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Chunk #28 — 4. Discussion

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A cotwin-control analysis of drug use and abuse/dependence risk associated with early-onset cannabis use.
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In conclusion, the present analyses indicate that cannabis initiation, whether early or late, confers risk for other substance use/abuse/dependence that is independent of these familial influences. Given the lack of difference in risk for early- and later-users, the results are generally consistent with either a causal model, in which drug use results in developmental trajectory changes, or a correlated vulnerabilities model.