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Cigarette smoking and E-cigarette use in greater Philadelphia: Prevalence compared to national data and local predictors of use status
Journal article   Open access   Peer reviewed

Cigarette smoking and E-cigarette use in greater Philadelphia: Prevalence compared to national data and local predictors of use status

Munjireen Sifat, Joshua Banks, Lilianna Phan, Kuang-Yi Wen, Julie A. Barta, Rebecca Melillo and Hee-Soon Juon
Preventive medicine reports, v 67, 103498
May 2026
DOI: https://doi.org/10.1016/j.pmedr.2026.103498
url
https://doi.org/10.1016/j.pmedr.2026.103498View
Published, Version of Record (VoR) Open

Abstract

Health Equity Tobacco
Objective We assessed cigarette smoking and e-cigarette use in the Greater Philadelphia region alongside national data. The objectives were to descriptively explore differences in tobacco use by sociodemographic characteristics. We also examined cancer belief associations with smoking and e-cigarette use in the local context. Methods We descriptively compared cross-sectional survey data from 2744 adults in the Sidney Kimmel Comprehensive Cancer Center (SKCCC) catchment area (Greater Philadelphia region; May–July 2022) with 6252 Health Information National Trends Survey (HINTS 6) nationally representative respondents (United States; March–November 2022). Multivariable logistic regression identified factors associated with tobacco use in the local context. Results Higher prevalence of cigarette smoking and e-cigarette use were observed in the SKCCC catchment compared to national data. Racial/ethnic minority groups reported higher tobacco use. Locally, perceived susceptibility and belief that chances of getting cancer cannot be reduced were associated with use of both products. Locally, sociodemographic factors including low education, financial hardship, and perceived discrimination predicted higher tobacco use. Conclusions Regionally tailored public health interventions are warranted to address cancer beliefs and social determinants of health to reduce tobacco-related cancer disparities and promote health equity.

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