Advancing Tobacco Prevention and Control in Rural America

Document Type


Publication Date



rural, tobacco, prevention, MRHRC, substance use disorders, behavioral health, population health, policy, access, cessation


Commercial tobacco use is the leading cause of preventable disease, disability, and death in the United States. Rural communities continue to bear a disproportionate burden of tobacco-related health harms. In this comprehensive report, the lead authors—members of the Maine Rural Health Research Center and the Muskie School of Public Service at the University of Southern Maine—examine rates and patterns of commercial tobacco use across rural subpopulations; explore aspects of the rural context that may affect tobacco prevention and control efforts; provide an overview of rural tobacco control activities over the past ten years; suggest directions for future research; and offer recommendations for advancing rural tobacco control initiatives. The report also highlights a variety of examples of tobacco prevention and control efforts underway in rural communities across America that can be replicated and scaled to reduce the prevalence of commercial tobacco use and improve public health.


An Executive Summary is available for download at:

Funding Organization

National Network of Public Health Institues

Grant Number

CDC – OT13-1302