Geographic Disparities by Rural-Urban Status and Drive Time to Care in Tobacco Treatment for COPD
In this cohort study of individuals with COPD who smoke, the overall provision of TDT-arguably the most important of all COPD interventions-was low. Additionally, rural residence and longer drive time to specialty care were associated with lower likelihood of receiving TDT. These findings highlight the need to address TDT for all individuals with COPD, especially those facing geographic disparities, to improve health outcomes.
Authors
- Hildi Hagedorn (ORCID: https://orcid.org/0000-0002-5118-7624)
- Chris H. Wendt (ORCID: https://orcid.org/0000-0002-0924-8745)
- Orly Vardeny (ORCID: https://orcid.org/0000-0002-6387-1351)
- Arianne K. Baldomero (ORCID: https://orcid.org/0000-0002-8309-0747)
- R. Adams Dudley (ORCID: https://orcid.org/0000-0002-8532-8552)
- Anne C. Melzer (ORCID: https://orcid.org/0000-0001-6966-7848)
- Steven S. Fu (ORCID: https://orcid.org/0000-0002-2246-9825)
- Ken M. Kunisaki (ORCID: https://orcid.org/0000-0001-8644-2827)
Institutions
- University of Minnesota (US)
- Minneapolis VA Health Care System (US)
- University of Minnesota Medical Center (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-08-26
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.28898
- Citations
- 2
- Primary Topic
- Smoking Behavior and Cessation
- Type
- article
- Field-Weighted Citation Impact
- 2.33
Funders
- U.S. Department of Veterans Affairs
- American Thoracic Society
- Eli Lilly and Company
- Cytokinetics
- Moderna
- National Institutes of Health
- Centers for Disease Control and Prevention
- Agency for Healthcare Research and Quality
- National Center for Advancing Translational Sciences