Rural & Underserved Health Research Center Publications


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%).

Publication Date


Notes/Citation Information

© 2020 Rural & Underserved Health Research Center, University of Kentucky

The information, conclusions and opinions expressed in this document are those of the authors and no endorsement by FORHP, HRSA, HHS, or the University of Kentucky is intended or should be inferred.

Funding Information

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.