3.8 Article

Does Individual Risk Moderate the Effect of Contextual-Level Protective Factors? A Latent Class Analysis of Substance Use

Journal

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/10852352.2010.486299

Keywords

ATOD; prevention; protective factors; risk factors; youth development

Funding

  1. National Institute of Mental Health [MH62668]
  2. National Institute on Drug Abuse Center Grant [P50 DA100075]
  3. NIDA Training Grant [T32 DA017629-01A1]
  4. Pennsylvania Commission on Crime and Delinquency (PCCD)
  5. NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH062668] Funding Source: NIH RePORTER
  6. NATIONAL INSTITUTE ON DRUG ABUSE [P50DA010075, T32DA017629] Funding Source: NIH RePORTER

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The current study investigated how individual risk factors interact with social contextual-level protective factors to predict problematic substance use among a sample of 12th-grade students (n = 8,879, 53% female). Results suggested six latent classes of substance use: (1) Non-Users; (2) Alcohol Experimenters; (3) Alcohol, Tobacco, and Other Drug (ATOD) Experimenters; (4) Current Smokers; (5) Binge Drinkers; and (6) Heavy Users. Binary logistic regression models provided evidence that individual risk, family, school, and community protective factors were associated with membership in the substance use latent classes. However, the significance of interaction terms suggested that these protective influences differed according to the level of individual risk. Adolescents with high levels of individual risk benefited less from a positive family or neighborhood context than adolescents with low levels of individual risk. These findings suggest that the individual risk factors may undermine the protective effect of parental supervision, discipline, and other family factors, as well as protective aspects of cohesive neighborhoods, among these adolescents. Multicomponent and adaptive intervention efforts that account for different levels of ATOD use involvement, as well as distinct profiles of risk and protection, are likely to be most effective in preventing problematic substance use.

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