Health Risk Behaviors among Adolescents Attending Rural, Suburban, and Urban Schools: A Comparative StudyAtav, Serdar PhD; Spencer, Gale A. PhD, RNFamily & Community Health: July 2002 - Volume 25 - Issue 2 - p 53–64 Article Abstract Author Information This study describes differences in health risk behaviors among 2,017 adolescents attending rural, suburban, and urban school districts in upstate New York. Differences in risk behaviors regarding use of tobacco, alcohol, and illegal substances; sexual activity; and carrying weapons were analyzed. A consistent pattern emerged from the analysis of the data, with rural students at most risk. The findings reinforce the need to focus on the relationship between residence and health risk behaviors, so that intervention programs specific to the needs of rural, suburban, and urban adolescents can be developed. Serdar Atav, PhD Associate Professor Gale A. Spencer, PhD, RN Professor Decker School of Nursing Binghamton University Binghamton, New York © 2002 Lippincott Williams & Wilkins, Inc.