Electronic nicotine delivery systems (ENDS, commonly referred to as e‐cigarettes), have become popular among young adults (YAs, 18–24 years) in the United States. YAs in rural areas increasingly consume more ENDS than those in urban areas. However, there is a knowledge gap regarding the perspectives of public health advocates (PHAs) on ENDS use and cessation among YAs in rural areas.The objectives of the study are to describe the perspectives of PHAs and identify strategies to strengthen the capacity for promoting the cessation of ENDS among YAs in rural communities.A qualitative study and interpretive description were used with semi‐structured interviews. The content analysis was used to analyze the data.Twenty‐two PHAs, including public health officers, nurses, and tobacco‐free educators, from Wisconsin, Minnesota, and North Dakota, were invited to the semi‐structured interviews.Four themes emerged: (a) Perceived ENDS use and cessation; (b) rural contexts and infrastructure influencing ENDS use; (c) essential public health responsibilities controlling ENDS use in rural areas; and (d) regulating ENDS use: Policies and law. PHAs stressed the importance of increased awareness of ENDS use in YAs, improved regulation, and tailored policies to tackle rural communities’ distinct challenges.The study emphasizes the urgency for specialized programs to aid YAs in quitting ENDS in rural areas. A comprehensive strategy is needed to effectively address ENDS use among YAs in rural areas, involving education, policy adjustments, and community‐based initiatives.

中文翻译：

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重新思考农村：公共卫生倡导者对农村地区年轻人戒烟的看法


电子尼古丁输送系统（ENDS，通常称为电子烟）已在美国年轻人（18-24 岁）中流行起来。农村地区的青年人比城市地区的青年人消费更多的电子尼古丁传送系统。然而，公共卫生倡导者 (PHAs) 对农村地区青年人使用和戒断电子尼古丁传送系统的看法存在知识差距。本研究的目的是描述公共卫生倡导者 (PHAs) 的观点，并确定加强促进 ENDS 使用和戒断能力的策略。农村社区青年人停止使用电子烟。通过半结构化访谈进行了定性研究和解释性描述。内容分析用于分析数据。来自威斯康星州、明尼苏达州和北达科他州的 22 名公共卫生官员，包括公共卫生官员、护士和无烟教育工作者，受邀参加半结构化访谈。出现了四个主题： (a) 认为电子尼古丁传送系统的使用和停止； (b) 影响电子尼古丁传送系统使用的农村环境和基础设施； (c) 控制农村地区电子尼古丁传送系统使用的基本公共卫生责任； (d) 规范电子尼古丁传送系统的使用：政策和法律。公共健康协会强调了提高青年协会对 ENDS 使用意识、改进监管和​​制定专门政策来应对农村社区的独特挑战的重要性。该研究强调了制定专门计划来帮助青年协会在农村地区戒除 ENDS 的紧迫性。需要制定一项全面的战略来有效解决农村地区青年协会使用电子烟的问题，包括教育、政策调整和基于社区的举措。