RT Book, Section A1 Banikarim, Chantay A2 Kline, Mark W. SR Print(0) ID 1182923041 T1 Substance Use and Abuse T2 Rudolph's Pediatrics, 23e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259588594 LK accesspediatrics.mhmedical.com/content.aspx?aid=1182923041 RD 2024/11/09 AB The leading causes of morbidity and mortality among adolescents and young adults are related to alcohol, smoking, and illicit drug use. According to 2015 data from Monitoring the Future (MTF), alcohol and tobacco use are at the lowest level in the survey’s history, which dates back to 1975. From 1996 to the present, the 30-day prevalence of smoking declined by 83% and 79% in 8th and 10th graders, respectively. Seventy-five percent fewer students reported trying cigarettes in 2015 compared to 1997. Alcohol continues to be the most widely used substance in this population. In 2000, the prevalence of alcohol use in the past 30 days was 22%, 41%, and 50% among 8th, 10th, and 12th graders, respectively; the prevalence has now dropped to 10%, 22%, and 35%, respectively. Marijuana is the most widely used illicit drug with the highest prevalence rate among 12th graders at 35%; other illicit drug use declined across 8th through 12th grades from 34.1% in 1997 to 26.8% in 2015.