Which of the following is considered a substance use issue that emerges in adolescence?

Substance use and abuse is identified as a significant issue that commonly emerges during adolescence. This period marks a developmental stage characterized by exploration and experimentation with various behaviors, including substance use. Adolescents are often influenced by a variety of factors that can lead them to experiment with drugs and alcohol, making this a critical time for intervention.

The prevalence of substance use during these formative years can lead to serious implications for physical and mental health, as well as impact academic performance and social relationships. It is important for social workers and professionals to be aware of the signs of substance use and abuse during this time to provide appropriate support and resources to adolescents.

Other options listed, such as academic performance, social anxiety, and peer pressure, while relevant to adolescent development, do not directly constitute a substance use issue themselves. They may instead be related to or influenced by substance use but do not represent substance use and abuse as a specific issue that needs addressing.