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Uncovering Multiple Pathways to Substance Use: A Comparison of Methods for Identifying Population Subgroups

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Abstract

This paper describes and compares a selection of available modeling techniques for identifying homogeneous population subgroups in the interest of informing targeted substance use intervention. We present a nontechnical review of the common and unique features of three methods: (a) trajectory analysis, (b) functional hierarchical linear modeling (FHLM), and (c) decision tree methods. Differences among the techniques are described, including required data features, strengths and limitations in terms of the flexibility with which outcomes and predictors can be modeled, and the potential of each technique for helping to inform the selection of targets and timing of substance intervention programs.

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References

  • Abroms, L., Simons-Morton, B., Haynie, D., & Chen, R. (2005). Psychosocial predictors of smoking trajectories during middle and high school. Addiction, 100(6), 852–861.

    Article  PubMed  Google Scholar 

  • Audrain-McGovern, J., Rodriguez, D., Tercyak, K., Cuevas, J., Rodgers, K., & Patterson, F. (2004). Identifying and characterizing adolescent smoking trajectories. Cancer Epidemiology, Biomarkers and Prevention, 13(12), 2023–2034.

    PubMed  Google Scholar 

  • Babor, T. F., & Caetano, R. (2006). Subtypes of substance dependence and abuse: Implications for diagnostic classification and empirical research. Addiction, 101(Suppl. 1), 104–110.

    Article  PubMed  Google Scholar 

  • Babor, T. F., & Del Boca, F. K. (2003). Treatment matching in alcoholism. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Bates, M. E. (2000). Integrating person-centered and variable-centered approaches in the study of developmental courses and transitions in alcohol use: Introduction to the special section. Alcoholism, Clinical and Experimental Research, 24(6), 878–881.

    Article  CAS  PubMed  Google Scholar 

  • Bauer, D. J., & Shanahan, M. J. (2007). Modeling complex interactions: Person-centered and variable-centered approaches. In T. D. Little, J. A. Bovaird, & N. A. Card (Eds.), Modeling contextual effects in longitudinal studies (pp. 255–283). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.

    Google Scholar 

  • Bergman, L. R., von Eye, A., & Magnusson, D. (2006). Person-oriented research strategies in developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: Theory and method (2nd ed., Vol. 1, pp. 850–888). Hoboken, NJ: Wiley.

    Google Scholar 

  • Bierman, K. L., Coie, J. D., Dodge, K. A., Foster, E. M., Greenberg, M. T., Lochman, J. E., et al. (2007). Fast track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from grades 3 to 9. Journal of the American Academy of Child & Adolescent Psychiatry, 46(10), 1250–1262.

    Article  Google Scholar 

  • Block, J., & Robins, R. W. (1993). A longitudinal study of consistency and change in self-esteem from early adolescence to early adulthood. Child Development, 64(3), 909–923.

    Article  CAS  PubMed  Google Scholar 

  • Botvin, G. J., Griffin, G. W., Diaz, T., & Ifill-Williams, M. (2001). Drug abuse prevention among minority adolescents: Posttest and one-year follow-up of a school-based preventive intervention. Prevention Science, 2(1), 1–13.

    Article  CAS  PubMed  Google Scholar 

  • Brieman, L., Friedman, J., Olshen, R., & Stone, C. (1984). Classification and regression trees. Pacific Grove, CA: Chapman & Hall.

    Google Scholar 

  • Brogan, D. (2004). Software for sample survey data: Misuse of standard packages. In P. Armitage & T. Colton (Eds.), Encyclopedia of biostatistics (2nd ed., Vol. 5, pp. 4167–4174). New York, NY: Wiley.

    Google Scholar 

  • Brown, C. H., Wang, W., Kellam, S. G., Muthen, B. O., Petras, H., Toyinbo, P., et al. (2008). Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time. Drug and Alcohol Dependence, 95(Suppl 1), S74–S104.

    Article  PubMed  Google Scholar 

  • Buettner, C. K., Bartle-Haring, S., Andrews, D. W., & Khurana, A. (2010). Perceptions of alcohol policy and drinking behavior: Results of a latent class analysis of college student drinkers. Addictive Behaviors, 35(6), 628–631.

    Article  PubMed  Google Scholar 

  • Chassin, L., Presson, C., Pitts, S., & Sherman, S. (2000). The natural history of cigarette smoking from adolescence to adulthood in a Midwestern community sample: Multiple trajectories and their psychosocial correlates. Health Psychology, 19(3), 223–231.

    Article  CAS  PubMed  Google Scholar 

  • Chung, T., Maisto, S. A., Cornelius, J. R., Martin, C. S., & Jackson, K. M. (2005). Joint trajectory analysis of treated adolescents’ alcohol use and symptoms over 1 year. Addictive Behaviors, 30(9), 1690–1701.

    Article  PubMed  Google Scholar 

  • Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8(4), 597–600.

    Article  Google Scholar 

  • Colder, C., Mehta, P., Balanda, K., Campbell, R., Mayhew, K., Stanton, W., et al. (2001). Identifying trajectories of adolescent smoking: An application of latent growth mixture modeling. Health Psychology, 20(2), 127–135.

    Article  CAS  PubMed  Google Scholar 

  • Collins, L. M., & Graham, J. W. (2002). The effect of timing and spacing of observations in longitudinal studies of tobacco and other drug use: Temporal design considerations. Drug and Alcohol Dependence, 68(Suppl. 1), S85–S96.

    Article  PubMed  Google Scholar 

  • Collins, L., & Lanza, S. (2009). Latent class and latent transition analysis: For applications in the social, behavioral and health sciences. Hoboken, NJ: Wiley.

    Google Scholar 

  • Costello, D. M., Dierker, L. C., Jones, B. L., & Rose, J. S. (2008). Trajectories of smoking from adolescence to early adulthood and their psychosocial risk factors. Health Psychology, 27(6), 811–818.

    Article  PubMed  Google Scholar 

  • Dierker, L. C., Avenevoli, S., Goldberg, A., & Glantz, M. (2004). Defining subgroups of adolescents at risk for experimental and regular smoking. Prevention Science, 5(3), 169–183.

    Article  PubMed  Google Scholar 

  • Dierker, L., Lloyd-Richardson, E., Stolar, M., Flay, B., Tiffany, S., Collins, L., et al. (2006). The proximal association between smoking and alcohol use among first year college students. Drug and Alcohol Dependence, 81(1), 1–9.

    Article  PubMed  Google Scholar 

  • Feelders, A. J. (1999). Handling missing data in trees: Surrogate splits or statistical imputation. Paper presented at the Proceedings of the Third European Conference on Principles of Data Mining and Knowledge Discovery, Prague, Czech Republic.

  • Freedman, M., Lester, K., McNamara, C., Milby, J., & Schumacher, J. (2006). Cell phones for ecological momentary assessment with cocaine-addicted homeless patients in treatment. Journal of Substance Abuse Treatment, 30(2), 105–111.

    Article  PubMed  Google Scholar 

  • Guo, J., Chung, I., Hill, K., Hawkins, D., Catalano, R., & Abbott, R. (2002). Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood. Journal of Adolescent Health, 31(4), 354–362.

    Article  PubMed  Google Scholar 

  • Hildebrandt, T., Langenbucher, J. W., Carr, S. J., & Sanjuan, P. (2007). Modeling population heterogeneity in appearance- and performance-enhancing drug (APED) use: Applications of mixture modeling in 400 regular APED users. Journal of Abnormal Psychology, 116(4), 717–733.

    Article  PubMed  Google Scholar 

  • Hill, K. G., White, H. R., Chung, I.-J., Hawkins, J., & Catalano, R. F. (2000). Early adult outcomes of adolescent binge drinking: Person- and variable-centered analyses of binge drinking trajectories. Alcoholism, Clinical and Experimental Research, 24(6), 892–901.

    Article  CAS  PubMed  Google Scholar 

  • Hopper, J. W., Su, Z., Looby, A. R., Ryan, E. T., Penetar, D. M., Palmer, C. M., et al. (2006). Incidence and patterns of polydrug use and craving for ecstasy in regular ecstasy users: An ecological momentary assessment study. Drug and Alcohol Dependence, 85(3), 221–235.

    Article  CAS  PubMed  Google Scholar 

  • Hu, M.-C., Muthén, B., Schaffran, C., Griesler, P. C., & Kandel, D. B. (2008). Developmental trajectories of criteria of nicotine dependence in adolescence. Drug and Alcohol Dependence, 98(1–2), 94–104.

    Article  CAS  PubMed  Google Scholar 

  • Jackson, K. M., Sher, K. J., & Wood, P. K. (2000). Trajectories of concurrent substance use disorders: A developmental, typological approach to comorbidity. Alcoholism, Clinical and Experimental Research, 24(6), 902–913.

    Article  CAS  PubMed  Google Scholar 

  • Jester, J., Nigg, J., Buu, A., Puttler, L., Glass, J., Heitzeg, M., et al. (2008). Trajectories of childhood aggression and inattention/hyperactivity: Differential effects on substance abuse in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 1158–1165.

    Article  PubMed  Google Scholar 

  • Jones, B. L., & Nagin, D. (2007). Advances in group-based trajectory modeling and an SAS procedure for estimating them. Sociological Methods and Research, 35, 452–571.

    Article  Google Scholar 

  • Jones, B., Nagin, D., & Roeder, K. (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods and Research, 29, 384–393.

    Article  Google Scholar 

  • Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302–317.

    Article  Google Scholar 

  • Kumpfer, K. L., Alvarado, R., Tait, C., & Whiteside, H. O. (2007). The Strengthening Families Program: An evidence-based, multicultural family skills training program. In P. Tolan, J. Szapocznik, & S. Sambrano (Eds.), Preventing youth substance abuse: Science-based programs for children and adolescents (pp. 159–181). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Labouvie, E. W., Pandina, R. J., & Johnson, V. (1991). Developmental trajectories of substance use in adolescence: Differences and predictors. International Journal of Behavioral Development, 14(3), 305–328.

    Google Scholar 

  • Lemon, S. C., Roy, J., Clark, M. A., Friedmann, P. D., & Rakowski, W. (2003). Classification and regression tree analysis in public health: Methodological review and comparison with logistic regression. Annals of Behavioral Medicine, 26(3), 172–181.

    Article  PubMed  Google Scholar 

  • Lessov-Schlaggar, C. N., Hops, H., Brigham, J., Hudmon, K. S., Andrews, J. A., Tildesley, E., et al. (2008). Adolescent smoking trajectories and nicotine dependence. Nicotine & Tobacco Research, 10(2), 341–351.

    Article  Google Scholar 

  • Li, F., Duncan, T., Duncan, S., & Hops, H. (2001a). Using piecewise growth mixture modeling of adolescent alcohol use data. Structural Equation Modeling, 8(2), 175–204.

    Article  Google Scholar 

  • Li, F., Duncan, T. E., & Hops, H. (2001b). Examining developmental trajectories in adolescent alcohol use using piecewise growth mixture modeling analysis. Journal of Studies on Alcohol, 62(2), 199–210.

    CAS  PubMed  Google Scholar 

  • Li, R., Root, T., & Shiffman, S. (2006). A local linear estimation procedure for functional multilevel nodeling. In T. A. Walls & J. L. Schafer (Eds.), Models for intensive longitudinal data (pp. 63–83). New York, NY: Oxford University Press.

    Google Scholar 

  • Magnusson, D., & Stattin, H. (2006). The person in context: A holistic-interactionistic approach. In R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: Theoretical models of human development (6th ed., Vol. 1, pp. 400–464). Hoboken, NJ: Wiley.

    Google Scholar 

  • Maldonado-Molina, M. M., Collins, L. M., Lanza, S. T., Prado, G., Ramirez, R., & Canino, G. (2007). Pattern of substance use onset among Hispanics in Puerto Rico and the United States. Addictive Behaviors, 32(10), 2432–2437.

    Article  PubMed  Google Scholar 

  • McKenzie, D. P., McFarlane, A. C., Creamer, M., Ikin, J. F., Forbes, A. B., Kelsall, H. L., et al. (2006). Hazardous or harmful alcohol use in Royal Australian Navy veterans of the 1991 Gulf War: Identification of high risk subgroups. Addictive Behaviors, 31(9), 1683–1694.

    Article  PubMed  Google Scholar 

  • Miyazaki, Y., & Raudenbush, S. (2000). Testing for linkage of multiple cohorts in an accelerated longitudinal design. Psychological Methods, 5(1), 44–63.

    Article  CAS  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998–2007). Mplus user’s guide (5th ed.). Los Angeles, CA: Muthén & Muthén.

  • Muthén, B., & Muthén, L. (2000). Integrating person-centered and variable-centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism, Clinical and Experimental Research, 24(6), 882–891.

    PubMed  Google Scholar 

  • Muthen, B., & Shedden, K. (1999). Finite mixture modeling with mixture outcomes using the EM algorithm. Biometrics, 55(2), 463–469.

    Article  CAS  PubMed  Google Scholar 

  • Nagin, D. (2005). Group-based modeling of development. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Orlando, M., Tucker, J., Ellickson, P., & Klein, D. (2004). Developmental trajectories of cigarette smoking and their correlates from early adolescence to young adulthood. Journal of Consulting and Clinical Psychology, 72(3), 400–410.

    Article  PubMed  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177.

    Article  PubMed  Google Scholar 

  • Schulenberg, J., O’Malley, P. M., Bachman, J. G., Wadsworth, K. N., & Johnston, L. D. (1996). Getting drunk and growing up: Trajectories of frequent binge drinking during the transition to young adulthood. Journal of Studies on Alcohol, 57(3), 289–304.

    CAS  PubMed  Google Scholar 

  • Segal, M. R. (1992). Tree structured methods for longitudinal data. Journal of the American Statistical Association, 87(418), 407–418.

    Article  Google Scholar 

  • Shedden, K., & Zucker, R. A. (2008). Regularized finite mixture models for probability trajectories. Psychometrika, 73(4), 625–646.

    Article  PubMed  Google Scholar 

  • Shiffman, S., Balabanis, M. H., Gwaltney, C. J., Paty, J. A., Gnys, M., Kassel, J. D., et al. (2007). Prediction of lapse from associations between smoking and situational antecedents assessed by ecological momentary assessment. Drug and Alcohol Dependence, 91(2–3), 159–168.

    Article  PubMed  Google Scholar 

  • Stanton, W., Flay, B., Colder, C., & Mehta, P. (2004). Identifying and predicting adolescent smokers’ developmental trajectories. Nicotine & Tobacco Research, 6(5), 843–852.

    Article  Google Scholar 

  • Steinberg, D., & Golovnya, M. (2007). CART: Users guide. San Diego, CA: Salford Systems.

    Google Scholar 

  • Swan, G. E., Javitz, H. S., Jack, L. M., Curry, S. J., & McAfee, T. (2004). Heterogeneity in 12-month outcome among female and male smokers. Addiction, 99(2), 217–250.

    Article  Google Scholar 

  • Vik, P. W., Cellucci, T., Hedt, J., & Jorgensen, M. (2006). Transition to college: A classification and regression tree (CART) analysis of natural reduction of binge drinking. International Journal of Adolescent Medicine and Health, 18(1), 171–180.

    PubMed  Google Scholar 

  • Walls, T. A., & Schafer, J. L. (Eds.). (2006). Models for intensive longitudinal data. New York, NY: Oxford University Press.

    Google Scholar 

  • White, H. R., Bates, M. E., & Labouvie, E. (1998). Adult outcomes of adolescent drug use: A comparison of process-oriented and incremental analyses. In R. Jessor (Ed.), New perspectives on adolescent risk behavior (pp. 150–181). New York, NY: Cambridge University Press.

    Google Scholar 

  • White, H. R., Pandina, R. J., & Chen, P.-H. (2002). Developmental trajectories of cigarette use from early adolescence into young adulthood. Drug and Alcohol Dependence, 65(2), 167–178.

    Article  PubMed  Google Scholar 

  • Witkiewitz, K., & Masyn, K. (2008). Drinking trajectories following an initial lapse. Psychology of Addictive Behaviors, 22(2), 157–167.

    Article  PubMed  Google Scholar 

  • Zhang, H., & Singer, B. (1999). Recursive partitioning in the health science. New York, NY: Springer.

    Google Scholar 

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Acknowledgments

This work was supported by a grant DA024260 (Li and Dierker) and DA15454 (Dierker) from the National Institute on Drug Abuse, by a Center Grant (DA010075) awarded the Methodology Center, Penn State University, and by awards from the Patrick and Catherine Weldon Donaghue Medical Research Foundation and the Peter F. McManus Charitable Trust (Dierker). Special thanks to Darce Costello for assistance with the literature review for this paper.

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Correspondence to Lisa Dierker.

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Dierker, L., Rose, J., Tan, X. et al. Uncovering Multiple Pathways to Substance Use: A Comparison of Methods for Identifying Population Subgroups. J Primary Prevent 31, 333–348 (2010). https://doi.org/10.1007/s10935-010-0224-6

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