Does the Role of Student Factors with Adolescent Substance Use Vary by Geography?

This study assesses the association of 12th-grade student factors (e.g., grades, classroom misbehaviors) with substance use (i.e., binge drinking, cigarette smoking, marijuana) across large, medium-sized, and nonmetropolitan areas. Based on a sample of 2,189 students from the 2013 Monitoring the Future data set, logistic regression analyses showed that poor student academic and behavioral factors were associated with higher substance use after controlling for gender, race, and socioeconomic status. Interaction analyses further showed no significant differences in the influence of student factors on substance use across locales. Results suggest that prevention efforts against substance use should target student factors regardless of area of residency.