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The criteria of a study participant inclusion included the registered residents of each commune for the benefit of healthcare services, agreeing to participate in the study for many decades after completing a baseline survey, not suffering from severe chronic diseases including cancer, physical presence at their household while conducting the study, aged ten years old or higher

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However, no study has examined the relationships between the age of overall and specific substance use initiation and polysubstance use disorders, using recent nationally representative US data and assessing specific SUDs based on DSM-5 diagnostic criteria

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