ArticleThe American journal on addictions2026
Rural-urban residence in relation to cannabis use influences and behaviors among a sample of US young adults reporting past-month cannabis use.
Article in The American journal on addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectivesDespite growing cannabis use rates among US rural-residing young adults, less research has examined associations of rural-urban residence with cannabis use influences (e.g., harm perceptions, peer use) or behaviors (e.g., use frequency, driving under the influence of cannabis [DUIC]).
methodsUsing 2023 online survey data from 1961 US young adults (aged 18-34) reporting past-month cannabis use (M
resultsRural (vs. urban) residence was associated with three use influences (i.e., greater coping motives, lower perceived harm of cannabis use, higher odds of a mental health diagnosis), more frequent cannabis use and DUIC, but fewer use consequences. All three influences were associated with more frequent use and having a mental health diagnosis was associated with more frequent DUIC. Greater coping motives and lower harm perceptions were associated with fewer consequences, and having a mental health diagnosis was associated with greater consequences. DISCUSSION AND
conclusionsRural (vs. urban) young adults reported more frequent cannabis use and DUIC, which may be associated with low cannabis-related harm perceptions and using cannabis to cope with stress/mental health symptoms. SCIENTIFIC SIGNIFICANCE: Interventions targeting rural young adults that address mental health symptoms and risk perceptions, including DUIC-related risks, may be needed.
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