A latent class analysis of the co-occurrence of sexual violence, substance use, and mental health in youth

Nelon, Jordan L.; Pedro, Kris Tunac De; Gilreath, Tamika D.; Patterson, Megan S.; Holden, Caitlin; Esquivel, Christi H.

doi:10.1080/10826084.2019.1618337

Cited by 33 publications

(22 citation statements)

References 18 publications

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“…These findings support previous studies describing associations between SV victimization and substance use [5][6][7][8] and sexual health behaviors 4 among adolescents and also extend previous research by finding associations between adolescent SV and longer-term outcomes like psychological problems, suicidality, injury, and poor academic performance. These findings also build on an earlier study that found associations between lifetime forced sexual intercourse and health risk behaviors 6 by assessing more recent SV victimization inclusive of multiple forms of SV (i.e., being forced to do sexual things such as kissing, touching, or intercourse).…”

Section: Discussionsupporting

confidence: 90%

“…3 Several studies have connected health risk behaviors in adolescence to an SV victimization history. [4][5][6][7][8][9] For example, one study 4 found male and female adolescent SV victims were significantly more likely than nonvictims to report risky sexual behaviors (e.g., multiple sex partners and sex resulting in pregnancy). Another study 5 found that SV was associated with teenage girls' binge drinking during the past 2 weeks, drinking at an early age, past-30-day marijuana use, and having sex without using birth control.…”

Section: Introductionmentioning

confidence: 99%

“…A recent YRBS study found distinct latent classes defined by varying levels of sexual and dating violence, substance use, and mental health issues, with youth who identified as sexual minorities more likely to be in the class defined by higher levels of cooccurring issues. 7 With respect to prescription drug misuse, one study linked SV victimization of adolescent girls by a peer to increased likelihood of nonmedical use of prescription drugs 8 ; another found that male and female youth who used alcohol and misused prescription drugs in middle school were more likely to be SV victims in high school compared with youth who only used alcohol. 9 A third study of a national sample of high school students found that for male students, only sexual dating violence was positively associated with nonmedical use of prescription drugs, whereas experiencing both physical and sexual dating violence was positively associated with nonmedical use of prescription drugs for both sexes.…”

Section: Introductionmentioning

confidence: 99%

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Sexual Violence Victimization of Youth and Health Risk Behaviors

Basile

Clayton

Rostad

et al. 2020

American Journal of Preventive Medicine

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Introduction: This study assesses associations between past-12-month sexual violence victimization and recent health risk behaviors using a nationally representative sample of male and female high school students. It is hypothesized that sexual violence victimization will be associated with most of the negative health behaviors for both sexes.Methods: Data from the 2017 National Youth Risk Behavior Survey, a school-based crosssectional survey of students in Grades 9-12, were used to assess associations between sexual violence victimization and 29 health risk behaviors in sex-stratified logistic regression models. Effect modification was also examined through sex X sexual violence victimization interactions within unstratified models. All models controlled for race/ethnicity, grade, and sexual identity. Data were analyzed in 2018.Results: Students who experienced sexual violence victimization were significantly more likely to report many health risk behaviors and experiences, such as substance use, injury, negative sexual health behaviors, feelings of sadness or hopelessness, suicidality, poor academic performance, and cognitive difficulties, and these associations were often stronger among male students (significant adjusted prevalence ratios ranged from 1.63 to 14.40 for male and 1.24 to 6.67 for female students).Conclusions: Past-year sexual violence victimization was significantly related to various health risk behaviors, suggesting that efforts to prevent sexual violence may also be associated with decreases in poor health. Integrating violence, substance use, sexual, and other health risk prevention efforts is warranted.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual Violence Victimization of Youth and Health Risk Behaviors

Basile

Clayton

Rostad

et al. 2020

American Journal of Preventive Medicine

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“…Finally, more than half of the Hard Drug Users rated their own health conditions as regular, bad or very bad, with the proportion of those who rated it as bad or very bad (31%) representing more than double the average of the sample. Therefore, the Hard Drug Users class was characterized by the highest prevalence and frequencies of use of multiple psychoactive substances and the most significant negative psychosocial conditions, being similar to classes identified in other sociocultural realities (Goldstick et al 2016;Nelon et al 2019). Adolescents within this profile find themselves under a high risk of several negative events in their lives, requiring specific primary and secondary prevention policies.…”

Section: Discussionmentioning

confidence: 88%

Substance Use and Involvement in Situations of Violence: A Typological Study of a Brazilian Population-Based Sample

Komatsu

Costa

Galinari

et al. 2019

Int. ann. criminol.

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Substance use in adolescence relates to other problems such as involvement in violence and mental/physical health problems. This study aimed to identify substance use patterns in a considerable sample of Brazilian adolescents and to estimate the magnitude of the relationship between each pattern and violence involvement indicators, as aggressor and/or as victim, and of mental and general health. The data analyzed were collected from 6702 schoolchildren, within the scope of the National Survey of School Health, employing latent class analysis for reports of alcohol, tobacco, marijuana and crack cocaine use. The five groups identified were compared regarding their involvement in violence and mental and general health aspects. Abstainers (18%) would neither make use of substances, nor be involved in violence or display health problems. Drinkers (26%) would tend to only make use of alcohol, but would not display the other problems either. Conventional Drug Users (28%) would tend to make use of alcohol and tobacco or alcohol and marijuana and would also be involved in violence, but would not display health problems. Polysubstance Users (23%) would tend to make use of alcohol, tobacco and marijuana and would be more frequently involved in violence. Hard Drug Users (5%) would tend to make frequent use of all substances in addition to also being more involved in violence, both as aggressor and victim, and would display mental/general health problems. Our findings reveal different levels of problems and reinforce the importance of varied prevention/treatment policies in order to meet specific demands.

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“…For example, Essau CA encouraged the application of LCA for studying complex multidimensional phenomena, such as mental disorders, because multiple aspects of individual functioning can be studied holistically [39]. Other researchers have suggested that LCA is an important analytic tool for studying health risk behaviors in college students [40][41][42][43][44]. Furthermore, it can also be used to examine the clustering of modifiable health risk behaviors and to explore the relationship between these identified clusters and mental health outcomes [45].…”

Section: Discussionmentioning

confidence: 99%

Application of Latent Class Analysis in Assessing the Mental Health of Medical Students During the COVID-19 Epidemic

Liu¹,

Zhang²,

Zhang

et al. 2021

Preprint

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Background: The novel coronavirus disease 2019 (COVID-19) is a global public health emergency that has caused worldwide concern. The mental health of medical students under the COVID-19 epidemic has attracted much attention. This study aims to identify subgroups of medical students based on mental health status and explore the influencing factors during the COVID-19 epidemic in China. Methods: A total of 29,663 medical students were recruited during the epidemic of COVID-19 in China. Latent class analysis of the mental health of medical students was performed using M-plus software to identify subtypes of medical students. The latent class subtypes were compared using the chi-square test. Multinomial logistic regression was used to examine associations between identified classes and related factors. Results: In this study, three distinct subgroups were identified, namely, the high-risk group, the low-risk group and the normal group. Therefore, medical students can be divided into three latent classes, and the number of students in each class is 4325, 9321 and 16,017. The multinomial logistic regression results showed that compared with the normal group, the factors influencing mental health in the high-risk group were insomnia, perceived stress, family psychiatric disorders, fear of being infected, drinking, individual psychiatric disorders, sex, educational level and knowledge of COVID-19, according to the intensity of influence from high to low. Conclusions: Our findings suggested that latent class analysis can be used to categorize different medical students according to their mental health subgroup during the outbreak of COVID-19. The main factors influencing the high-risk group and low-risk group are basic demographic characteristics, disease history, COVID-19 related factors and behavioral lifestyle, among which insomnia and perceived stress have the greatest impact. School administrative departments could utilize more specific measures on the basis of different subgroups, and provide targeted measures.

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A latent class analysis of the co-occurrence of sexual violence, substance use, and mental health in youth

Cited by 33 publications

References 18 publications

Sexual Violence Victimization of Youth and Health Risk Behaviors

Sexual Violence Victimization of Youth and Health Risk Behaviors

Substance Use and Involvement in Situations of Violence: A Typological Study of a Brazilian Population-Based Sample

Application of Latent Class Analysis in Assessing the Mental Health of Medical Students During the COVID-19 Epidemic

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