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Using drugs, alcohol, or vapes can hurt your body and mind. It can make people feel sick, sad, or stressed. Learning about these dangers helps people make smart choices and keep their communities healthy.

REFERENCES

Algorani, E. B., & Gupta, V. (2023, April 24). Coping mechanisms. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559031/
Chang, J. T., Anic, G. M., Rostron, B. L., Tanwar, M., & Chang, C. M. (2021). Cigarette smoking reduction and health risks: A systematic review and meta-analysis. Nicotine & Tobacco Research, 23(4), 635–642. https://doi.org/10.1093/ntr/ntaa156
Comiford, A., Pan, S., & Chen, S. (2024). Respiratory chronic health conditions and racial disparities associated with e-cigarette use: A cross-sectional analysis using behavioral risk factor surveillance data. Frontiers in Public Health, 12, 1497745.
Centers for Disease Control and Prevention. (2024, May 22). Stigma: Beyond the Numbers. Stop Overdose. https://www.cdc.gov/stop-overdose/stigma-reduction/stigma-beyond-the-numbers.html
Danielson, R. A., Schmidt, M., & Griechen, M. A. (2025). Adverse childhood experiences affect health outcomes for adults in North Dakota: 2019–2022 BRFSS population profile. Frontiers in Public Health, 13, 1517431. https://doi.org/10.3389/fpubh.2025.1517431
Gupta, & Johnson, P. J. (2025). Impact of marijuana use on self-reported mental health status among adults in Minnesota. North Dakota State University – Department of Public Health.
Hussain, A., Johansen, M. C., Blaha, M. J., et al. (2024). Predictors of incident stroke among individuals without coronary artery calcification: A pooled cohort analysis from the Multi-Ethnic Study of Atherosclerosis, Jackson Heart Study, and Framingham Heart Study. Vascular Medicine, 29(6), 632–639. https://doi.org/10.1177/1358863X241270911
Im, P. K., Wright, N., Yang, L., et al. (2023). Alcohol consumption and risks of more than 200 diseases in Chinese men. Nature Medicine, 29(6), 1476–1486. https://doi.org/10.1038/s41591-023-02383-8
Lovett, S. (2023). Northwest Minnesota drug and opioid-involved data overview. Minnesota Department of Health. Published November 23.
Minnesota Department of Education. (2019). Minnesota student survey. https://education.mn.gov/MDE/dse/health/mss/
Minnesota Department of Education. (2022). Minnesota student survey. https://education.mn.gov/MDE/dse/health/mss/
Minnesota Department of Health. (2016). PRAMS data 2023. https://www.health.state.mn.us/people/womeninfants/prams/data.html
Minnesota Department of Health. (2023). Behavioral Risk Factor Surveillance System 2023 dataset.
Minnesota Department of Health. (2023). Drug overdose dashboard. https://www2cdn.web.health.state.mn.us/communities/opioids/opioid-dashboard/index.html
Minnesota Department of Health. (n.d.). Behavioral Risk Factor Surveillance System (BRFSS) – 2018–2023. https://www.health.state.mn.us/data/mchs/surveys/brfss/index.html
Minnesota Department of Health. (n.d.). County-level nonfatal overdoses by county of residence, 2016–2020. https://www.health.state.mn.us/communities/opioids/data/nonfataldata.html
Minnesota EHR Consortium. (n.d.). Health trends across communities in Minnesota dashboard. https://mnehrconsortium.org/health-trends-across-communities-minnesota-dashboard
Minnesota Office of Cannabis Management. (2025). Chronic pain patients in Minnesota medical cannabis program. Published January 31.
Minnesota Department of Health. (2024). Cannabis use in Minnesota: Baseline assessment 2024. Published July 1.
Mirahmadizadeh, A., Hassanzadeh, J., Moradi, A. M., Gheibi, Z., & Heiran, A. (2024). Projection of the prevalence of tracheal, bronchus, and lung cancer incidence using cigarette smoking prevalence in Iran from 1990 to 2018: A comparison of latent period-based models with standard forecasting models. BMC Public Health, 24(1), 1896. https://doi.org/10.1186/s12889-024-19407-8
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Statement Last Updated: 05/18/2026. Next Scheduled Review: 08/18/2026

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