The use of alcohol, marijuana, prescription medications and illicit substances declined among U.S. teens again in 2016, continuing a long-term trend, according to a study released on Tuesday by the National Institutes of Health.

But the research found that high school seniors were still using cannabis at nearly the same levels as in 2015, with 22.5 percent saying that had smoked or ingested the drug at least once within the past month and 6 percent reporting daily use.

“Clearly our public health prevention efforts, as well as policy changes to reduce availability, are working to reduce teen drug use, especially among eighth graders,” Dr. Nora Volkow, director of the National Institute on Drug Abuse, said in a statement accompanying the study results.

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