First use of multiple substances: Identification of meaningful patterns

Details

Serval ID
serval:BIB_071E5E08D50C
Type
Article: article from journal or magazin.
Collection
Publications
Title
First use of multiple substances: Identification of meaningful patterns
Journal
Journal of Substance Use
Author(s)
Berchtold André, Jeannin André, Akré Christina, Michaud Pierre-André, Suris Joan-Carles
ISSN
1465-9891
ISSN-L
1475-9942
Publication state
Published
Issued date
04/2010
Peer-reviewed
Oui
Volume
15
Number
2
Pages
118-130
Language
english
Abstract
Context: Understanding the process through which adolescents and young adults are trying legal and illegal substances is a crucial point for the development of tailored prevention and treatment programs. However, patterns of substance first use can be very complex when multiple substances are considered, requiring reduction into a few meaningful number of categories.
Data: We used data from a survey on adolescent and young adult health conducted in 2002 in Switzerland. Answers from 2212 subjects aged 19 and 20 were included. The first consumption ever of 10 substances (tobacco, cannabis, medicine to get high, sniff (volatile substances, and inhalants), ecstasy, GHB, LSD, cocaine, methadone, and heroin) was considered for a grand total of 516 different patterns.
Methods: In a first step, automatic clustering was used to decrease the number of patterns to 50. Then, two groups of substance use experts, three social field workers, and three toxicologists and health professionals, were asked to reduce them into a maximum of 10 meaningful categories.
Results: Classifications obtained through our methodology are of practical interest by revealing associations invisible to purely automatic algorithms. The article includes a detailed analysis of both final classifications, and a discussion on the advantages and limitations of our approach.
Keywords
Medicine (miscellaneous), Health(social science)
Web of science
Create date
13/04/2010 13:47
Last modification date
20/08/2019 13:29
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