Adolescent Tobacco Uptake and Other Substance Use: A Latent Class Analysis

Joanne Delk, Felicia R. Carey, Kathleen R. Case, Melisa R Creamer, Anna V Wilkinson, Cheryl L Perry, Melissa B Harrell

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to identify patterns of tobacco uptake and other substance use, from early to late adolescence. Methods: We used weighted latent class analysis, conducted separately for 7th, 9th, and 11th graders, to assess patterns of susceptibility, ever and current use of combustible tobacco and e-cigarettes, and other substance use (ie, current alcohol, binge drinking, and marijuana). Data were from Wave 3 of the Texas Adolescent Tobacco and Marketing Surveillance System (n = 2733; N = 461,069), collected in fall 2015. Multinomial regression was used to examine differences in class membership by demographic factors. Results: Two latent classes were identified in 7th grade, 3 classes in 9th grade, and 4 classes in 11th grade models. In each grade, classes included both a "no risk" and a "tobacco susceptible" class. For 9th grade, there was an additional "tobacco ever use" class, and 11th grade had the same additional class as well as an "all products use" class. Conclusion: Distinct patterns of polysubstance use emerged as grade level increased, supporting a stage-sequential model of onset and progression across developmental age groups. Future research can examine other factors affecting transitions across these stages.

LanguageEnglish
Pages3-14
Number of pages12
JournalAmerican journal of health behavior
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

nicotine
Tobacco
school grade
Tobacco Use
adolescent
Binge Drinking
Cannabis
Marketing
Tobacco Products
Alcohol Drinking
Age Groups
Demography
class membership
demographic factors
adolescence
surveillance
age group
marketing
alcohol
regression

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Delk, J., Carey, F. R., Case, K. R., Creamer, M. R., Wilkinson, A. V., Perry, C. L., & Harrell, M. B. (2019). Adolescent Tobacco Uptake and Other Substance Use: A Latent Class Analysis. American journal of health behavior, 43(1), 3-14. https://doi.org/10.5993/AJHB.43.1.1

Adolescent Tobacco Uptake and Other Substance Use : A Latent Class Analysis. / Delk, Joanne; Carey, Felicia R.; Case, Kathleen R.; Creamer, Melisa R; Wilkinson, Anna V; Perry, Cheryl L; Harrell, Melissa B.

In: American journal of health behavior, Vol. 43, No. 1, 01.01.2019, p. 3-14.

Research output: Contribution to journalArticle

Delk, J, Carey, FR, Case, KR, Creamer, MR, Wilkinson, AV, Perry, CL & Harrell, MB 2019, 'Adolescent Tobacco Uptake and Other Substance Use: A Latent Class Analysis', American journal of health behavior, vol. 43, no. 1, pp. 3-14. https://doi.org/10.5993/AJHB.43.1.1
Delk J, Carey FR, Case KR, Creamer MR, Wilkinson AV, Perry CL et al. Adolescent Tobacco Uptake and Other Substance Use: A Latent Class Analysis. American journal of health behavior. 2019 Jan 1;43(1):3-14. https://doi.org/10.5993/AJHB.43.1.1
Delk, Joanne ; Carey, Felicia R. ; Case, Kathleen R. ; Creamer, Melisa R ; Wilkinson, Anna V ; Perry, Cheryl L ; Harrell, Melissa B. / Adolescent Tobacco Uptake and Other Substance Use : A Latent Class Analysis. In: American journal of health behavior. 2019 ; Vol. 43, No. 1. pp. 3-14.
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