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Adolescent Alcohol Use - Exploring Rural-Urban Differences


1. All of the following are long term risks of adolescent alcohol use, except for:

A. Poor academic performance

B. Changes in brain development

C. Risky sexual and social behavior

D. Increased risk for suicide and homicide

2. Alcohol may be viewed by parents and adults as a rite of passage for adolescents.

A. True

B. False

3. Adolescents perceive the consumption of alcohol to be less risky than other substances.

A. True

B. False

4. Studies suggest that rural youth are more likely than urban youth to:

A. Begin drinking at an early age.

B. Engage in binge and heavy drinking.

C. Drive while intoxicated.

D. All of the above.

5. Which of the following has not been identified as a factor associated with adolescent alcohol use?

A. Socioeconomic status

B. Gender

C. Peer attitudes toward drinking

D. School participation and performance

Background And Approach

6. All of the following are true with regards to the typical trajectory of alcohol use for most youth, except for:

A. It begins in early to mid adolescence.

B. Amount consumed and rates of alcohol and binge alcohol use increase with age.

C. Alcohol use behaviors begin to stabilize and decrease in the early 30s and with the assumption of adult responsibilities.

D. All of the above are true.

7. Adolescent boys are slightly more likely than girls to have had a drink at some point in their lives and within the past 30 days.

A. True

B. False

8. The younger the adolescent and the more often they drink, the more likely they are to do all of the following, except for:

A. Drop out of high school.

B. Use other substances.

C. Engage in problem drinking behaviors.

D. Develop an alcohol use disorder.

9. Lower family income is associated with a greater probability of drinking within the past 12 months among both younger teens and high school age students.

A. True

B. False

10. Adolescents in one-parent families are more likely to drink at all ages and are more likely to engage in other forms of substance use and risky behavior than adolescents from two-parent families.

A. True

B. False

11. Parental behavior and expectations regarding alcohol use does not have a significant influence over their adolescents’ decision to use alcohol.

A. True

B. False

12. Which of the following is part of a positive family environment that moderates the potentially negative impact of peers on adolescent drinking behavior?

A. Parental monitoring

B. Acceptance

C. Good communication

D. All of the above

13. Which of the following is not a protective factor against alcohol use?

A. Teacher interest in students.

B. Punitive school policies against student alcohol use.

C. School bonding.

D. All of the above are protective factors.

14. Students heavily engaged in social activities outside of school and those that hold part-time jobs use less alcohol than those who do not.

A. True

B. False

15. Studies have found that religiosity is not associated with reduced alcohol and drug use among adolescents.

A. True

B. False


16. Rural youth are less likely than urban youth to:

A. Report that their parents disapprove of them drinking one or more alcoholic beverages a day.

B. Disapprove of their peers drinking alcohol.

C. Say their friends disapprove of youth drinking.

D. All of the above.

17. Which of the following is associated with lower rates of binge drinking and lower rates of driving under the influence?

A. Having two parents in the home.

B. Having parents that help with their homework.

C. Both (A) and (B).

D. None of the above.

18. Rates of binge drinking and DUI are lower when friends disapprove of youth drinking than when they approve.

A. True

B. False

19. Participating in two or more youth activities is a protective factor for driving under the influence.

A. True

B. False

20. Which of the following is not a protective factor for binge drinking and for driving under the influence?

A. Church attendance

B. Parent disapproval of drinking

C. Youth likes school

D. None of the above

Discussion And Policy Implications

21. After controlling for the selected set of risk and protective factors, the risk of binge drinking and/or driving under the influence is no greater for youth living in rural areas as it is for those living in urban areas.

A. True

B. False

22. Youth who like school are more likely to see a pathway to success in life and to see that drinking may divert them from that pathway.

A. True

B. False

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