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6 However, most previous research on SLT use has primarily focused on urban populations or provided a broad overview, neglecting the unique socioeconomic and cultural contexts of rural communities.[6] This gap in the literature hinders our understanding of how these factors influence SLT initiation, dependency, and cessation attempts among rural dwellers.[7] Moreover, a lack of data on the effectiveness of past cessation interventions in rural settings may impede the success of future public health initiatives.[8] Previous research also suggests that cessation interventions often fail due to a lack of consideration for these contextual factors, leading to high relapse rates among users.[9] These insights are crucial for the development of effective and integrated SLT control policies and support services tailored to the specific needs of rural communities

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