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Effectiveness of mass distribution of nicotine patches to promote tobacco control in rural versus urban settings
  1. John A Cunningham1,2,3,
  2. Vladyslav Kushnir1,4
  1. 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada
  2. 2Research School of Population Health, The Australian National University, Canberra, ACT, Australia
  3. 3Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
  4. 4Department of Pharmaceutical Sciences, University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to Dr John A Cunningham, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario, Canada M5S 2S1; john.cunningham{at}

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Smoking rates are higher in rural than in urban settings.1 Further, access to healthcare and tobacco cessation programmes is challenging in rural areas because of lower population density and large geographic distances.2 Thus, tobacco cessation initiatives that overcome these barriers are needed to address the disparity in healthcare provision in rural settings.3 ,4 One such option is the distribution of nicotine patches by postal mail. However, is there evidence to suggest that such programmes might be effective in rural settings?

Secondary analyses were conducted of …

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  • Contributors JAC conceived of the trial and analyses. VK conducted the trial and analysis. JAC wrote the manuscript. Both authors approved of the final version.

  • Funding Canadian Institutes of Health Research.

  • Competing interests None declared.

  • Ethics approval Standing IRB of the Centre for Addiction and Mental Health.

  • Provenance and peer review Not commissioned; externally peer reviewed.