Multiple-Drug Use among High School Students

Abstract
A survey of tobacco, alcohol and marijuana use was completed by 309 high school students in a rural midwestern county. Frequencies of use of these drugs were similar to data obtained in urban coastal populations. Significant multi-drug-use patterns were identified. Most drug use began at ages 14 or 15 and occurred in social situations implicating social factors as primary determinants of adolescents' drug use.

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