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Howard MM et al. – Based on the expert panel review and the findings from our study, most of the 18 items developed to measure nonmedical use of prescription drugs among adolescents appear valid and reliable. The nonmedical use of prescription drugs ranks fourth among the most abused class of drugs by adolescents after alcohol, tobacco, and marijuana, respectively. The CDC should consider expanding the surveillance of these specific health–risk behaviors that are assuming new importance by including the items described in this article in future national surveys.


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