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Alcohol has historically been a widely used and socially accepted substance, which is one of the reasons why alcohol abuse has been prevalent. It is legal for adults over the age of 21 in the U.S., which can contribute to its widespread availability and use. Additionally, alcohol is often present in social settings, making it more accessible and potentially increasing the risk of misuse.

Other substances, such as tobacco, marijuana, and prescription medications, have also been commonly misused in the United States. The use and abuse of illicit drugs like cocaine, heroin, methamphetamine, and opioids have been significant concerns as well.

Substance abuse trends can vary by region, demographics, and social factors. Efforts to address substance abuse and addiction often involve public health initiatives, education, treatment programs, and policy measures to reduce the negative impact on individuals and communities.

For the most up-to-date and accurate information on substance abuse trends in the U.S., I recommend referring to the latest reports and publications from reputable sources such as the National Institute on Drug Abuse (NIDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), or the Centers for Disease Control and Prevention (CDC).

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