ArticleAddictive behaviors reports2025
Patterns of substance use and associations with mental health and interpersonal violence among adolescents.
Article in Addictive behaviors reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- More Than Hurt Feelings: Associations Between Perceived Racial Discrimination and Mental Health, Substance Use, and Victimization Among Racial and Ethnic Minority Adolescents.Journal of racial and ethnic health disparities · 2026Article
- Childhood conduct problems and adolescent sexual harassment victimization: Understanding the role of cumulative processes.International journal of behavioral development · 2026Article
- Clustering of substance use and its association with adolescents' health and well-being: evidence from the Health Behaviour in School-aged Children (HBSC) Luxembourg study.BMC public health · 2026Article
- Examining the complexity of the relationship between deviant peers affiliation and child-to-parent violence in young adults: the mediating role of drug use and the moderating role of family support.Frontiers in psychology · 2026Article
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Authors and funding
12 authors.
Funding
Abstract
Objective: To identify patterns of adolescent substance use and associated behavioral health characteristics among adolescents. Methods: We conducted a cross-sectional study of 167,504 adolescents aged 13-17 who were screened for substance use, mental health symptoms, and interpersonal violence during well-check visits in a large healthcare system in California from 2021 to 2022. We conducted latent class analysis to identify patterns of substance use from four substance use behaviors (past-year alcohol, cannabis, other substance, and close friends' use). We calculated the prevalence of depressive symptoms, suicidal ideation, bullying, physical abuse by an adult, sexual violence, and intimate partner violence for each substance use class compared to those with no reported substance use behaviors and estimated adjusted prevalence ratios using modified Poisson regression. Results: In total, 29,288 (17 %) adolescents reported ≥ 1 substance use characteristic. From those, we identified five latent classes with different patterns of substance use: Conclusions: The high prevalence of mental health and interpersonal violence outcomes among adolescents with substance use, even among those who only report close friends' substance use, highlights the need for routine screening during well-check visits. Comprehensive routine social and behavioral health screening among adolescents is vital for early identification and intervention.
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