Middle school students believed that it was more acceptable for their peers to use marijuana than to use prescription drugs not prescribed to them, drink alcohol or binge drink, and even use tobacco.

In 2019, 28% of Idaho High School students reported past month use of alcohol, 16% reported binge drinking, 15% had their first drink of alcohol before age 13, 17% reported past month use of marijuana, 22% reported using electronic vapor products and 14% also reported the non-medical use of prescription drugs during their lifetime.

Marijuana and alcohol continue to be the most widely used illicit drugs among the youth population, with prevalence rates among all three grades combined raising significantly over the last year. Among students who currently drink alcohol, 43% usually got the alcohol they drank by someone giving it to them.

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