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…

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)

Objective: To examine the role of expectancies in adolescent smokeless tobacco (ST) use. Methods: Self-report measures of students' ST expectancies, cigarette and ST use, and peer and family tobacco use were collected from a sample of 978 rural high school students. Results: Student expectancy beliefs significantly predicted ST use and intention…

This paper reports on models that clarify the meaning of trends in 8th grade smoking in one of America's most rural and least densely populated states. It is based on cross-sectional analysis of data collected in the "Kansas Communities That Care Survey" from 1995 to 1999. The analysis of trends data is presented in table form utilizing…

The relationships among drug use, health beliefs, peer use, sex, and religion were examined using data collected from 265 seventh graders in rural northern Michigan and northeastern Wisconsin in January and February of 1984. Positive relationships were found between drug use and peer use and health beliefs. (TJH)