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39, 95% CI .19-.83), pregnancies (AOR .26, 95% CI .13-.5, emergency department visits (AOR .69, 95% CI .55-.85), and greater odds of injuries (AOR 1.16, 95% CI 1.02-1.32). Adherence at 19 years of age was associated with lower odds of pregnancy (AOR .13, 95% CI .02-.95). Any use at 19 years of age was associated with lower odds of injury in females (AOR .77, 95% CI .60-.99) pregnancy (AOR .35, 95% CI .16-.78), and, in both sexes, substance use (AOR .71, 95% CI .55-.92). Late adolescence is associated with decline in ADHD medication use and adherence. ADHD