The purpose of this brief was to compare the prevalence
of key risky substance use behaviors (tobacco, alcohol,
and illicit drug use) among adults residing in
nonmetropolitan (rural) and metropolitan (urban)
counties. Combined 2017-2018 data was used from the
National Survey on Drug Use and Health (NSDUH) to
determine the prevalence of risky substance use and
compare the adult rural and urban populations.
Significant differences were found in tobacco use,
alcohol use, and some subcategories of illicit drugs.