Tobacco use among Appalachian adolescents: An urgent need for virtual scale out of effective interventions

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dc.contributor.authorHorn, Kimberlyen
dc.contributor.authorSchoenberg, Nancyen
dc.contributor.authorRose, Shyanikaen
dc.contributor.authorRomm, Katelynen
dc.contributor.authorBerg, Carlaen
dc.date.accessioned2023-04-25T12:45:33Zen
dc.date.available2023-04-25T12:45:33Zen
dc.date.issued2022-11en
dc.description.abstractTobacco use, typically initiated during adolescence, can escalate into young adulthood, even among experimenting or intermittent users. Despite declines in cigarette smoking among US adolescents, use of other tobacco products and poly-tobacco are on the rise among Appalachian adolescents. Unfortunately, Appalachian adolescent tobacco users also are less likely to receive effective tobacco interventions due to various barriers: a) accessibility (e.g. service and provider shortages, affordability, and transportation; b) acceptability (e.g. issues of privacy and stigma); and c) cultural relevance. The present review provides critical considerations synthesized from an extensive body of literature on the suitability of virtual tobacco interventions, the need for well-timed interventions that address complex tobacco use, and the rationale for leveraging and scaling evidence-based interventions inform novel interventions for Appalachian adolescent tobacco users. Borrowing strength from existing in-person evidence-based adolescent tobacco interventions and state-of-the-art virtual health services, a well-planned virtual scale out of tobacco interventions holds potential to minimize barriers unique to Appalachia.en
dc.description.notesThis study was funded by the US National Cancer Institute (R01CA21515501A1; PI: Berg; R01CA239178-01A1; MPIs: Berg, Levine; R01CA179422-01; PI: Berg; R21 CA261884-01A1; MPIs: Berg, Arem), the Fogarty International Center (R01TW010664-01; MPIs: Berg, Kegler), the National Institute of Environmental Health Sciences/Fogarty (D43ES030927-01; MPIs: Berg, Caudle, Sturua), and the National Institute on Drug Abuse (R01DA05475101A1; MPIs: Berg, Cavazos-Rehg).en
dc.description.sponsorshipUS National Cancer Institute [R01CA21515501A1, R01CA239178-01A1, R01CA179422-01, R21 CA261884-01A1]; Fogarty International Center [R01DA054751-01A1]; National Institute of Environmental Health Sciences/Fogarty [R01CA215155-01A1]; National Institute on Drug Abuse [R01CA239178-01A1]en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.18332/tpc/155331en
dc.identifier.eissn2459-3087en
dc.identifier.pmid36404952en
dc.identifier.urihttp://hdl.handle.net/10919/114771en
dc.identifier.volume8en
dc.language.isoenen
dc.publisherEuropean Publishingen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectadolescent tobacco cessationen
dc.subjectrural youth tobacco preventionen
dc.subjectvirtual tobacco interventionen
dc.titleTobacco use among Appalachian adolescents: An urgent need for virtual scale out of effective interventionsen
dc.title.serialTobacco Prevention & Cessationen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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