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Nance Rigotti of Harvard University, who was not involved in the CDCs research, told the Associated Press: They found a dramatic drop from last year, and its hard to imagine that doesnt represent a real decrease in use among high school and middle school students. While the 2021 data show an encouraging decline, said Ashley Merianos, an associate professor at the University of Cincinnati who specializes in adolescent substance use prevention, education, and counseling, there are still reasons for concern

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doi:10.1016/S0300-483X(03)00005-2