Tobacco use may also play a role in this process. This analysis examines the association between differing types of tobacco use and medical opioid use. Methods: We analyze the relationship...

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Autores principales:	Mariaelena Gonzalez, Ashley Sanders-Jackson
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	tobacco use opioids rural populations smoking Medicine R
Acceso en línea:	https://doaj.org/article/93ffd387174440a3a35ec8b06e5183fb
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spelling	oai:doaj.org-article:93ffd387174440a3a35ec8b06e5183fb2021-11-25T17:49:01ZTraditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US10.3390/ijerph1822118641660-46011661-7827https://doaj.org/article/93ffd387174440a3a35ec8b06e5183fb2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11864https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Introduction: Medical prescriptions for opioids are higher in rural areas of the US as compared to urban areas. Tobacco use may also play a role in this process. This analysis examines the association between differing types of tobacco use and medical opioid use. Methods: We analyze the relationship between tobacco product use and medical opioid use among the US general population living in rural (non-metropolitan) areas using the publicly available sample adult file 2019 National Health Interview Survey (NHIS) (<i>n</i> = 5028). Tobacco use was classified into the following categories: only using cigarettes, only using e-cigarettes/vapes, only using cigars, only using smokeless tobacco, or using two or more of the following products. We used a binary logistic regression, controlling for individual differences. Results: Individuals who reported using only traditional cigarettes (and no other tobacco product, OR = 1.62, 95% CI: 1.31, 2.01), or who reported being a poly-tobacco users (OR = 2.13, 95% CI: 1.40, 3.22) had higher odds of medical opioid use in the last twelve months. Conclusion: Results suggest a link between tobacco use, particularly cigarette use and poly-tobacco use, and medical opioid use in rural communities. Clinical and structural level interventions need to be implemented in rural communities to reduce comorbid tobacco and opioid use.Mariaelena GonzalezAshley Sanders-JacksonMDPI AGarticletobacco useopioidsrural populationssmokingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11864, p 11864 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tobacco use opioids rural populations smoking Medicine R
spellingShingle	tobacco use opioids rural populations smoking Medicine R Mariaelena Gonzalez Ashley Sanders-Jackson Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
description	Introduction: Medical prescriptions for opioids are higher in rural areas of the US as compared to urban areas. Tobacco use may also play a role in this process. This analysis examines the association between differing types of tobacco use and medical opioid use. Methods: We analyze the relationship between tobacco product use and medical opioid use among the US general population living in rural (non-metropolitan) areas using the publicly available sample adult file 2019 National Health Interview Survey (NHIS) (<i>n</i> = 5028). Tobacco use was classified into the following categories: only using cigarettes, only using e-cigarettes/vapes, only using cigars, only using smokeless tobacco, or using two or more of the following products. We used a binary logistic regression, controlling for individual differences. Results: Individuals who reported using only traditional cigarettes (and no other tobacco product, OR = 1.62, 95% CI: 1.31, 2.01), or who reported being a poly-tobacco users (OR = 2.13, 95% CI: 1.40, 3.22) had higher odds of medical opioid use in the last twelve months. Conclusion: Results suggest a link between tobacco use, particularly cigarette use and poly-tobacco use, and medical opioid use in rural communities. Clinical and structural level interventions need to be implemented in rural communities to reduce comorbid tobacco and opioid use.
format	article
author	Mariaelena Gonzalez Ashley Sanders-Jackson
author_facet	Mariaelena Gonzalez Ashley Sanders-Jackson
author_sort	Mariaelena Gonzalez
title	Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
title_short	Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
title_full	Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
title_fullStr	Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
title_full_unstemmed	Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
title_sort	traditional cigarette and poly-tobacco use are associated with medical opioid use in rural areas of the us
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/93ffd387174440a3a35ec8b06e5183fb
work_keys_str_mv	AT mariaelenagonzalez traditionalcigaretteandpolytobaccouseareassociatedwithmedicalopioiduseinruralareasoftheus AT ashleysandersjackson traditionalcigaretteandpolytobaccouseareassociatedwithmedicalopioiduseinruralareasoftheus
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Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US

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