Counselors need to be aware of social and cultural trends in adolescent behavior. for example, surveys of 8th to 12th graders in 2009-2011 showed that

For example, surveys of 8th to 12th graders in 2009-2011 showed that "alcohol and tobacco use by teens have both decreased".

Tobacco use and consumption of alcohol among youth and teenagers is an issue that influences nations around the world. While the degree to which smoking is seen as a negative wellbeing conduct may change crosswise over various countries, it remains an issue paying little respect to how it is seen by various social orders.

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