Multilevel Latent Class Profile Analysis: An Application to Stage-Sequential Patterns of Alcohol Use in a Sample of Canadian Youth

2021 ◽  
Vol 44 (1) ◽  
pp. 50-60
Author(s):  
Yunah Lee ◽  
Youngsun Kim ◽  
Scott T. Leatherdale ◽  
Hwan Chung

Recently, latent class analysis (LCA) and its variants have been proposed to identify subgroups of individuals who follow similar sequential patterns of latent class membership for longitudinal study. A primary assumption underlying the family of LCA is that individual observations are independent. In many applications, however, particularly in research on adolescent substance use, individuals are often dependent because of multilevel data structure, where the unit of observation (e.g., students) is nested in higher level units (e.g., schools). In this study, we propose multilevel latent class profile analysis (MLCPA), which will allow us to analyze the longitudinal data with a multilevel structure under the framework of LCA. We apply an MLCPA using data from the COMPASS study, a 9-year study funded by the Canadian Institutes of Health Research and Health Canada, in order to identify representative sequential drinking patterns of Canadian youth and investigate whether these sequential patterns vary across schools. The MLCPA identified three common student-level drinking behaviors: non-drinker, ever lifetime, and binge drinker. The sequence of drinking behaviors can be classified into one of three longitudinal sequential patterns: non-drinking stayer, light drinking advancer, and heavy drinking advancer. In addition, MLCPA uncovered two latent clusters ( low-use school and high-use school) out of 64 schools in Ontario and Alberta based on the prevalences of sequential drinking patterns.

2016 ◽  
Vol 24 (2) ◽  
pp. 144-162
Author(s):  
Elizabeth A. Mumford ◽  
Weiwei Liu ◽  
Hannah Joseph

There has been limited investigation of mothers’ drinking patterns and their experience of domestic abuse while parenting young children, especially in the context of co-resident fathers’ drinking. Using data representative of the 2001 U.S. birth cohort, the authors conducted longitudinal latent class analyses of maternal drinking over four perinatal time points as predictors of maternal victimization at 2 years postpartum due to intimate partner violence. Women classified as higher risk drinkers over the study period faced significantly increased risk of physical abuse while parenting a 2-year-old child. Among non-drinking mothers, paternal binge drinking signaled additional risk, with clinical and programmatic implications.


2020 ◽  
Vol 8 ◽  
Author(s):  
Esther de Vries ◽  
Roeland W. N. M. van Hout

Aim: To study the pattern of respiratory symptoms in children in the general population.Method: We followed a cohort of children for up to 2 years through parents completing weekly online questionnaires in the Child-Is-Ill study (“Kind-en-Ziekmeting” in Dutch); the study was running 2012–2015. Inclusion criteria were “an ordinary child” (according to the parents) and <18 years old at inclusion. We especially encouraged participation of post-infancy children. Age at inclusion, sex, smoking exposure, allergy in the family, and frequent infections in the family were noted. Pearson's correlation, principal component analysis, latent class analysis, latent profile analysis, linear regression, and linear mixed effects regression were used in the statistical analyses.Results: Data were collected on 55,524 childweeks in 755 children (50% girls; median age, 7 years; interquartile range, 4–11 years, 97% ≥2 years at inclusion), with reported symptom(s) in 8,425 childweeks (15%), leading to school absenteeism in 25%, doctor's visits in 12%, and parental sick leave in 8%; symptoms lasting ≥3 weeks were rare (2% of episodes). Linear mixed effects regression showed significant, but only limited, effects of season on the proportion of “symptom(s) reported” per individual child. Only runny nose showed a significant, but very small, age effect. However, the variability between the children was considerable. There were no obvious subgroups of children with specific symptom combinations.Conclusion: In any randomly chosen week, the vast majority of children (85%) in our—mainly—post-infancy cohort derived from the general population did not have any symptom, even in the younger age group, even in winter. The children showed considerable variability; no clear subgroups of symptom patterns could be identified, underlining the difficult position of healthcare providers. These results support our opinion that post-infancy children in the general population should not be evaluated as if they are infants when they have recurrent respiratory symptoms. If they clearly deviate from the above-described most common pattern, it is wise to keep an eye on potential, maybe even rare, serious underlying causes.


2007 ◽  
Vol 24 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Andrew Percy ◽  
Dorota Iwaniec

AbstractObjectives: This study examined the validity of a latent class typology of adolescent drinking based on four alcohol dimensions; frequency of drinking, quantity consumed, frequency of binge drinking and the number of alcohol related problems encountered.Method: Data used were from the 1970 British Cohort Study 16-year-old follow-up. Partial or complete responses to the selected alcohol measures were provided by 6,516 cohort members. The data were collected via a series of postal questionnaires.Results: A five class LCA typology was constructed. Around 12% of the sample were classified as ‘hazardous drinkers’ reporting frequent drinking, high levels of alcohol consumed, frequent binge drinking and multiple alcohol related problems. Multinomial logistic regression, with multiple imputation for missing data, was used to assess the covariates of adolescent drinking patterns. Hazardous drinking was associated with being white, being male, having heavy drinking parents (in particular fathers), smoking, illicit drug use, and minor and violent offending behaviour. Non-significant associations were found between drinking patterns and general mental health and attention deficient disorder.Conclusion: The latent class typology exhibited concurrent validity in terms of its ability to distinguish respondents across a number of alcohol and non-alcohol indicators. Notwithstanding a number of limitations, latent class analysis offers an alternative data reduction method for the construction of drinking typologies that addresses known weaknesses inherent in more tradition classification methods.


2020 ◽  
Author(s):  
Jeoffray Diendéré ◽  
Ahmed Kaboré ◽  
Hervé Hien ◽  
Jean Kaboré ◽  
Serge Somda ◽  
...  

Abstract Background: The alcohol consumption level is rising in Burkina Faso, which has the highest prevalence of heavy drinking in West Africa. This study used daily alcohol intake levels to explore drinking behaviors in regard to the days of the week and associations with dependence signs.Methods: We operated variables from the past 12-month drinkers reported by the 2013 Stepwise survey, which provided information on daily drinking and symptoms of alcohol dependence. We performed student tests, principal component analyses and logistic regression.Results: Data from 1,139 past 12-month drinkers was analyzed, and 15.9% (95%; CI: 13.8–18.1) of users had at least one sign of alcohol dependence. Both drinkers without and with dependence symptoms had a common behavior for higher intake on Thursday, Saturday and Sunday, while lower intake behavior was observed on Tuesday. Only drinkers with dependence signs had high intake behavior, especially on Monday and Friday. In multivariate analysis, alcohol dependence signs were associated with increased drinking only on Monday [adjusted odds ratio (aOR) =1.24, p=0.0001)] or Friday (aOR=1.15, p=0.003).Conclusion: For drinkers without any dependence sympoms, behaviors for higher intake were limited to Thursday, Saturday and Sunday in accordance with the “social events schedule” and the “weekly administrative time-off”, but those with dependence signs extended this kind of behavior to Monday or Friday, likely due to the increased and persistent craving triggered by the high intake the previous day.


2016 ◽  
Vol 10 ◽  
pp. 117822181668606
Author(s):  
Meredith A Hoyland ◽  
Wade C Rowatt ◽  
Shawn J Latendresse

Prior research has demonstrated that adolescent delinquency and depression are prospectively related to adult alcohol use and that adolescent religiosity may influence these relationships. However, such associations have not been investigated using person-centered approaches that provide nuanced explorations of these constructs. Using data from the National Longitudinal Study of Adolescent to Adult Health, we examined whether adolescent delinquency and depression differentiated typologies of adult alcohol users and whether these relationships varied across religiosity profiles. Three typologies of self-identified Christian adolescents and 4 types of adult alcohol users were identified via latent profile analysis. Delinquency and depression were related to increased likelihood of membership in heavy drinking or problematic alcohol use profiles, but this relationship was most evident among those likely to be involved in religious practices. These results demonstrate the importance of person-centered approaches in characterizing the influences of internalizing and externalizing behaviors on subsequent patterns of alcohol use.


2021 ◽  
pp. 1-2
Author(s):  
Violeta Martínez-Alcántara

<b>Aim:</b> To study the pattern of respiratory symptoms in children in the general population. <b>Method:</b> We followed a cohort of children for up to 2 years through parents completing weekly online questionnaires in the Child-Is-Ill study («Kind-en-Ziekmeting» in Dutch); the study was running 2012–2015. Inclusion criteria were «an ordinary child» (according to the parents) and &#x3c;18 years old at inclusion. We especially encouraged participation of post-infancy children. Age at inclusion, sex, smoking exposure, allergy in the family, and frequent infections in the family were noted. Pearson’s correlation, principal component analysis, latent class analysis, latent profile analysis, linear regression, and linear mixed effects regression were used in the statistical analyses. <b>Results:</b> Data were collected on 55,524 childweeks in 755 children (50% girls; median age, 7 years; interquartile range, 4–11 years, 97% ≥2 years at inclusion), with reported symptom(s) in 8,425 childweeks (15%), leading to school absenteeism in 25%, doctor’s visits in 12%, and parental sick leave in 8%; symptoms lasting ≥3 weeks were rare (2% of episodes). Linear mixed effects regression showed significant, but only limited, effects of season on the proportion of «symptom(s) reported» per individual child. Only runny nose showed a significant, but very small, age effect. However, the variability between the children was considerable. There were no obvious subgroups of children with specific symptom combinations. <b>Conclusion:</b> In any randomly chosen week, the vast majority of children (85%) in our – mainly –post-infancy cohort derived from the general population did not have any symptom, even in the younger age group, even in winter. The children showed considerable variability; no clear subgroups of symptom patterns could be identified, underlining the difficult position of healthcare providers. These results support our opinion that post-infancy children in the general population should not be evaluated as if they are infants when they have recurrent respiratory symptoms. If they clearly deviate from the above-described most common pattern, it is wise to keep an eye on potential, maybe even rare, serious underlying causes.


Author(s):  
Phagapun Boontem ◽  
Udomsak Saengow

The relationship between alcohol advertising and drinking has been demonstrated in many studies. Most studies were conducted on adolescents or young adults. Thailand has strict regulations on alcohol advertisements. This study aimed to examine associations between exposure to alcohol advertisements and drinking behaviors, i.e., past-year drinking and past-year heavy drinking, using data from a population-based survey in Thailand. The survey participants were Thai citizens aged 15 or older. Logistic regression was used to investigate the associations. The primary explanatory variable was self-reported exposure to alcohol advertisements. Covariates in the regression models included sex, age, and education. Self-reported exposure to alcohol advertisements was associated with past-year drinking (OR, 1.16; 95% CI, 1.07–1.27), past-year heavy drinking (OR, 1.35; 95% CI, 1.28–1.41), and past-year heavy drinking among drinkers (OR, 1.51; 95% CI, 1.43–1.60). Male sex, working age, and secondary education or a diploma were associated with higher odds of past-year drinking and past-year heavy drinking. In this study, self-reported exposure to alcohol advertisements was shown to be associated with past-year drinking and past-year heavy drinking among a population aged 15 years or older.


2021 ◽  
pp. 0192513X2110380
Author(s):  
José María García-de-Diego ◽  
Livia García-Faroldi

Recent decades have seen an increase in women’s employment rates and an expansion of egalitarian values. Previous studies document the so-called “motherhood penalty,” which makes women’s employment more difficult. Demands for greater shared child-rearing between parents are hindered by a normative climate that supports differentiated gender roles in the family. Using data from the Center for Sociological Research [Centro de Investigaciones Sociológicas] (2018), this study shows that the Spanish population perceives that differentiated social images of motherhood and fatherhood still persist. The “sexual division in parenting” index is proposed and the profile of the individuals who most perceive this sexual division is analyzed. The results show that women and younger people are the most aware of this social normativity that unequally distributes child care, making co-responsibility difficult. The political implications of these results are discussed.


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