{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T03:48:01Z","timestamp":1762660081154,"version":"3.40.5"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T00:00:00Z","timestamp":1627862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>People with psychiatric disorders (PDs) have high risks for tobacco use and associated health effects; however, little is known about differences in tobacco use status and consumption by urban or rural residence. Among patients with PDs, we examined the association of smoke\u2010free policy on tobacco use by rural\/urban residence<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross\u2010sectional retrospective study (<jats:italic>N<\/jats:italic> = 2060) among patients in a psychiatric facility was conducted. Multi\u2010logistic and multilinear regression analyses assessed differences in outcomes stratified by rural\/urban status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among rural residents, a substance use history (odds ratios [ORs[ = 2.82, 95% CI: 2.01\u20133.96), high school education (OR = 0.71, 95% CI: 0.51\u20130.98), older age (OR = 0.99, 95% CI: 0.98\u20131.00), and longer length of hospital stay (OR = 0.99, 95% CI: 0.98\u20131.00) were associated with tobacco use. Among urban residents, male sex (OR = 1.38, 95% CI: 1.02\u20131.86), a substance use history (OR = 2.61, 95% CI: 1.86\u20133.66), and externalizing disorder diagnosis (OR = 2.72, 95% CI: 1.35\u20135.48) correlated with tobacco use. Increased tobacco consumption among rural residents was associated with being male (<jats:italic>\u03b2<\/jats:italic> = 0.12, <jats:italic>p<\/jats:italic> = 0.007) and having less than a high school education (<jats:italic>\u03b2<\/jats:italic> = 0.14, <jats:italic>P<\/jats:italic> = 0.001). Whereas, White ethnicity (<jats:italic>\u03b2<\/jats:italic> = 0.14, <jats:italic>p<\/jats:italic> = 0.006), having less than a high school education (\u03b2 = 0.11, <jats:italic>p<\/jats:italic> = 0.022), and a psychotic disorder diagnosis (\u03b2 = 0.25, <jats:italic>p<\/jats:italic> = 0.038) were associated with greater tobacco consumption in urban residents. Smoke\u2010free policy was not associated with tobacco use (OR = 1.08, 95% CI: 0.87\u20131.34) and consumption (<jats:italic>\u03b2<\/jats:italic> = 0.05, <jats:italic>p<\/jats:italic> = 0.134).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite higher rates of tobacco use among rural patients with PDs, they have similar risk factors as their urban counterparts. However, residing in a location with a smoke\u2010free policy may not contribute to tobacco use behaviors among those with PDs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12611","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T15:29:42Z","timestamp":1627918182000},"page":"364-372","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Associations of tobacco use and consumption with rurality among patients with psychiatric disorders: Does smoke\u2010free policy matter?"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0478-520X","authenticated-orcid":false,"given":"Man Ting Kristina","family":"Yau","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5674-6253","authenticated-orcid":false,"given":"Chizimuzo T. 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