Date of Award


Document Type


Degree Name

Master of Public Health (MPH)


Public Health

First Advisor

Ben Greenfield, PhD.


Tobacco use and chronic disease have a well-established relationship. Tobacco has a direct causal link to cancer, heart disease, stroke, lung disease, and diabetes, among other chronic conditions (Centers for Disease Control and Prevention, 2020). The relationship between chronic diseases named in the Behavioral Risk Factor Surveillance System (BRFSS) and tobacco use calls for further analysis, but some studies have already defined the parameters of such relationships. In a recent meta-analysis, Rodrick et al. (2019) quantified the global prevalence of tobacco use in patients diagnosed with diabetes and found that 1 in 5 patients diagnosed with type 2 diabetes were tobacco users. Additionally, tobacco use exacerbates the negative impacts of asthma, with smokers experiencing more severe asthma symptoms and outcomes than non-smokers (Tiotiu et al., 2021). Tobacco use has also been found to increase the risk of 17 different cancers in human subjects (Alexandrov et al., 2016), although lifelong smokers have a lower risk of melanoma than non-smokers (Song et al. 2012).



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