Background: Escalation of youth violence within a large geographic school-complex area in southeastern rural Hawaii became a major problem in 2006. How cultural forces impact the problem was an impetus to examine youth violence from perspectives of adults and children in rural communities. Gathering these data was an essential first step toward…

Background: Although rural adolescents use of alcohol is at some of the highest rates nationally, rural adolescent alcohol use has not been studied extensively. This study examines how community attitudes and behaviors are related to adolescent drinking in rural environments. Methods: Data were gathered in 22 rural communities in the Upper Midwest…

Background: Dengue fever and dengue hemorrhagic fever (DF/DHF) are epidemic and endemic in tropical and subtropical countries including Sri Lanka. Numerous structural and community interventions have been shown to be effective in interrupting the life cycle of mosquitoes that transmit DF/DHF; however, these interventions are not always implemented…

Evaluated the need for school-based health centers in rural New York state. Examination of existing data, community organizational activities, parent telephone surveys, school staff surveys, and focus groups with community members, school staff, and 6th- to 12th-grade students indicated that respondents had varying opinions about school-based…

For school-based health clinics (SBHCs) to succeed, the agenda for school-based care must reflect the community's needs and priorities. The article presents focus group data from three SBHCs in rural and urban Louisiana, demonstrating how controversies about reproductive health may frame more general concerns about school-based care. (SM)

This article describes a rural teenage pregnancy program and compares the pregnancy outcomes to 60 matched nonparticipants. The study determined a relationship existed between program participation and maternal complications, birth weight, gestational age, Apgar score, and perinatal morbidity. (Author/MT)