Which of the following is a common behavior change area impacted by substance abuse?

Substance abuse often leads to significant changes in physical health, making this the correct choice. Individuals who are struggling with substance use may experience a range of physical health issues, including but not limited to, cardiovascular problems, liver disease, respiratory issues, and compromised immune function. These health concerns can arise from the direct effects of the substances consumed and can also be exacerbated by lifestyle choices associated with substance abuse, such as poor nutrition, lack of exercise, and neglect of medical care.

While the other areas—educational performance, civic engagement, and artistic expression—can also be influenced by substance abuse, the impact on physical health is often more immediate and severe. For instance, substance use can lead to absenteeism in school or work, which affects educational and professional performance. However, the underlying physical health issues typically present more urgent and profound challenges that can affect every aspect of an individual's life and functioning.