Using Latent Class Analysis to Examine Polysubstance Use Patterns in Adolescents Aged 10-18: A Systematic Review

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-02-06 DOI:10.1016/j.addbeh.2025.108281

Neha Skandan , Martin Hochheimer , Jacob White , Robert S LeComte , Emma Pattillo , Andrew S Huhn , Jennifer D Ellis

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Abstract

Purpose

Over half of substance use disorder (SUD) cases develop from substance use during adolescence. Studies have used latent class analysis (LCA) to determine adolescent polysubstance use patterns. This systematic review aims to provide an updated characterization of studies that examine patterns of adolescent polysubstance use.

Methods

This paper is part of a two-part systematic review examining patterns of polysubstance use. This review focuses on the adolescent literature, which includes study samples with mean age up to 18 years.

Results

A majority of the N=54 studies were conducted in the United States. Sample sizes (N=98 to N=418,702), number of substances used as indicators (3 to 15), and number of latent classes extracted (2 to 6) varied per study. Analyses with larger sample sizes tended to extract a greater number of latent classes (Spearman’s rho = .274, p = .022). The mean ages of samples (Spearman’s rho = .255, p = .181) nor the utilization of more substances as indicators (Spearman’s rho = 0.021, p = .861) were associated with the number of classes extracted. The Bayesian Information Criterion was the most used statistical fit index for the latent classes.

Discussion

Substantial heterogeneity existed regarding study methodologies, LCA solutions, and statistical measures. Analyses focusing on niche population samples tended to highlight patterns involving less commonly used substances among adolescents. Future studies should expand on the types of substances used as indicators to explore how polysubstance use patterns are influenced by unique geographical communities.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.