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Some common behavioral signs that may be associated with sherm use could include disorientation, violence, or aggression, slowed movements, risky behavior, detachment from reality, and delusions or hallucinations

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Bivariate associations between the top five reasons and sociodemographic characteristics Generally, female respondents were more likely to select each reason than male respondents, however, the associations were not statistically significant due to the small sample size of women in our study