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Invited Commentary
December 2016

The Case for a Concerted Push to Reduce Place-Based Disparities in Smoking-Related Cancers

Author Affiliations
  • 1Gillings School of Global Public Health, University of North Carolina, Chapel Hill
  • 2Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill
  • 3Center for Public Health Systems Science, George Warren Brown School of Social Work, Washington University in St Louis, St Louis, Missouri
  • 4Stanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, California
JAMA Intern Med. 2016;176(12):1799-1800. doi:10.1001/jamainternmed.2016.6865

In this issue of JAMA Internal Medicine, Lortet-Tieulent and colleagues1 demonstrate the grim consequences of state-level disparities in smoking prevalence. They identify substantial disparities in the smoking-attributable cancer mortality among US states. As the authors suggest, it is likely that only a small amount of the variation in smoking-attributable cancer mortality is due to differences in population demographic characteristics among states. Rather, most of the disparity in state smoking-attributable cancer mortality is driven by the inequitable distribution of strong tobacco control policies across states and the uneven level of funding for state tobacco control programs.

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