{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T20:26:44Z","timestamp":1783196804009,"version":"3.54.6"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2022,5]]},"abstract":"\n Purpose<\/jats:title>\n Determine associations of strength of local smoke-free laws and urban\/rural location with cigarette and smokeless tobacco use among high school students in grades 10 and 12.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Secondary data analysis from the 2004\u20132018 biennial Kentucky Incentives for Prevention Survey<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Public high schools in Kentucky<\/jats:p>\n <\/jats:sec>\n \n Sample<\/jats:title>\n \n N = 353502 10\n th<\/jats:sup>\n \/12\n th<\/jats:sup>\n graders\n <\/jats:p>\n <\/jats:sec>\n \n Measures<\/jats:title>\n County-level smoke-free law status from the Kentucky Center for Smoke-free Policy; Rural Urban Continuum Codes; self-reported last 30-day alcohol, marijuana, cigarette, and smokeless tobacco use<\/jats:p>\n <\/jats:sec>\n \n Analysis<\/jats:title>\n Generalized estimating equations modeling assessed the association of law status and urban\/rural location with tobacco use across cohorts, controlling for demographics and other substance use.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Students in counties with a comprehensive smoke-free law were 23% less likely to smoke cigarettes and 16% less likely to use smokeless, compared to those in counties without a law. Students in counties with moderate\/weak laws did not differ in likelihood of use for either product, compared to those in counties without a law. Students in urban counties were 14% less likely to smoke, but there was no difference in likelihood of smokeless use by urban\/rural location.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Comprehensive smoke-free laws are associated with a lower likelihood of youth cigarette and smokeless use. Rural youth may be at increased risk of cigarette smoking relative to youth in urban areas.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/08901171211066913","type":"journal-article","created":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T03:47:08Z","timestamp":1643255228000},"page":"673-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Smoke-free Ordinances and Youth Tobacco Use in Kentucky"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8465-8763","authenticated-orcid":false,"given":"Mary Kay","family":"Rayens","sequence":"first","affiliation":[{"name":"University of Kentucky Colleges of Nursing and Public Health, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"McGeeney","sequence":"additional","affiliation":[{"name":"REACH Evaluation, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda T.","family":"Wiggins","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Bucher","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3198-2812","authenticated-orcid":false,"given":"Melinda","family":"Ickes","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Education, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1432-843X","authenticated-orcid":false,"given":"Luz","family":"Huntington-Moskos","sequence":"additional","affiliation":[{"name":"University of Louisville School of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patti","family":"Clark","sequence":"additional","affiliation":[{"name":"Kentucky Cabinet for Health and Family Services, Frankfort, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen J.","family":"Hahn","sequence":"additional","affiliation":[{"name":"University of Kentucky Colleges of Nursing and Public Health, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"bibr1-08901171211066913","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6722a3"},{"key":"bibr2-08901171211066913","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101152"},{"key":"bibr3-08901171211066913","doi-asserted-by":"publisher","DOI":"10.21149\/8051"},{"key":"bibr4-08901171211066913","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.02.014"},{"key":"bibr5-08901171211066913","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntw018"},{"key":"bibr6-08901171211066913","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10094306"},{"key":"bibr7-08901171211066913","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12356"},{"key":"bibr8-08901171211066913","volume-title":"Rural-Urban Continuum Codes","author":"U.S. Department of Agriculture","year":"2013"},{"key":"bibr9-08901171211066913","volume-title":"American 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