Alcohol and other drug resistance strategies employed by rural adolescents

Jonathan Pettigrew, Michelle Miller-Day, Janice Krieger, Michael L. Hecht

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


This study seeks to identify how rural adolescents make health decisions and utilize communication strategies to resist influence attempts in offers of alcohol, tobacco, and other drugs (ATOD). Semi-structured interviews were conducted with 113 adolescents from rural school districts to solicit information on ATOD norms, past ATOD experiences, and substance offer-response episodes. Rural youths' resistance strategies were similar to previous findings with urban adolescents-refuse, explain, avoid, and leave (the REAL typology)- while unique features of these strategies were identified including the importance of personal narratives, the articulation of a non user identity, and being "accountable" to self and others.

Original languageEnglish (US)
Pages (from-to)103-122
Number of pages20
JournalJournal of Applied Communication Research
Issue number2
StatePublished - May 2011
Externally publishedYes


  • Adolescents
  • Resistance Skills Training
  • Rural Health
  • Substance Use

ASJC Scopus subject areas

  • Communication
  • Language and Linguistics


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