title: The social contextual approach and rural adolescent substance use: implications for prevention in rural settings.
abstract: Adolescents in rural areas use substances at rates comparable to urban adolescents; understanding causes of rural adolescent substance use is critical if prevention efforts are to succeed. The present review has three primary goals: (1) to define rural, (2) to evaluate the empirical evidence regarding correlates and causes of rural adolescent substance use from a social contextual framework (L. V. Scaramella, R. D. Conger, R. Spoth, & R. L. Simons, in press), and (3) to discuss the malleability of theoretically based risk or protective factors in rural settings. The review concludes with a discussion of the difficulties and challenges of implementing prevention programs in rural areas.
authors.affiliation: Department of Psychology, University of New Orleans, Louisiana 70148, USA. lscarame@uno.edu
authors.forename: L V
authors.initials: LV
authors.lastname: Scaramella
authors.forename: A W
authors.initials: AW
authors.lastname: Keyes
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D016487:Parenting / Q000523:psychology; D012307:Risk Factors; D012424:Rural Population; D012931:Social Environment; D012951:Socialization; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*