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Stress-buffer properties of alcohol consumption: the role of urbanicity and religious identification.

Previous rural studies have indicated that life events are most strongly related to depressive symptoms among abstainers and heavy drinkers, and least strongly among moderate drinkers. The generalizability of possible stress-buffering properties of moderate alcohol use were evaluated using data from 554 white residents of 9 rural counties around Nashville, Tennessee, and from 314 white and 306 black residents of Nashville. Information on typical quantity and frequency of alcohol consumption was used to classify respondents as abstainers, occasional, moderate, or heavy drinkers. The event-by-drinking pattern interaction was significant only for the rural sample. There was some suggestive evidence of buffer effects among urban whites, though events were fairly consistently related to depressive symptoms among urban black drinkers. Further controls for religious identification/commitment did not account for the specificity of buffer effects to rural communities.