Substance Use Patterns Among Adolescents: A Latent Class Analysis.
J Am Psychiatr Nurses Assoc
; 26(6): 586-594, 2020.
Article
in En
| MEDLINE
| ID: mdl-31253067
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Risk-Taking
/
Students
/
Smoking
/
Substance-Related Disorders
/
Electronic Nicotine Delivery Systems
/
Underage Drinking
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Am Psychiatr Nurses Assoc
Year:
2020
Document type:
Article
Affiliation country:
United States