Relatively few studies have been conducted in rural, or semi rural loc
ations that permit comparisons to be drawn with studies of drug use in
urban areas. This study examined patterns of drug use in the Scottish
Highlands. It was found that all forms of drug use occur in the Highl
ands, and that injecting levels may be at least as high in rural as in
urban areas, bur with major variations across districts. Overall the
data suggest that patterns and frequency of drug use are not substanti
ally different in a rural area from those in an urban area. The diffic
ulty of establishing services for drug users in rural areas is also ad
dressed.