Abstract

The purpose of this study is to examine the nature and extent of alcohol-related problems experienced by adolescents residing in an urban (n = 1132) and rural (n = 987) area of Nova Scotia. These problems are divided into three categories: social consequences, early dependency symptoms, and vandalism or violence. A significantly greater number of subjects in the rural as compared to urban junior-high grades reported problems with school (χ2 = 7.21, p < .007), the police (χ2 = 4.5, p < .03), and money (χ2 = 4.23, p < .03), whereas a significantly greater number (χ2 = 5.04, p < .020) of high-school seniors from the urban area reported pre-party drinking as compared to their rural counterparts. The small-town environment of a rural area appears to provide little insulation against the risks and problems associated with teenage alcohol consumption. Health professionals need to become aware of the prevalence of adolescent drinking problems and take an active role in supporting enlightened public policies.

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