Because adolescentsarestronglyinfluencedbypopular media, adolescents aged 15 to 18 years listen to anaverageof3hoursofmusicperday,and98millionUSresidentslistentocountrymusic,weaimtodescribetheprevalenceofreferencestohealth-riskbehaviorsincountrymusic.MP3recordingsofthetop30ratedcountrymusicsongsduring2001–2010werereviewedindependentlybyinvestigators for health-risk behaviors, including references tosubstanceuse,sex,violence,andweapons.Of300songsanalyzed, 100 (33%) had at least one reference to substanceuse,sex,violence,orweapons.Thirty-six(12%)songscontained references to sex, 11 (4%) to violence, and 7 (2%) toweapons.Referencestosubstanceuseandsexoccurfrequently in country music. Parents, clinicians, and educatorsshouldbeawareofmusictowhichchildrenlistenanditspotential behavioral effects. The country music industry shouldconsidertheconsequencesoflyricsthatcouldnegativelyinfluence adolescent behavior.