Alcohol- and drug-related consequences across latent classes of substance use among American Indian adolescents,Addictive Behaviors

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Alcohol- and drug-related consequences across latent classes of substance use among American Indian adolescents
Addictive Behaviors ( IF 3.7 ) Pub Date : 2020-09-28 , DOI: 10.1016/j.addbeh.2020.106682
Melissa R Schick ₁ , Silvi C Goldstein ₁ , Tessa Nalven ₁ , Nichea S Spillane ₁

Affiliation

Introduction

Substance use among American Indian (AI) adolescents is a significant public health concern, as they report greater health disparities related to substance use compared to other racial/ethnic groups. The present study examines differences across classes of substance use behaviors regarding alcohol- and drug-related consequences.

Methods

The current study was a secondary analysis of the dataset used by Stanley and Swaim (2018). AI adolescents (n = 3498, 47.8% female, M_age = 14.8) completed a survey including substance use and related consequences. Protocols were approved by institutional IRB, tribal authority, school boards, and parental consent/child assent were obtained.

Results

In line with Stanley and Swaim (2018), we identified four classes of substance use: no past month substance use; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and polysubstance use. Cross-class comparisons revealed that adolescents in classes characterized by the use of a greater number of substances also reported experiencing greater alcohol- and drug-related consequences with one exception: the class characterized by marijuana and cigarette use reported greater drug-related consequences compared to the class characterized by alcohol, marijuana, and cigarette use.

Conclusions

AI adolescents who engage in the use of multiple substances should be provided with psychoeducation around the increased risk of associated negative consequences. Given the health disparity experienced by AI adolescents, interventions to alleviate the burden of negative consequences are necessary.

中文翻译：

美洲印第安人青少年潜在物质使用类别的酒精和药物相关后果

介绍

美洲印第安人 (AI) 青少年的药物使用是一个重要的公共卫生问题，因为与其他种族/族裔群体相比，他们报告与药物使用相关的健康差异更大。本研究检查了不同类别的物质使用行为在酒精和药物相关后果方面的差异。

方法

目前的研究是对 Stanley 和 Swaim (2018) 使用的数据集的二次分析。AI 青少年（n = 3498，47.8% 女性，M_年龄 = 14.8）完成了一项包括物质使用和相关后果的调查。协议得到了机构 IRB、部落权威、学校董事会的批准，并获得了父母同意/儿童同意。

结果

根据 Stanley 和 Swaim (2018)，我们确定了四类物质使用：过去一个月没有物质使用；仅吸食大麻和香烟；仅限酒精、大麻和香烟使用；和多物质的使用。跨类别比较显示，以使用更多物质为特征的类别中的青少年也报告说经历了更大的酒精和药物相关后果，但有一个例外：以使用大麻和香烟为特征的类别报告与药物相关的后果更大以使用酒精、大麻和香烟为特征的类别。