New research shows medical professionals should inquire more about smokeless tobacco use by rural female patients as it is largely unknown.

The prevalence of use in rural female populations is an unexplored question. The Centers for Disease Control (CDC) estimates about 2 percent of women use smokeless tobacco nationally. Yet other research shows that while smoking is on a decline, the use of smokeless tobacco has increased, especially among women, young people, specific ethnic and cultural groups and in the southern states.