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Moreover, early alcohol use was associated with elevated AUDIT scores at age 25, indicating greater alcohol-related harms

It does, however, allow group health plans to establish premium discounts or rebates in return for adherence to programs that promote wellness and disease prevention

In addition, a cross-sectional study by Koopmans and colleagues (1997) found that adolescent and young adult smokers were more likely to drink than were their nonsmoking counterparts, and this relationship appeared to be mediated more by shared environmental factors than by genetic factors