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Grade-Level Differences in the Profiles of Substance Use and Behavioral Health Problems: A Multi-Group Latent Class
Kechna Cadet1, Ashley V Hill2,3, Tamika D Gilreath4,5
1Department of Epidemiology, Columbia University Mailman School of Public Health, New Yok, NY 10032, USA.
International Journal of Environmental Research and Public Health
|September 28, 2024
Summary
Adolescent polysubstance use (alcohol, cannabis, tobacco, illicit drugs) is linked to behavioral problems. Younger teens show a higher probability of co-occurring issues, suggesting targeted prevention strategies are needed.
Area of Science:
- Adolescent health
- Substance use research
- Behavioral science
Background:
- Polysubstance use among adolescents is a growing concern.
- Developmental changes influence the relationship between substance use and behavioral issues.
- Understanding these associations is crucial for effective interventions.
Purpose of the Study:
- To investigate the association between polysubstance use and behavioral problems in US high school students.
- To examine if this association differs between younger and older adolescents.
- To identify patterns of polysubstance use and their co-occurrence with behavioral issues.
Main Methods:
- Latent class analysis (LCA) was used to identify patterns of polysubstance use.
- Multi-group LCA examined differences in these patterns by grade level.
- Data from a nationally representative survey of US high school students were analyzed.
Main Results:
- Three latent classes emerged, characterized by low, moderate, and high probabilities of substance use and behavioral problems.
- Younger adolescents demonstrated a higher relative probability of co-occurring problem behaviors and polysubstance use.
- The association between behavioral problems and substance use was weaker in older adolescents.
Conclusions:
- Findings suggest that polysubstance use is a significant marker for behavioral problems in adolescents, particularly younger ones.
- Substance use may not be as strong an indicator of behavioral problems in higher grades.
- Results can inform grade-specific screening and prevention efforts for adolescent substance use and behavioral issues.
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