Evidence map›Paper›PMID 41869256›Full record

ArticleCureus2026

The Impact of Rurality on Substance Use and Adverse Mental Health Among High School Students in Vermont, USA: A Cross-Sectional Study.

Olivia Tarmey, Gina Neidig, Anna Cosentino, Natalie Hewitt, Chike Asanya, Thomas V Delaney, Elzerie De Jager

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Olivia TarmeyLarner College of Medicine, University of Vermont, Burlington, USA.
Gina NeidigLarner College of Medicine, University of Vermont, Burlington, USA.
Anna CosentinoLarner College of Medicine, University of Vermont, Burlington, USA.
Natalie HewittLarner College of Medicine, University of Vermont, Burlington, USA.
Chike AsanyaLarner College of Medicine, University of Vermont, Burlington, USA.
Thomas V DelaneyDepartment of Pediatrics, University of Vermont, Burlington, USA.
Elzerie De JagerDepartment of Medicine, University of Vermont, Burlington, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Rates of poor mental health among high school students in the United States are increasing. Both substance use and rurality are independently associated with poor mental health outcomes among adolescents. This study explores the impact that rurality may have on the relationship between substance use and poor mental health outcomes among Vermont high schoolers. Methods The 2021 Vermont Youth Risk Behavior Survey (YRBS) was used (N = 15,097). Multivariate logistic regression was used to assess the relationship between adverse mental health and substance use by rurality. Results Experiences of adverse mental health were associated with substance use behaviors among rural and non-rural populations. The associations between adverse mental health and substance use variables did not significantly vary by rurality. Conclusions Rural environments may not modify the relationship between adverse mental health and substance use. Future research is needed to understand the causal mechanisms between adverse mental health and substance use and how these may differ by rurality.

Indexed as

adolescentmental healthruralsubstance usesuicide

Identifiers

PMID41869256
PMCPMC13001528

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.