Oral Nicotine Pouches, Smoking, and Public Health in Appalachia
Regulation, clinical context, and evidence-based harm reduction Cigarette smoking continues to impose a disproportionate health burden in Appalachia, a region marked by persistently high smoking prevalence, elevated rates of cardiovascular disease and cancer, and long-standing socioeconomic barriers to cessation support. Despite decades of tobacco control efforts, combustible cigarette use remains entrenched in many Appalachian communities,…
