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Rural Health Roundtable
Report Says Teen Substance Abuse Higher in Rural Areas
February 2000
Smoking, drinking and drug use among young teenagers is higher in
rural America than in the nation’s large urban centers, according
to a report commissioned by the U.S. Conference of Mayors.
Released in January, the report titled No Place to Hide:Substance
Abuse in Mid-Size Cities and Rural America is the first comprehensive
assessment of substance abuse by population centers, according to
the National Center on Addiction and Substance Abuse at Columbia
University (CASA), which undertook the study.
While adult drug use is about equal in all communities, the CASA study
concluded that compared to their urban counterparts, eighth graders
living in rural communities are more than twice as likely to smoke
cigarettes, 34% likelier to smoke marijuana, 83% likelier to use crack
cocaine, 29% likelier to drink alcohol, 70% likelier to have been drunk,
and 104% likelier to use amphetamines, including methamphetamine.
The report was funded by the U.S. Drug Enforcement Administration
with support from the National Institute on Drug Abuse.According to
a CASA press statement, its analysts used previously unreleased data
from the 1999 Monitoring the Future Study and special data runs from
the National Household Survey on Drug Abuse conducted by the Substance
Abuse and Mental Health Service Administration’s Office of Applied
Studies, as well as state and other database and conducted interviews
with substance abuse experts and local officials.
The CASA release also notes that mid-size cities and rural areas are “less equipped to deal with the consequences” of the rise in substance abuse. Available on-line at: http://www.casacolumbia.org/publications.

