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This pattern is strongly influenced by socio-cultural norms of masculinity that promote such behaviors and discourage help-seeking (41)

Discussion Preliminary findings from a survey of more than 36,000 adult substance users in Europe suggest that use of alcohol, tobacco, cannabis and other illicit substances changed for about half of respondents during the first wave of the SARS-CoV-2 pandemic in spring 2020

Early Exposure: Starting inhalant use at a young age increases addiction risk

I think the tide has turned.