Cunningham, JohnKushnir, Vladyslav2021-06-110143-005Xhttp://hdl.handle.net/1885/237268Smoking 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?Canadian Institutes of Health Researchapplication/pdfen-AU© 2016 The Authors201710.1136/jech-2016-2081032020-11-23