Numerous studies have examined bulimic behaviors among females in conjunction with psychosocial factors. The purpose of this study is to determine whether female, rural adolescents who were drinking differ from those that were not drinking with respect to several psychosocial factors. This study used data from the 1998 Alabama Adolescent Survey. A sample of adolescent females (N=1,170) were divided into the following four categories based upon their responses to self report measures on bulimic and alcohol behavior: Group 1 no drink, bulimic (N=83); Group 2 drink, bulimic (N=59); Group 3 drink, no bulimic (N=285); and Group 4 no drink, no bulimic (N=743). These four groups were compared on seven independent psychosocial variables dealing with the issues of parental interest, sexual abuse, self-image, and outlook on the future. Results showed that those females that do not drink (regardless of bulimic behaviors) had no difference in the level of parental interest. The two drinking groups showed the least parental involvement and those females that both vomit and drink showed the lowest overall percentages of parental interest. Both bulimic groups showed a significant difference from the non-bulimic groups in regards to sexual abuse. A family member more frequently abused the adolescents that do not drink and display vomiting behaviors. Those groups not displaying bulimic behavior were less frequently abused by a family member and reported abuse to be perpetrated by a boyfriend and girlfriend. Those females that drink and display bulimic behaviors were different from all other groups by showing the highest rates of abuse overall with the rate of boyfriend or girlfriend perpetrators and family perpetrators being equal. Females in the bulimic groups diet much more frequently than the two other groups and also consider themselves to be overweight when compared to peers. Finally, the females in the drink, bulimic group significantly reported nothing to look forward to in their future. Overall, female adolescents who displayed bulimic traits demonstrated other high risk attitudes and behaviors. Health education programs targeting adolescents should concentrate on addressing awareness of potential psychosocial factors, including alcohol abuse, in the development of bulimic behavior. Learning Objectives: 1. The learner will identify psychosocial factors that promote/hinder female adolescent bulimic behavior. 2. The learner will infer implications of study findings for future health education programming.