Substance abuse can lead to social problems.
, repeated absences or poor work performance related to substance use; substance-related absences, suspensions or expulsions from school; neglect of children or household)Recurrent substance use in situations in which it is physically hazardous (e
 Social and environmental factors that tend to disproportionately affect women, such as child and elder care and the risk of exposure to violence, are also factors in the gender differences in substance abuse

