Journal of Adolescent Health
Volume 32, Issue 5 , Pages 350-355 , May 2003

Adolescent substance use, sexual behavior, and metropolitan status: is “urban” a risk factor?

  • Sara B Levine, M.D., M.P.H.

      Affiliations

    • Department of Pediatrics, Residency Program in Social Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York, USA (S.B.L.)
    • ,
  • Susan M Coupey, M.D.

      Affiliations

    • Department of Pediatrics, Division of Adolescent Medicine, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York, USA (S.M.C.)
    • Corresponding Author InformationAddress correspondence to: Susan M. Coupey, M.D., Professor of Pediatrics, Albert Einstein College of Medicine, Director, Division of Adolescent Medicine, Children’s Hospital at Montefiore, 111 East 210th Street, Bronx, NY 10467, USA

,Accepted 13 November 2002.

References 

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  2. Eberhardt MS, Ingram DO, Makuc DM, et al.  Urban and Rural Health Chartbook. Health, United States, 2001. Hyattsville, MD: National Center for Health Statistics; 2001;
  3. The National Center on Addiction and Substance Abuse at Columbia University . No Place to Hide (Substance Abuse in Mid-Size Cities and Rural America). New York: National Center on Addiction and Substance Abuse, Columbia University; 2000;
  4. Cronk CE, Sarvela PD. Alcohol, tobacco, and other drug use among rural/small town and urban youth (A secondary analysis of the Monitoring the Future Data Set). Am J Public Health. 1997;87:760–764
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  8. Research Triangle Institute . SUDAAN User’s Manual, Release 8.0. Research Triangle Park, NC: Research Triangle Institute; 2001;
  9. Pearce N. The ecological fallacy strikes back. J Epidemiol Community Health. 2000;54:326–327
  10. Schwartz S. The fallacy of the ecological fallacy (The potential misuse of a concept and the consequences). Am J Public Health. 1994;84:819–824
  11. Ryan S, Riley A, Kang M, Starfield B. The effects of regular source of care and health need on medical care use among rural adolescents. Arch Pediatr Adolesc Med. 2001;155:184–190
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PII: S1054-139X(03)00016-8

doi: 10.1016/S1054-139X(03)00016-8

Journal of Adolescent Health
Volume 32, Issue 5 , Pages 350-355 , May 2003

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