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Glen R. Hanson, PhD, DDS; Ting-Kai Li, MD

JAMA. 2003;289:1031-1032.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Abuse of alcohol and other substances continues to be one of the most serious public health problems in the United States. The use of alcohol and illicit drugs exacts a tremendous toll on productivity and destroys individuals, families, and communities. Substance abuse affects millions of individuals on a daily basis. More than 8 million US individuals meet the diagnostic criteria for alcohol dependence and an additional 5.6 million meet the diagnostic criteria for alcohol abuse.¹ In addition, in 2001, approximately 66.5 million individuals were tobacco smokers and nearly 16 million used an illicit drug.² Abuse of these substances comes with a devastatingly high price. The US economic cost of substance abuse is estimated to exceed $484 billion per year,³ including $185 billion attributable to alcohol misuse,⁴ nearly $138 billion attributable to smoking,⁵ and approximately $161 billion attributable to illicit drugs.³ Abuse of . . . [Full Text of this Article]

Author Affiliations: National Institute on Drug Abuse (Dr Hanson) and National Institute on Alcohol Abuse and Alcoholism (Dr Li), National Institutes of Health, Department of Health and Human Services, Bethesda, Md.

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