Purpose: As the most widely used substance among adolescents in the United States, alcohol remains a critical public health issue. The majority of research in this area has focused on individual-level variables. This study examined the contextual effects of rurality, geographic region, and community ethnicity in the prediction of alcohol use among…

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…

Examines substance use trends among rural 12th-grade students, 1976-97, based on the national triennial study "Monitoring the Future." Finds that youth from more rural locations generally displayed lower rates of substance use, but as urbanization spread, differences declined. Compares data on farm, rural nonfarm, and small-town youth in both…