Substance abuse in rural women.

Substance abuse is a significant problem for millions of women. Until recently, however, most research focused on urban men. As a result, there are significant gaps in our knowledge of substance abuse in women, especially in rural settings. This descriptive study examines risk factors for substance abuse among a small sample of rural women who are in treatment for substance abuse. The MAST and CES-D were used for initial screening for alcoholism and depression. The NIMH Diagnostic Interview Schedule and Research Diagnostic Criteria were used to establish diagnoses of alcohol and drug abuse and comorbid disorders. Risk factors examined included family history, victimization, stressful life events, alcohol expectancies, and coping. Implications of findings for nursing assessment and intervention are discussed.