Adolescent substance use: Latent class and transition analysis

Hye Jeong Choi, Yu Lu, Marya Schulte, Jeffrey Temple

Research output: Contribution to journalArticle

Abstract

Background The prevention and intervention of adolescent substance use is a public health priority. Most adolescents will engage in some form of substance use, and a sizeable minority will transition to using multiple substances. An emerging body of research takes a person-centered approach to model adolescent substance use over time; however, the findings have been equivocal. Our study modeled adolescent substance use transition patterns over three years based on a comprehensive list of substances and examined gender as a moderator. Methods We used three annual waves of data (Time 2, Time 3, and Time 4) from an ongoing longitudinal study of an ethnically diverse sample of 1042 adolescents originally recruited from multiple high schools in southeast Texas. Participants were 56% female, 32% Hispanics, 30% Whites, 29% African Americans, and 9% other with an average of 16.1 years (SD = 0.79) at Time 2. Data were analyzed using latent transition analyses. Results The study identified three substance use statuses (Mild Alcohol Use, Alcohol and Moderate Marijuana Use, and Polysubstance Use) and suggested that adolescents generally remained in the same statuses over time. When they did transition, it was typically to a more harmful substance use status. Further, males were more likely than females to be polysubstance users and had higher probabilities of transiting to and remaining in a more harmful drug use status. Conclusions The study identifies overall and gender specific adolescent substance use transition patterns, which are vital to informing intervention development.

LanguageEnglish (US)
Pages160-165
Number of pages6
JournalAddictive Behaviors
Volume77
DOIs
StatePublished - Feb 1 2018

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Alcohols
Moderators
Public health
Cannabis
Pharmaceutical Preparations
Health Priorities
Hispanic Americans
African Americans
Longitudinal Studies
Public Health
Research

Keywords

  • Adolescents
  • Gender
  • Latent transition analysis
  • Substance use

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

Cite this

Adolescent substance use : Latent class and transition analysis. / Choi, Hye Jeong; Lu, Yu; Schulte, Marya; Temple, Jeffrey.

In: Addictive Behaviors, Vol. 77, 01.02.2018, p. 160-165.

Research output: Contribution to journalArticle

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