Substance Use Patterns Among Adolescents in Europe: A Latent Class Analysis

Göbel, Kristin; Scheithauer, Herbert; Bräker, Astrid-Britta; Jonkman, Harrie; Soellner, Renate

doi:10.3109/10826084.2016.1160120

Cited by 34 publications

(27 citation statements)

References 18 publications

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“…A heuristic approach was employed for model assessment using the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), sample size adjusted Bayesian Information Criterion (SSABIC) and the maximum log-likelihood value as measures to determine the model fit which best balanced the number of parameters and information from those parameters as well as the parsimony principle, i.e. fewer parameters estimated [ 31 , 32 ]. Other considerations of fit were the ability to assign meaningful labels to the classes and having no individual class which contained very few students.…”

Section: Methodsmentioning

confidence: 99%

Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

Assanangkornchai

McNeil

et al. 2018

BMC Public Health

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BackgroundAlcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others. This paper aims to characterize secondary school students based on their clusters of health-risk behaviors and identify factors determining class membership to these behavior-clusters.MethodsData from a national school survey was used to identify clusters of alcohol and drug use and other health-risk behaviors among secondary school students aged 12–15 years using a latent class regression model. A multinomial logistic regression model was used to identify predictors of the cluster membership.ResultsA total of 25,566 students were included in the analysis, of which 88% were classified as having low-risk behaviors reporting only moderate alcohol use; 11% as having moderate-risk behaviors, such as driving under the influence of alcohol, fighting, carrying a weapon, and alcohol and tobacco use; and 0.6% as having high-risk behaviors, such as use of illicit drugs, particularly kratom and cannabis. Males, older students, those with a poor school performance, not living with parents, drug use by family members and peers, and having a low level of perceived disdain from their friends if they used drugs were significant risk factors for being in the moderate- and high-risk behavior classes.ConclusionsAlcohol, tobacco and drug use, as well as other health-risk behaviors such as fighting, are clustered in Thai secondary school students. This result highlights the importance of comprehensive prevention and education strategies, particularly for moderate to high-risk groups.

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Section: Methodsmentioning

confidence: 99%

Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

Assanangkornchai

McNeil

et al. 2018

BMC Public Health

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“…This dimensional approach, however, has been criticised for being simplistic, because it tends to “assign each culture a single emblematic drinking practice derived from average scores on the selected dimensions” (Ally, Lovatt, Meier, Brennan, & Holmes, , p. 1568). An alternative approach is represented by the attempt to provide more comprehensive descriptions of patterns of alcohol use, identify typologies of drinkers, and compare them across countries, although the literature using this approach is still at a nascent stage (Göbel, Scheithauer, Bräker, Jonkman, & Soellner, ).…”

Section: Introductionmentioning

confidence: 99%

A Mixed Methods Cross‐Cultural Study to Compare Youth Drinking Cultures in Italy and the USA

Aresi

Cleveland

Vieno

et al. 2019

Applied Psych Health & Well

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Aims To compare the drinking cultures of youth in the USA and in Italy. Method Sequential explanatory mixed method design. Phase 1: Multigroup latent class analysis was used to identify subgroups of drinkers from samples of 424 (61.3% female) Italian and 323 American college students (57.3% female). Phase 2: Focus group interviews with 41 Italian and 47 American youth were used to collect narratives on features of the two drinking cultures. Results Four partially invariant subgroups of drinkers were found. Most participants (>75%) in both countries concentrated drinking during weekends. Overall, US drinkers displayed greater probabilities to report risky drinking behaviors and experience negative consequences as compared to comparable subgroups of Italian drinkers. Discrepancies in terms of socialisation processes during childhood (i.e. permissiveness) and underlying cultural assumptions with regard to alcohol consumption (i.e. purposes of alcohol use) may explain differences in how alcohol is used in the two countries. Conclusions Findings suggest that there are crucial differences in societal schema of beliefs, informal social norms, practices, and values attached to alcoholic beverages across the USA and Italy. These results demonstrate the need for culturally tailored alcohol preventive interventions and clinical practice targeted to young people that capitalise on such differences.

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“…Much of this body of research has relied upon small convenience samples, including studies focusing upon youth who attend clubs , inject drugs or are traveling . Additional studies have investigated polysubstance use with large, population‐based samples of youth from Australia , Europe and the United States . These studies suggest that between 12 and 34% of youth report polysubstance use depending on the region and time‐frame.…”

Section: Introductionmentioning

confidence: 99%

Concurrent polysubstance use in a longitudinal study of US youth: associations with sexual orientation

et al. 2016

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Aims To estimate longitudinal associations between self-reported sexual orientation and past-year polysubstance use among youth, and test how gender, age, and early onset of tobacco and alcohol use contributed to variation in polysubstance use. Design Longitudinal community-based cohort of U.S. adolescents from the Growing Up Today Study (GUTS 1) (N=16,873) followed from ages 12–29 years. Setting United States of America (USA). Participants 13,519 individuals (7,839 females; 5,680 males) who responded to at least one of five self-administered questionnaires from 1999–2010. Ninety-three percent reported their race/ethnicity as non-Hispanic white. Measurements Multivariable repeated measures generalized estimating equations estimated relative risks (RRs) of concurrent polysubstance use (i.e., past 12-month use of three or more substances) comparing sexual orientation minority youth (i.e., mostly heterosexual [MH], bisexual [BI], gay/lesbian [GL]) to their same-gender, completely heterosexual (CH) counterparts. Mediation analyses tested whether early onset of tobacco and/or alcohol use explained relationships between sexual orientation and concurrent polysubstance use. Findings Compared with their same-gender CH peers, sexual minorities evidenced higher risk for concurrent polysubstance use over all repeated measures (RRs for sexual minority subgroups: 1.63–2.91, p-values: <0.001), and for all age groups (RRs: 1.50–4.04, p-values: <0.05-<0.001), except GL males aged 18–20 years. Differences between sexual minorities and CHs were larger among females than males (p-values for sexual-orientation-by-gender interactions were <0.05 for MHs and BIs), and among younger vs. older ages (p-values for sexual-orientation-by-age interactions were <0.05 except for BI males). Sexual minorities’ younger age of smoking and/or drinking initiation contributed to their elevated polysubstance use (% of effect explained was between 9.4–24.3, p-values: 0.04-<0.001), except among GL males. Conclusions Sexual minority youth in the USA, and in particular younger females, appear to be at disproportionate risk for concurrent past-year polysubstance use. Early onset of smoking and drinking may contribute to elevated risk of polysubstance use among sexual minorities.

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Substance Use Patterns Among Adolescents in Europe: A Latent Class Analysis

Abstract: The present research provides insight into substance use patterns across Europe by using a large international adolescent sample, multidimensional indicators and a variety of substances. Substance use patterns are helpful when targeting policy and prevention strategies.

Cited by 34 publications

References 18 publications

Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

A Mixed Methods Cross‐Cultural Study to Compare Youth Drinking Cultures in Italy and the USA

Concurrent polysubstance use in a longitudinal study of US youth: associations with sexual orientation

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