{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:01:37Z","timestamp":1789995697048,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":84,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Previous research demonstrates that excessive alcohol use behaviors, alcohol\u2010related harms, and the prevalence of mental health conditions disproportionately impact rural communities, with mixed findings on rural\u2013urban differences in behavior uptake. This study aims to examine rural\u2013urban differences in the prevalence of excessive alcohol use among individuals with selected self\u2010reported mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The 2021 and 2022 National Survey on Drug Use and Health (NSDUH) data was used to obtain prevalence estimates for self\u2010reported\n                      <jats:italic>past\u2010year<\/jats:italic>\n                      any mental illness (AMI),\n                      <jats:italic>lifetime<\/jats:italic>\n                      depressive symptoms (DS),\n                      <jats:italic>past\u2010month<\/jats:italic>\n                      excessive alcohol use alone, and\n                      <jats:italic>past\u2010month<\/jats:italic>\n                      excessive alcohol use among individuals reporting either past year AMI or lifetime DS using survey\u2010weighted descriptive statistics. Bivariate associations and survey\u2010weighted multivariable logistic regression models were used to determine the odds of having the selected outcomes across levels of residence (large urban, small urban, and rural).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Around half of all individuals reported past month excessive alcohol use; rates were slightly higher among small urban residents compared to rural and large urban residents. Prevalence for past year AMI, lifetime DS, and past month excessive alcohol use alone were highest among small urban residents. After adjusting for sociodemographic characteristics, no significant differences were observed by residence for AMI and excessive alcohol use or for DS and excessive alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results add to a limited availability of updated and generalizable research examining differences in self\u2010reported mental health conditions and excessive alcohol use behaviors across a comprehensive rural\u2013urban continuum and can be used to inform targeted policy solutions and intervention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70209","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:40:10Z","timestamp":1787582410000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rural\u2013Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3093-0070","authenticated-orcid":false,"given":"Taryn","family":"Farrell","sequence":"first","affiliation":[{"name":"University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"},{"name":"Department of Health Services Policy &amp; Management, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0075-6863","authenticated-orcid":false,"given":"Cassie","family":"Odahowski","sequence":"additional","affiliation":[{"name":"University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Boswell","sequence":"additional","affiliation":[{"name":"University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"},{"name":"Department of Health Services Policy &amp; Management, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy &amp; Management, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiyin","family":"Hung","sequence":"additional","affiliation":[{"name":"University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"},{"name":"Department of Health Services Policy &amp; Management, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Crouch","sequence":"additional","affiliation":[{"name":"University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"},{"name":"Department of Health Services Policy &amp; Management, Arnold School of Public Health, University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7308a1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0286366"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(21)00159\u20106"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010016\u20101208\u20105"},{"key":"e_1_2_8_6_1","unstructured":"H.SaundersandR.Rudowitz \u201cA Look at the Latest Alcohol Death Data and Change Over the Last Decade\u201dKaiser Family Foundation 2024 https:\/\/www.kff.org\/mental\u2010health\/a\u2010look\u2010at\u2010the\u2010latest\u2010alcohol\u2010death\u2010data\u2010and\u2010change\u2010over\u2010the\u2010last\u2010decade\/."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.10259"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000323"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.108189"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v38.1.09"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470976739.ch21"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748\u20100361.2007.00109.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.08.016"},{"issue":"2","key":"e_1_2_8_14_1","first-page":"135","article-title":"The Risks Associated With Alcohol Use and Alcoholism","volume":"34","author":"Rehm J.","year":"2011","journal-title":"Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse and Alcoholism"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v34.4.03"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.05"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.107017"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010020\u201000719\u2010z"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000113"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12129"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12167"},{"key":"e_1_2_8_22_1","unstructured":"2022 National Survey on Drug Use and Health (NSDUH): Key Substance Use and Mental Health Indicators in the United States: Results From the 2022 National Survey on Drug Use and Health 2022 https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt42731\/2022\u2010nsduh\u2010nnr.pdf."},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12624"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12157"},{"key":"e_1_2_8_25_1","volume-title":"2021 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions","year":"2022"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.3205\/psm000089"},{"key":"e_1_2_8_28_1","unstructured":"National Institute on Alcohol Abuse and Alcoholism. \u201cStrategic Plan: Fiscal Years 2024\u20102028 \u201d2024 https:\/\/www.niaaa.nih.gov\/about\u2010niaaa\/strategic\u2010plan\u2010fiscal\u2010years\u20102024\u20102028."},{"key":"e_1_2_8_29_1","unstructured":"S. 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