Risky Substance Use Among Adolescents and Adults in Nonmetropolitan and Metropolitan Counties

A dearth of contemporary information exists about risky substance use among children and adults residing in nonmetropolitan and metropolitan counties nationally. This project filled important gaps in knowledge that health policymakers may use to develop and implement more effective substance use prevention interventions for nonmetropolitan adolescents and adults. Specifically, we aimed to: 1) estimate and compare alcohol use and binge drinking between nonmetropolitan and metropolitan adolescents and adults; and 2) estimate and compare drug use (marijuana, other illicit drugs, and non-medical use of other drugs) between nonmetropolitan and metropolitan adolescents and adults. This project provided evidence about the prevalence of these risky behaviors among nonmetropolitan residents that will inform the allocation and implementation of prevention programs aimed at reducing risky alcohol and drug use among rural Americans.

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