ArticleBMC public health2018
Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Prevalence and Associated Factors of E-Cigarette Use among Adolescents in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Association between latent classes of tobacco, e-cigarette, alcohol, and illicit drug use patterns and depression among Thai adolescents.Addictive behaviors reports · 2026Article
- Effects of a Mobile Application "Teenagers Don't Drink" on Preventing Alcohol Consumption among Thai Adolescents: A Quasi-experimental Study.International journal of community based nursing and midwifery · 2026Article
- Syndemics of complex risk factors in adolescents: findings from the youth risk behavior survey, 2021.Npj mental health research · 2026Article
- Associations of clustered unhealthy lifestyle behaviors with comorbidity of anxiety and depression among adolescents.BMC psychiatry · 2026Article
- The relationship between perceived family conflicts and unhealthy lifestyles among adolescents: the interlocking mediating effect of mental health and school adaptation.BMC public health · 2025Article
- Prevalence, drug education, and other associated factors of current illicit drug use among a nationally representative sample of school-aged adolescents in the Philippines in 2019.Substance abuse treatment, prevention, and policy · 2025Article
- Patterns of health-risk behaviors among Chinese adolescents during the COVID-19 pandemic: a latent class analysis.BMC public health · 2025Article
- Review
- Psychosocial profiles and motivations for adolescent engagement in hazardous games: the role of boredom, peer influence, and self-harm tendencies.Frontiers in psychiatry · 2025Article
- Risk Behaviors among Migrant Adolescents in Italy.Children (Basel, Switzerland) · 2023Article
- Clustering of health risk behaviors among school-going adolescents in Mymensingh district, Bangladesh.BMC public health · 2023Article
- Gambling participation among Connecticut adolescents from 2007 to 2019: Potential risk and protective factors.Journal of behavioral addictions · 2023Article
- Polydrug use in Australian 12-14 year olds from 2006 to 2017: an examination of drug use profiles, emotional control problems, and family relationship characteristics.Australian journal of psychology · 2023Article
- Patterns of sexual behaviour associated with repeated chlamydia testing and infection in men and women: a latent class analysis.BMC public health · 2022Article
- Article
- Change in Alcohol Consumption and Binge Drinking in University Students During the Early COVID-19 Pandemic.Frontiers in public health · 2022Article
- Changes in alcohol use by cannabis use status among adolescents and young adults in the United States: Emerging evidence for both substitution and complementarity.Alcoholism, clinical and experimental research · 2021Article
- Latent class analysis of depression and anxiety among medical students during COVID-19 epidemic.BMC psychiatry · 2021Article
- Trends in the co-use of alcohol and tobacco among Japanese adolescents: periodical nationwide cross-sectional surveys 1996-2017.BMJ open · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlcohol and drug use and other health-risk behaviors tend to cluster together among adolescents and contribute a large amount of harm to both themselves and to others. This paper aims to characterize secondary school students based on their clusters of health-risk behaviors and identify factors determining class membership to these behavior-clusters.
methodsData from a national school survey was used to identify clusters of alcohol and drug use and other health-risk behaviors among secondary school students aged 12-15 years using a latent class regression model. A multinomial logistic regression model was used to identify predictors of the cluster membership.
resultsA total of 25,566 students were included in the analysis, of which 88% were classified as having low-risk behaviors reporting only moderate alcohol use; 11% as having moderate-risk behaviors, such as driving under the influence of alcohol, fighting, carrying a weapon, and alcohol and tobacco use; and 0.6% as having high-risk behaviors, such as use of illicit drugs, particularly kratom and cannabis. Males, older students, those with a poor school performance, not living with parents, drug use by family members and peers, and having a low level of perceived disdain from their friends if they used drugs were significant risk factors for being in the moderate- and high-risk behavior classes.
conclusionsAlcohol, tobacco and drug use, as well as other health-risk behaviors such as fighting, are clustered in Thai secondary school students. This result highlights the importance of comprehensive prevention and education strategies, particularly for moderate to high-risk groups.
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