@article{ref1,
title="Prevalence and severity of alcohol and cannabis use across the urban-rural continuum in the Michigan National Guard",
journal="Journal of rural health",
year="2019",
author="Coughlin, Lara N. and Walton, Maureen A. L. and McCormick, Richard and Blow, Frederic C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The National Guard provides critical support both domestically and abroad with soldiers dispersed throughout America and spanning the urban-rural continuum. To determine if location-specific interventions may be needed, we compared the prevalence and severity of cannabis and alcohol use among National Guard members across localities. <br><br>METHODS: Michigan National Guard members were enrolled (N = 2,746) during drill weekends as part of a larger randomized behavioral trial. Cannabis (ASSIST; prevalence = 5%) and alcohol use (AUDIT; prevalence = 82%) were compared using hurdle regression models across locality status after adjusting for covariates. <br><br>FINDINGS: Prevalence of cannabis and alcohol use was predicted by locality (adjusted odds ratio [AOR] = 0.913, 95% CI: 0.838-0.986, P = .029; AOR = 0.963, 95% CI: 0.929-0.998, P = .038, respectively), with more use in urban localities. Neither severity of cannabis nor alcohol use was predicted by locality status. <br><br>CONCLUSIONS: Prevalence of cannabis and alcohol use in the National Guard is differentially elevated across localities with higher prevalence in more central, densely populated areas. <br><br>FINDINGS may inform future work considering accessibility and utilization of prevention and treatment services for Guard members across the urban-rural continuum.<br><br>© 2019 National Rural Health Association.<p /> <p>Language: en</p>",
language="en",
issn="0890-765X",
doi="10.1111/jrh.12412",
url="http://dx.doi.org/10.1111/jrh.12412"
}