TY - JOUR
KW - Academic Success
KW - Adolescent
KW - Age Factors
KW - Alcohol Drinking/epidemiology/psychology
KW - Correlation of Data
KW - Exploratory Behavior
KW - Female
KW - Humans
KW - Illicit drugs
KW - Internal-External Control
KW - Likelihood Functions
KW - Male
KW - Marijuana Abuse/epidemiology/psychology
KW - Prescription Drugs
KW - Risk Factors
KW - Sex Factors
KW - Sexual Behavior
KW - Smoking/epidemiology/psychology
KW - Substance-Related Disorders/epidemiology/psychology
KW - United States
KW - Urban Population/statistics & numerical data
KW - Alcohol
KW - Correlates
KW - Drugs
KW - Marijuana
KW - polysubstance use
KW - tobacco products
KW - YOUTH
AU - M. L. Silveira
AU - V. R. Green
AU - R. Iannaccone
AU - H. L. Kimmel
AU - K. P. Conway
A1 - 
AB - BACKGROUND AND AIMS: Youth aged 15-17 years are at high risk of tobacco, alcohol and drug use. Given the changing landscape with respect to availability, use of emerging products and regulatory environments, we examined patterns and correlates of polysubstance use among US youth aged 15-17 years. DESIGN: Cross-sectional self-reported data. SETTING: United States. PARTICIPANTS: A total of 6127 US youth aged 15-17 years from wave 1 (2013-14) of the nationally representative Population Assessment of Tobacco and Health (PATH) Study. MEASUREMENTS: Latent class analysis was used to identify subgroups of polysubstance use, including 12 tobacco products, alcohol, marijuana, prescription drugs and other drugs. Socio-demographic characteristics, residence in urban area, sensation-seeking, sexual orientation and internalizing and externalizing problems were examined as correlates. FINDINGS: Approximately 43.5% of 15-17-year-olds had used at least one substance in the past 12 months. A 5-class model was identified: class 1 'abstainers' (67.3%), class 2 'alcohol users' (19.2%), class 3 'alcohol, marijuana and tobacco (AMT(predominant AM) ) users' (8.2%), class 4 'alcohol, marijuana and tobacco (AMT(predominant T) ) users' (3.9%) and class 5 'alcohol, marijuana, tobacco and other drug (AMTOD) users' (1.4%). Abstainers were considered the reference class. Higher sensation-seeking scores, higher age and lower academic grades were each associated with greater likelihood of membership in all user classes. Gender, race/ethnicity, parents/guardians' education, residence in non-urban areas and sexual minority groups were associated with membership in some, but not all, user classes. Compared with no/low/moderate severity, high severity internalizing problems were associated with membership in classes 2, 3 and 5, whereas high severity externalizing problems were associated with membership in classes 3 and 5 only. CONCLUSIONS: There appear to be three heterogeneous polysubstance use classes among US youth aged 15-17 years. Correlates of substance use among US youth include higher sensation-seeking, poor academic performance, non-urban residence, minority sexual orientation and mental health problems.
AD - National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA.; Kelly Government Solutions, Rockville, MD, USA.; Congressional Research Service, Library of Congress, Washington, DC, USA.; Georgetown University, Washington, DC, USA.; Rutgers New Jersey Medical School, Newark, NJ, USA.; National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA.; RTI International - Survey Research Division, Rockville, MD, USA.
BT - Addiction (Abingdon, England)
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 5
DO - 10.1111/add.14547
IS - 5
JF - Addiction (Abingdon, England)
LA - eng
M1 - Journal Article
N2 - BACKGROUND AND AIMS: Youth aged 15-17 years are at high risk of tobacco, alcohol and drug use. Given the changing landscape with respect to availability, use of emerging products and regulatory environments, we examined patterns and correlates of polysubstance use among US youth aged 15-17 years. DESIGN: Cross-sectional self-reported data. SETTING: United States. PARTICIPANTS: A total of 6127 US youth aged 15-17 years from wave 1 (2013-14) of the nationally representative Population Assessment of Tobacco and Health (PATH) Study. MEASUREMENTS: Latent class analysis was used to identify subgroups of polysubstance use, including 12 tobacco products, alcohol, marijuana, prescription drugs and other drugs. Socio-demographic characteristics, residence in urban area, sensation-seeking, sexual orientation and internalizing and externalizing problems were examined as correlates. FINDINGS: Approximately 43.5% of 15-17-year-olds had used at least one substance in the past 12 months. A 5-class model was identified: class 1 'abstainers' (67.3%), class 2 'alcohol users' (19.2%), class 3 'alcohol, marijuana and tobacco (AMT(predominant AM) ) users' (8.2%), class 4 'alcohol, marijuana and tobacco (AMT(predominant T) ) users' (3.9%) and class 5 'alcohol, marijuana, tobacco and other drug (AMTOD) users' (1.4%). Abstainers were considered the reference class. Higher sensation-seeking scores, higher age and lower academic grades were each associated with greater likelihood of membership in all user classes. Gender, race/ethnicity, parents/guardians' education, residence in non-urban areas and sexual minority groups were associated with membership in some, but not all, user classes. Compared with no/low/moderate severity, high severity internalizing problems were associated with membership in classes 2, 3 and 5, whereas high severity externalizing problems were associated with membership in classes 3 and 5 only. CONCLUSIONS: There appear to be three heterogeneous polysubstance use classes among US youth aged 15-17 years. Correlates of substance use among US youth include higher sensation-seeking, poor academic performance, non-urban residence, minority sexual orientation and mental health problems.
PB - . This article is a U.S. Government work and is in the public domain in the USA
PY - 2019
SN - 1360-0443; 0965-2140; 0965-2140
SP - 907
EP - 916
EP - 
T1 - Patterns and correlates of polysubstance use among US youth aged 15-17 years: wave 1 of the Population Assessment of Tobacco and Health (PATH) Study
T2 - Addiction (Abingdon, England)
TI - Patterns and correlates of polysubstance use among US youth aged 15-17 years: wave 1 of the Population Assessment of Tobacco and Health (PATH) Study
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 30614093
U3 - 10.1111/add.14547
VL - 114
VO - 1360-0443; 0965-2140; 0965-2140
Y1 - 2019
Y2 - May
ER -