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IBH has since updated those analyses using a nationally representative sample from the 2022 NSDUH data and confirmed that the connectivity of substance use remains strong: In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any marijuana in the past month: 2.6% used some alcohol 1.9% reported binge drinking or heavy alcohol use 4.0% used tobacco products or vaped nicotine 1.0% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use marijuana in the past month: 20.3% used some alcohol 23.6% reported binge drinking or heavy alcohol use 59.1% used tobacco products or vaped nicotine 9.3% used other illicit drugs In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any tobacco products or vape nicotine in the past month: 2.7% used some alcohol 1.5% reported binge drinking or heavy alcohol use 2.8% used marijuana 1.0% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use tobacco products or vape nicotine in the past month: 15.8% used some alcohol 24.5% reported binge drinking or heavy drinking 49.7% used marijuana 8.6% used other illicit drugs In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any alcohol in the past month: 3.8% used marijuana 4.8% used a tobacco product or vaped nicotine 1.1% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use alcohol in the past month