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The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis
BACKGROUND: Rural youth often begin developing polysubstance use and other risk behaviors during middle school. However, little polysubstance use research focuses on rural middle school youth. Our research uses Latent Class Analysis to understand existing patterns of rural middle school polysubstanc...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9753425/ https://www.ncbi.nlm.nih.gov/pubmed/36517786 http://dx.doi.org/10.1186/s12889-022-14795-1 |
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author | Zervos, Andrew P. Hensel, Devon J. James, Rebecca Hunt, Abby Ott, Mary A. |
author_facet | Zervos, Andrew P. Hensel, Devon J. James, Rebecca Hunt, Abby Ott, Mary A. |
author_sort | Zervos, Andrew P. |
collection | PubMed |
description | BACKGROUND: Rural youth often begin developing polysubstance use and other risk behaviors during middle school. However, little polysubstance use research focuses on rural middle school youth. Our research uses Latent Class Analysis to understand existing patterns of rural middle school polysubstance use and risk and protective factors associated with polysubstance use. METHODS: We used survey data from a rural middle school pregnancy prevention program (N = 2,708). The survey included measures of demographics, lifetime substance use, trauma (adverse childhood experiences and bullying victimization) and aspects of youth development (parent communication on drugs and alcohol, parent connectedness and school connectedness). We used latent class analysis to produce participant polysubstance use profiles and multinomial regression to examine associations between polysubstance use, demographics, trauma and aspects of youth development. RESULTS: We categorized our participants into four latent classes. Our analysis classified 2.2% of participants as Regular Polysubstance users, 6.9% as Polysubstance experimenters, 19% as Vape + Alcohol experimenters and 71.9% as Non-Users. More adverse childhood experiences were associated with greater risk of polysubstance use and experimentation. Bullying was positively associated with greater risk of vape and alcohol experimentation. Higher reported parental and school connectedness were associated with lower risk of high frequency polysubstance use. Higher reported school connection was also associated with lower risk of polysubstance experimentation. CONCLUSION: Rural substance use prevention programs should begin during middle school, as polysubstance use development is common among rural middle schoolers. These programs should be trauma informed and focus on connectedness as a modifiable factor to reduce risk of polysubstance use development. TRIAL REGISTRATION: This article does not report results of a health care intervention on human participants. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14795-1. |
format | Online Article Text |
id | pubmed-9753425 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-97534252022-12-16 The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis Zervos, Andrew P. Hensel, Devon J. James, Rebecca Hunt, Abby Ott, Mary A. BMC Public Health Research BACKGROUND: Rural youth often begin developing polysubstance use and other risk behaviors during middle school. However, little polysubstance use research focuses on rural middle school youth. Our research uses Latent Class Analysis to understand existing patterns of rural middle school polysubstance use and risk and protective factors associated with polysubstance use. METHODS: We used survey data from a rural middle school pregnancy prevention program (N = 2,708). The survey included measures of demographics, lifetime substance use, trauma (adverse childhood experiences and bullying victimization) and aspects of youth development (parent communication on drugs and alcohol, parent connectedness and school connectedness). We used latent class analysis to produce participant polysubstance use profiles and multinomial regression to examine associations between polysubstance use, demographics, trauma and aspects of youth development. RESULTS: We categorized our participants into four latent classes. Our analysis classified 2.2% of participants as Regular Polysubstance users, 6.9% as Polysubstance experimenters, 19% as Vape + Alcohol experimenters and 71.9% as Non-Users. More adverse childhood experiences were associated with greater risk of polysubstance use and experimentation. Bullying was positively associated with greater risk of vape and alcohol experimentation. Higher reported parental and school connectedness were associated with lower risk of high frequency polysubstance use. Higher reported school connection was also associated with lower risk of polysubstance experimentation. CONCLUSION: Rural substance use prevention programs should begin during middle school, as polysubstance use development is common among rural middle schoolers. These programs should be trauma informed and focus on connectedness as a modifiable factor to reduce risk of polysubstance use development. TRIAL REGISTRATION: This article does not report results of a health care intervention on human participants. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14795-1. BioMed Central 2022-12-14 /pmc/articles/PMC9753425/ /pubmed/36517786 http://dx.doi.org/10.1186/s12889-022-14795-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Zervos, Andrew P. Hensel, Devon J. James, Rebecca Hunt, Abby Ott, Mary A. The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title | The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title_full | The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title_fullStr | The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title_full_unstemmed | The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title_short | The role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
title_sort | role of trauma and positive youth development in polysubstance use among rural middle school students: a latent class analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9753425/ https://www.ncbi.nlm.nih.gov/pubmed/36517786 http://dx.doi.org/10.1186/s12889-022-14795-1 |
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