African American youth in the US rural South are at elevated risk for poor sexual health outcomes, including sexually transmitted infections and teenage pregnancy. Historically, the southeastern USA has lagged behind in providing comprehensive sexuality-based education in secondary school, which may contribute to poor reproductive and sexual…

Purpose: Methamphetamine (MA) addiction is a significant problem in rural areas of the United States. Yet, little theoretically driven formative research has been conducted on the interactions of factors influencing initiation. The study was guided by Bronfenbrenner's bioecological model. Methods: Eighty-three MA users participated in an…

The purpose of this study was to examine individual, family, peer, and community risk and protective factors associated with past-30-days alcohol and marijuana use among African-American adolescents living in rural and urban communities. This study used data collected from 907 tenth- and twelfth-grade African-American students who completed the…

Purpose: Addressing substance abuse in rural America requires extending our understanding beyond urban-rural comparisons to how substance abuse varies across rural communities of different sizes. We address this gap by examining substance abuse prevalence across 4 geographic levels, focusing on youth (age 12-17 years) and young adults (age 18-25…

Context: All youth, especially those with serious emotional disturbances (SED), face challenges as they transition to adulthood. Little is known about rural youth at risk for transition problems. Purpose: To examine transition-age youth who use publicly funded services in rural and urban/suburban locations in Tennessee in order to describe youth…

Background: Research suggests significant health differences between rural dwelling youth and their urban counterparts with relation to cardiovascular risk factors. This study was conducted to (1) determine relationships between physical activity and markers of metabolic syndrome, and (2) to explore factors relating to physical activity in a…

Tested relevance of risk-factor model for predicting drug use among rural seventh graders (n=235). Nineteen of 20 risk factors were significantly related to at least 1 category of drug use. Subset of 10 risk factors was significantly associated with prevalence and frequency of use of cigarettes, beer and wine, hard liquor, marijuana, and other…

In 1998, 27 percent of rural children in the South were poor, compared to 17 percent elsewhere; the rural South also had more severe child poverty. Nationally, poor children were more likely to live in mother-only families; be Black; and have younger, less-educated, or unemployed parents. These factors were more prevalent in the rural South than…

This study modeled physical and psychosocial aspects of home environment and personal characteristics in a cumulative risk heuristic. Found that elevated cumulative risk was associated with heightened cardiovascular and neuroendocrine parameters, increased deposition of body fat, and higher summary index of total allostatic load. Replicated…

Reviews a systems theory approach to the development of community-based suicide prevention programs. Describes the Lifelines model of youth suicide prevention, and discusses the feasibility of implementing this model in rural and isolated areas. Contains 19 references and an outline of procedures for crisis intervention and aftercare. (SV)

Problem: Various demographic and familial risk factors have been linked to runaway behavior. To date, there has not been a systematic investigation of the impact of size of community on runaway behavior. This study will compare runaways from smaller cities and rural areas to their urban counterparts. Methods: A convenience sample of 602…

A study examines the long-term effects of a family process program on social and cognitive competence and aggressive and deviant behavior among rural African American adolescents. Results suggest that family processes influence the status and changes in adolescent competence and behavior, while analysis of covariant structures suggest that…

Risk factors associated with teenage pregnancy were studied among 95 Hispanic, Native American, and White ninth-grade females at a rural New Mexico high school. All respondents, regardless of ethnicity, reported moderate levels of health-compromising behaviors such as alcohol use, poor communication with parents regarding sex, and a false sense of…

Objective: To examine mother-child dietary concordance that may contribute to healthy eating practices critical to cancer prevention in underserved rural families. Methods: A brief food frequency questionnaire was administered to 404 sixth-graders and their mothers in rural Virginia and New York. Results: Significant dietary fat concordance rates…

Explores the unique values and characteristics of rural communities and farm families, particularly individual, family, and community factors that may protect children from potentially negative developmental effects of chronic stress or adversity. Considers community strengths in supporting children's healthy development. Identifies implications…