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Guide for Pediatricians. Finally, the earlier teens start using substances, the greater their chances of continuing to use substances and developing substance use problems later in life. Affect the growth and development of teens, especially brain development. Affect the growth and development of teens, especially brain development. Contribute to the development of adult health problems, such as heart disease, high blood pressure, and sleep disorders. Risks of Substance Use The guide also highlights the risks of substance use among teens. The American Academy of Pediatrics AAP , through a cooperative agreement with the Centers for Disease Control and Prevention CDC , developed a guide for implementing substance use screening in pediatric practices to help pediatricians address substance use concerns. As their children grow to pre-teens and teens, parents worry about new risks they may experience. When teens begin drinking at an early age, they increase the chance of becoming addicted to or continuing to abuse substances later in life.
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