Stress and Affect as Daily Risk Factors for Substance Use Patterns: an Application of Latent Class Analysis for Daily Diary Data

Author(s):  
Ashley N. Linden-Carmichael ◽  
Natalia Van Doren ◽  
Bethany C. Bray ◽  
Kristina M. Jackson ◽  
Stephanie T. Lanza
2019 ◽  
Vol 26 (6) ◽  
pp. 586-594
Author(s):  
Heeyoung Lee ◽  
Kyeongra Yang ◽  
Joshua Palmer ◽  
Brayden Kameg ◽  
Lin Clark ◽  
...  

BACKGROUND: Substance use among adolescents remains a major public health concern, which is correlated with mortality. AIMS: The purpose of this study was to (1) examine risk factors predisposing adolescents to substance use and (2) identify patterns of simultaneous drug exploration among adolescents. METHOD: Data ( N = 15,624; collected in 2015) were drawn from the Centers for Disease Control and Prevention, National Youth Risk Behavior Survey, which is a national school-based survey of 9th- to 12th-grade students to monitor health risk behaviors. Substance use was assessed using self-reported questionnaires, and latent class analysis and logistic regression were used for data analysis. RESULTS: Five latent patterns of substance use were identified: (1) abstinent (64%); (2) 1st-step social experimenter (25%) (i.e., used alcohol, e-cigarettes, and/or marijuana); (3) 2nd-step social experimenter (6%) (i.e., used alcohol, cigarettes, e-cigarettes, marijuana, synthetic marijuana, and/or prescription pills); (4) pill experimenter (4%), (i.e., used prescription pills); (5) full experimenter (2%) (i.e., likely to use all assessed substances). Gender, race, grade, and depressive mood were strong predictors of membership in a particular substance use class. CONCLUSION: Adolescents presenting for care may possess symptoms associated with various substances beyond those being managed. Mental health nurses can leverage these results in reducing adolescent substance use through primary and secondary prevention. A longitudinal study of not only substance use patterns but also the progression to substance use disorders among adolescents is warranted.


2016 ◽  
Vol 51 (9) ◽  
pp. 1130-1138 ◽  
Author(s):  
Kristin Göbel ◽  
Herbert Scheithauer ◽  
Astrid-Britta Bräker ◽  
Harrie Jonkman ◽  
Renate Soellner

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