Evidence map›Paper›PMID 41722073›Full record

ArticleEuropean addiction research2026

Risk Modeling and Association Pathways Integrating Psychosocial Factors for Drug Misuse in Adolescents and Young Adults: A Machine Learning Approach.

Zhanying Li, Na Li, Ying He, Tingyong Zhang, Anyong Peng, Zhongzhou Jiang, Cong Wen, Zhengcong Wu, Oi Kwan Joyce Chung, William Ho Cheung Li and 2 more

Abstract read
In one paragraph

Article in European addiction research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zhanying LiSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Na LiSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Ying HeSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Tingyong ZhangSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Anyong PengSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Zhongzhou JiangSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Cong WenSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Zhengcong WuSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China.
Oi Kwan Joyce ChungSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, China.
William Ho Cheung LiNethersole School of Nursing, The Chinese University of Hong Kong, Shatin, China.
Yu ChengSchool of Medicine, Sun Yat-Sen University, Shenzhen Campus of Sun Yat-sen University, Shenzhen, China.
Wei XiaSchool of Nursing, Sun Yat-Sen University, Guangzhou City, China, xiaw23@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Early identification for preventing drug misuse among adolescents and young adults (AYAs) is more cost-effective than drug treatment. However, there is a lack of scientific and comprehensive risk models for early identification. This study aimed to construct risk models and association pathways that integrate psychosocial factors influencing drug misuse in AYAs using a machine learning approach.

methodsThis cross-sectional study included 1,012 Chinese AYAs aged 14-35 years and was conducted from June to December 2023. Key psychosocial factors for drug misuse were identified using the least absolute shrinkage and selection operator and Boruta. A voting classifier combining logistic regression, K-nearest neighbors, support vector machine, and 5-fold cross-validation was used for model training and bootstrapping method wan applied for testing. Shapley additive explanation was used to determine the importance of each risk factor. A Bayesian network (BN) model was constructed to explore possible association pathways for drug misuse.

resultsA total of 3.85% of participants reported drug misuse. Significant risk factors included environmental exposure to drug misusers, working in nightlife venues (WNVs), cognition of traditional drug types, perceived risks of drug misuse, permissive attitude toward drug misuse, refusal self-efficacy of drug misuse (RSEDM), externalizing problem behavior, sensation-seeking, and adverse childhood experiences (ACEs). The voting model showed strong performance (recall: 94.10%; area under the curve: 98.11%; accuracy: 92.63%; precision: 34.15%; F-score: 49.68%). The BN model revealed that ACEs played a central role in risk assessment of drug misuse. AYAs WNVs, with low RSEDM and exposure to drug misusers, had exceeding 90% probability of drug misuse.

conclusionACEs serve as a primary risk factor, with a significant impact on social environmental influences. AYAs with ACEs and those WNVs require targeted and early interventions to prevent drug misuse. </p>.

Indexed as

Machine LearningSubstance-Related DisordersAdolescentAdultBayes TheoremChinaClassification AlgorithmsCross-Sectional StudiesFemaleHumansMalePredictive Learning ModelsRisk FactorsYoung AdultAdolescents and young adultsBayesian networkDrug misuseMachine learning

Identifiers

PMID41722073
PMCPMC13128163

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.