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young adulthood, and in the United States, young adult women suffer from higher rates of major depressive disorder and lower rates of substance use disorder than do young adult men.1 National estimates in 2010 find that, although rural (non-metropolitan) rates are similar to non-rural (metropolitan) rates nationwide, sex differences in depressive and substance abuse disorders are less apparent in rural America.2 Whereas non-rural young women show higher rates of depressive disorder than non-rural young men, such rates are comparable for rural young women and men nationwide. Likewise, rural young men abuse alcohol at higher rates than rural young women, but unlike their non-rural counterparts, rural young men are no more likely than rural young women to abuse tobacco, marijuana, or other illicit substances.3 Within rural contexts, then, it would appear that depressive and substance abuse disorders are more or less equally distributed across sex. To situate Coös County’s young-adult mental health within the broader national context, this brief uses data on depressive and substance abuse symptoms from two surveys administered in 2011. The first survey, the Coös Youth Study (CYS),4 is an on-going panel study of youth who completed paper-and-pencil questionnaires in all Coös public middle and high schools in 2008 or 2009, and who were surveyed again in 2011.5 For this brief, the analyses focus on 214 young adults, ages 18 to 21, who completed online or in-class surveys in 2011 and provided usable data on depressive and substance abuse symptoms.6 The second survey, the National Survey on Drug Use and Health (NSDUH),7 is a nationally representative survey based on computer assisted self-interviews with non-institutionalized civilians residing in the United States.8 For this Mental Health Among Northern New Hampshire Young Adults Depression and Substance Problems Higher Than Nationwide

Mental health among northern New Hampshire young adults: depression and substance problems higher than nationwide