Predicting high-risk versus higher-risk substance use during late adolescence from early adolescent risk factors using Latent Class Analysis.

Published

Journal Article

Much of the existing risk factor literature focuses on identifying predictors of low-levels of substance use versus higher-levels of substance use. In this paper, we explore more nuanced patterns of alcohol, tobacco, and other drug (ATOD) use during late adolescence. Our aims were to: 1) identify subgroups of youth with qualitatively different patterns of ATOD use; and 2) explore whether membership among qualitatively distinct, high-risk classes could be predicted based on early adolescent risk factors. Data came from a selected subsample of the National Longitudinal Survey of Youth (n = 1,689). Predictors were measured when youth were about 12 years old; ATOD use was assessed when youth were aged 17 years. Results showed that adolescent ATOD use is not a homogenous behavior. Four distinct classes of adolescent ATOD users were derived. Each class had a qualitatively distinct and discriminable pattern of ATOD use. Ecological predictors were shown to differentiate between latent classes, with peer factors playing a particularly important role in differentiating between high-risk and higher-risk users. Implications for prevention and limitations are discussed.

Full Text

Duke Authors

Cited Authors

  • Lamont, AE; Woodlief, D; Malone, PS

Published Date

  • January 2014

Published In

Volume / Issue

  • 22 / 1

Start / End Page

  • 78 - 89

PubMed ID

  • 24511308

Pubmed Central ID

  • 24511308

Electronic International Standard Serial Number (EISSN)

  • 1476-7392

International Standard Serial Number (ISSN)

  • 1606-6359

Digital Object Identifier (DOI)

  • 10.3109/16066359.2013.772587

Language

  • eng