Adolescent risk behavior remains prevalent and contributes to numerous social problems and growing health care costs. Contrary to popular perception, adolescents in rural areas engage in risky behaviors at least as much as youth from urban or suburban settings. Little research, however, focuses on risk behavior prevention in the rural context.…

In contrast to persistent "culture of poverty" explanations, studies of seemingly irrational risk-taking behaviors among West Virginia adolescents found that early pregnancy and dropping out of school were related to lack of economic opportunity and decline of traditional community cultural patterns without acceptable alternatives.…