Patterns of substance use among adolescents: A systematic review

Halladay, Jillian; Woock, Rachel; El-Khechen, Hussein; Munn, Catharine; MacKillop, James; Amlung, Michael; Ogrodnik, Michelle; Favotto, Lindsay; Aryal, Kalpana Paudel; Noori, Atefeh; Kiflen, Michel; Georgiades, Katholiki

doi:10.1016/j.drugalcdep.2020.108222

Cited by 91 publications

(101 citation statements)

References 112 publications

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“…These results are consistent with a recent systematic review that identified typical patterns of substance use among adolescents: a low-use or no-use class comprising the most adolescents, a predominantly alcohol-use class, and finally high multiuse groups. 6 Our study findings differed from that review in two main ways. First, we identified only one multi-use group, while other studies have identified a moderate and a high multi-use group; 14,24,[59][60][61][62] although many of these surveys included additional illicit substances (i.e.…”

Section: Discussioncontrasting

confidence: 98%

“…5 A recent systematic review identified strong evidence for the presence of subgroups of adolescent substance use, with common clusters being low use, single-or dualsubstance use, moderate general multi-use and high multi-use. 6 Unfortunately, there is limited research examining patterns of substance use among Canadian adolescents and how e-cigarette use fits in. [6][7][8][9] This is concerning, as poly-use is associated with higher risks of negative social and health consequences.…”

Section: Introductionmentioning

confidence: 99%

“…6 Unfortunately, there is limited research examining patterns of substance use among Canadian adolescents and how e-cigarette use fits in. [6][7][8][9] This is concerning, as poly-use is associated with higher risks of negative social and health consequences. 10,11 Age has been consistently identified as a risk factor for poly-substance use.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Age has been consistently identified as a risk factor for poly-substance use. 6,12 The relationship between sex and poly-substance use is more nuanced. Most studies found males more likely to be in higher use categories, 4,5,9,[13][14][15][16][17][18] but others have found no difference [19][20][21][22] or increased risk for females in certain poly-use classes, 23,24 or different latent classes.…”

Section: Introductionmentioning

confidence: 99%

“…25 Other individual-level factors associated with poly-substance use include lower socioeconomic status, earlyonset substance use, low social connectedness and parental and peer substance use. 6,12,16,24,[26][27][28][29][30][31][32][33][34] Substance use has also been associated with adolescent anxiety and depression. 35,36 This is a common problem among adolescents: one-third of Ontario high school students report moderate-to-severe symptoms of anxiety and/or depression.…”

Section: Introductionmentioning

confidence: 99%

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Substance use classes and symptoms of anxiety and depression among Canadian secondary school students

Williams

Patte

Ferro

et al. 2021

Health Promot Chronic Dis Prev Can

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Introduction Few studies have assessed patterns of substance use among Canadian adolescents. This cross-sectional study examined substance use classes among Canadian secondary school students and associations with anxiety and depression. Methods This study used data from Year 6 (2017/18) of the COMPASS study. Students (n = 51 767) reported their substance use (alcohol, cannabis, cigarette and e-cigarette use) and anxiety and depression symptoms. We employed latent class analysis to identify substance use classes and multinomial logistic regression to examine how anxiety and depression were associated with class membership. Results Overall, 40% of students indicated having anxiety and/or depression (50% in females; 29% in males) and 60% of students reported substance use (60% in females; 61% in males). We identified three substance use classes: poly-use, dual use, and non-use. Females with both anxiety and depression had the highest odds of being in the poly-use class compared to the non-use class (odds ratio [OR] = 4.09; 95% confidence interval [CI]: 3.59–4.65) followed by females with depression only (OR = 2.65; 95% CI: 2.31–3.04) and males with both anxiety and depression (OR = 2.48; 95% CI: 2.19–2.80). Symptomatology was also associated with belonging to the dual use class except among males with anxiety only (OR = 1.13; 95% CI: 0.94–1.37). Conclusion Canadian secondary school students are engaging in dual and poly-substance use, and anxiety and depression were associated with such use. Females had a higher prevalence of anxiety and depression and should be a priority population for mental health programming.

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Section: Discussioncontrasting

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Substance use classes and symptoms of anxiety and depression among Canadian secondary school students

Williams

Patte

Ferro

et al. 2021

Health Promot Chronic Dis Prev Can

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Tobacco and alcohol co‐use: Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the “Seguimiento Universidad de Navarra” cohort

Neddermann‐Carrillo,

Abidi,

Gea

et al. 2024

Research in Nursing & Health

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Tobacco and alcohol co‐use are two major lifestyle modifiable risk factors. Understanding the determinants of both behaviors helps to develop interventions to prevent these exposures. However, previous studies have focused on predictors of individual tobacco or alcohol use. This study aims to explore the potential predictors of tobacco and alcohol co‐use among Spanish university graduates from the “Seguimiento Universidad de Navarra” (SUN) cohort study. A total of 7175 participants who were co‐users of tobacco and alcohol were selected for this cross‐sectional analysis. Their mean age was 39.1 years (12.04 SD) and 57.3% were women. Univariate regression models were used to select the potential predictors of tobacco and alcohol co‐use, and the areas under the ROC curves (AUC) were calculated. Multivariable logistic regression models were used to create a predictive model. Baseline potential predictors included sociodemographic factors, lifestyle habits, and perceived personality aspects. In the multivariable model, the main significant potential predictors of tobacco and alcohol co‐use were driving under the influence of alcohol (odds ratio [OR] = 1.65 [1.43–1.90]), drinking 1–2 cups of coffee daily (OR = 1.50 [1.24–1.84]), and drinking three or more cups of coffee daily (OR = 1.61 [1.35–1.91]) when compared with the reference group. Conversely, those who were married (OR = 0.87 [0.75–0.99], ate at home 7 days a week (OR = 0.69 [0.60–0.80]), did more physical activity than recommended (OR = 1.18 [1.02–1.34]), or had a high perceived level of competitiveness (OR = 0.83 [0.72–0.95]) had a lower risk of co‐use (AUC 0.61 [confidence interval 95% 0.59–0.63]), compared to the reference group. These results could be used by healthcare professionals, especially nurses, to effectively assess patients at higher risk of tobacco and alcohol co‐use.

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Longitudinal patterns of polysubstance use throughout adolescence: association with adult substance use and psychosocial outcomes controlling for preadolescent risk factors in a male cohort

Carbonneau

Vitaro

Brendgen

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Patterns of substance use among adolescents: A systematic review

Cited by 91 publications

References 112 publications

Substance use classes and symptoms of anxiety and depression among Canadian secondary school students

Substance use classes and symptoms of anxiety and depression among Canadian secondary school students

Tobacco and alcohol co‐use: Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the “Seguimiento Universidad de Navarra” cohort

Longitudinal patterns of polysubstance use throughout adolescence: association with adult substance use and psychosocial outcomes controlling for preadolescent risk factors in a male cohort

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