Although smoking declines in the United States, the prevalence of male adolescent smokeless tobacco (ST; moist snuff and chewing tobacco) use remains unchanged. ST product characteristics, such as flavoring, packaging, and branding, could influence adolescents' ST initiation and continued use. This qualitative study examines the potential role of…

Objective: To evaluate 3-month tobacco quit rates of young adult tobacco users randomized to 2 intervention conditions. Methods: Overall 192 non-treatment-seeking 18-to-24-year-old tobacco users received educational information and advice to quit smoking. Participants were then block randomized to 2 brief intervention conditions: (1) a telephone…

While many adolescents and young adults experiment with substances (e.g., alcohol, cigarette smoking, marijuana), recent research suggests that rural youth and young adults may be more at risk for substance use than their urban counterparts. This study was designed to examine the longitudinal relationships between rural adolescents' prosocial…

Substance use among youth is a significant health concern in the rural United States, particularly among at-risk students. While evidence-based programs are available, literature suggests that an underdeveloped rural health prevention workforce often limits the adoption of such programs. Additionally, population-size restrictions of national…

Purpose: This study examined the awareness and impact of antitobacco media messages among rural, suburban, and urban youth. Method: Self-administered questionnaires were received from 1,622, 1,059, and 1,177 middle school (sixth, seventh, and eighth grade) students in rural, suburban, and urban locations, respectively. Logistic regression compared…

Reports a study that examined the value hierarchies of adolescent groups categorized by tobacco use (nonusers, experimenters, and heavy users). Surveys of rural 7th-12th graders indicated significant differences among the 3 groups' value priorities in areas including health, family security, and a world at peace. (SM)

Among 3,907 seventh-twelfth grade students in rural Illinois, ages at first use for alcohol, tobacco, and drugs were lower than national averages. Specific drug and alcohol education programs should be implemented before age of first use for 10 percent of students. Contains 20 references and 3 data tables. (SV)

Investigated tobacco use from 1976-1992 among urban and rural adolescents using data from Monitoring the Future, a project that examines high school seniors' risk behaviors and sociodemographics annually. Results suggest rural white males smoke most often and urban black females smoke least often when compared to other groups. Smoking rates…

A survey of health risk behaviors was administered to a representative sample of 7,776 Idaho students in grades 8-12. Respondents were 86% White, 6% Hispanic, 4% American Indian, 3% Asian, and 2% Black. These rural adolescents reported that they had engaged in some health risk behaviors at rates comparable to those of other U.S. adolescents: 57%…

This report examines alcohol, tobacco, and other drug use in rural parts of Indiana, as well as public and private initiatives to reduce these problems. The report is based on epidemiological, health, and criminal justice indicators; focus groups; and in-depth interviews with local officials, researchers, service providers, and civic leaders.…

Examined substance use among rural black and rural white students (n=1,915). Found that black males were significantly less likely than white males to drink alcohol; get drunk; smoke cigarettes; or use smokeless tobacco, hallucinogens, and sedatives. Black females were significantly less likely than white females to drink alcohol; get drunk; smoke…

The use and abuse of dangerous and illicit drugs, particularly among young people, continues to rise despite recent efforts to develop and implement drug education programs in schools. This study investigated substance use by rural Kansas fifth and sixth graders. Independent variables were gender, family structure, perceived relationship with…

Using a self-report questionnaire, this study investigated smoking experimentation among 374 rural, black fifth graders and white fifth graders. Results indicated that 26% of males and 16% of females had tried cigarettes. Black students and white students had similar smoking experimentation rates. Peer and parent smoking affected students smoking…

America's substance abuse epidemic has come to rural America. Adults in small metropolitan and rural areas are just as likely as those in urban America to use and abuse illegal drugs, alcohol, and tobacco. Young teens in small metropolitan and rural areas are more likely to abuse substances than those in large metro areas. Based on a wide variety…

This paper compares data on the prevalence of alcohol and other drug use by students in grades 8 and 12 across four sizes of communities. Data from the American Drug and Alcohol Survey (ADAS), administered in approximately 250 communities during the 1992-93 and 1993-94 school years, were analyzed for four community sizes: very small (population…