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There are inequities in the way that smoking prevalence has declined across US communities.1 In 2021, the Population Level Analysis and Community Estimates (PLACES)2—a collaboration between the US Centers for Disease Control and Prevention (CDC) and the Robert Wood Johnson Foundation—released estimates of smoking prevalence across all US census tracts, allowing these inequities to be quantified. Using methods developed for analyses of census tracts in the 500 largest US cities,3 we characterised inequities in cigarette smoking both between and within US states and in relation to state smoking prevalence.
PLACES provides model-based estimates of health indicators from the 2019 Behavioral Risk Factor Surveillance Survey (BRFSS) at census-tract level.2 A census tract is generally smaller than a city, larger than a block group and a fairly permanent subdivision of a county. We analysed the census-tract prevalence estimates of adult (18+ years) self-reported current smoking for all census tracts with available estimates (N=70 338). We also obtained state-level estimates of adult self-reported …
Contributors ECL developed the concept for the study and performed the analytic calculations. All authors contributed to the interpretation of the results and the final version of the manuscript.
Funding The work is funded by Grants T31IR1584 and 28IR-0066 from the Tobacco Related Disease Research Program. NS also acknowledges salary support from the National Institute of Mental Health (Grant 5T32MH122376).
Disclaimer The study sponsors took no part in the study design; collection, analyses and interpretation of data; writing of the manuscript; or decision to submit the manuscript for publication.
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Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.