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The likelihood of completing <16 years of education was significantly increased by: a) alcohol use before age 18; b) a lifetime alcohol dependence diagnosis; and c) daily nicotine use for 30 or more days. No differences in education were observed for cannabis. Alcohol Clin Exp Res. 2012 May 15    (retrieved May, 2012). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.