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What is the relationship between substance abuse and the spread of STIs?

What is the relationship between substance abuse and the spread of STIs?
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What is the relationship between substance abuse and the spread of STIs?

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User KostaZ
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Substance abuse can spread STIs because when a user shares needles with an infected person, it can spread through the blood. Any high-risk behavior like this spreads STIs.
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User Pidizzle
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