U54 Pilot: Extending the reach of the AppalTRUST Cohort to include urban and suburban locations: A feasibility study of outreach, recruitment and data collection in Fayette County, Kentucky.

Adults who smoke nondaily (ASN) make up approximately one-third of adults who currently smoke cigarettes in the U.S. Young adult, Hispanic/Latino, and Black/African American individuals comprise a substantial proportion of ASN. Compared to adults who do not smoke, smoking nondaily is associated with increased likelihood for respiratory mortality (3-6 fold), cardiovascular mortality (1.5-3 fold), and cancer mortality (1.5-2.4 fold). Despite these clear health risks, adults who smoke nondaily (vs. daily) are less likely to perceive themselves as vulnerable to smoking health consequences and often do not consider themselves “smokers”. Thus, many tobacco control techniques (e.g., risk messaging) may be less effective for ASN. Little is known about how ASN may respond to other tobacco control efforts, including tobacco product regulation, and key groups, such as rural ASN and those who use other substances (e.g., cannabis, alcohol) have been understudied.