Title: Tobacco Use by Geographic Region | Smoking & Tobacco Use | CDC
Headings: Tobacco Use by Geographic Region
Tobacco Use by Geographic Region
Tobacco Use Prevalence
Patterns of Tobacco Use
Health Effects
Smokers are more likely than nonsmokers to develop heart disease, stroke, lung cancer, and other lung diseases.1
Secondhand Smoke Exposure
Quitting Behavior
Tobacco Industry Marketing and Influence
Resources
Websites
References

Content: Rural —non-metropolitan counties with fewer than 2,500 population in urbanized areas. Patterns of Tobacco Use
The proportion of current cigarette smokers who report smoking daily is highest among smokers living in the Midwest (68.3%), and lowest among those in the West (56.9%). 1
The proportion of current cigarette smokers who report intermittent (nondaily) smoking is highest among cigarette smokers living in the West (43.1%) and lowest among those living in the Midwest (31.7%). 1
Smokers living in rural areas are more likely to smoke 15 or more cigarettes per day than smokers living in urban areas. 1
Adolescents in rural regions begin smoking cigarettes earlier in life, and daily smoking is more likely among adolescents in rural areas than adolescents in suburban and urban areas. 3
Health Effects
Smokers are more likely than nonsmokers to develop heart disease, stroke, lung cancer, and other lung diseases.1
The highest rates of death attributable to smoking occur in the southern states of Kentucky and West Virginia. 1
People living in rural areas have 18–20% higher rates of lung cancer than people living in urban areas. 4
Lung cancer incidence is highest in the South (76.0%) and lowest in the West (58.8%). 5
Coronary heart disease and stroke rates are higher in the South than in other regions. 6,7
Chronic obstructive pulmonary disease (COPD) hospitalization risk is higher among people living in regions of Appalachia, the southern Great Lakes, the Mississippi Delta, the Deep South, and West Texas.