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Alcohol consumption was inversely associated with all cause and CHD mortality for never and ex-smokers, and was positively associated with cancer incidence for current and ex-smokers

However, it is important to understand that this perception of reduced harm is largely misleading

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However, given the persistent prominence of alcohol in national culture and public lifeas reflected in national survey data indicating that alcohol is the most commonly used substance among Costa Rican studentsfamily-based universal prevention programs appear to be lacking, limiting the countrys ability to implement a comprehensive, multilevel prevention approach