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We computed annual percentage change (APC) and average annual percentage changes (AAPC) to summarize the rate of change during the entire study period and during segments of the study period where points of inflection occurred

Among youth who report any tobacco product use, use of more than one product (dual or polyuse) is common (36.6% of high school students who reported using tobacco and 38.9% of middle school students who reported using tobacco)

Abstinence rates for alcohol and illicit drugs are slightly more encouraging, but relapse rates in the postpartum period remain high

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About this article Cite this article Adeoye, I.A