Overview of Key Findings
Tobacco Use. Non-metropolitan adults had significantly higher prevalence rates of past year tobacco use (34.7% vs. 27.9%), daily cigarette use in the past 30 days (16.5% vs. 10.3%), and smoking at least 1 pack of cigarettes per day in the past 30 days (46.9% vs. 39.1%) than metropolitan adults.
Alcohol Use. Non-metropolitan adults had a lower prevalence rate of past year alcohol use (64.0% vs. 71.0%), past 30-day alcohol use (48.7% vs. 56.6%), and past 30-day binge drinking (24.5% vs. 26.7%) than metropolitan adults.
Illicit Drug Use. Overall illicit drug use was significantly less prevalent among non-metropolitan than metropolitan adults, both in the past year (16.0% vs. 20.1%) and the past 30 days (9.7% and 12.1%). The past year prevalence of use or misuse of several drugs was lower among non-metropolitan than metropolitan adults, including marijuana (12.4% vs. 16.3%), cocaine (1.6% vs. 2.4%), tranquilizers (1.8% vs. 2.3%), hallucinogens (1.2% vs. 2.1%), stimulants (1.4% vs. 2.1%), and inhalants (0.3% vs. 0.6%). A notable exception was past year methamphetamine use, which was significantly more prevalent among non-metropolitan than metropolitan adults (1.0% vs. 0.7%).
This project was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under cooperative agreement # U1CRH30041.
Borders, Tyrone F.; Singleton, Michael D.; and Youngen, Katherine, "Risky Substance Use Behaviors Among Adults Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018" (2020). Rural & Underserved Health Research Center Publications. 16.