We apply latent transition analysis (LTA) to characterize transitions over time in substance use behavior profiles among first-year college students. Advantages of modeling substance use behavior as a categorical latent variable are demonstrated. Alcohol use (any drinking and binge drinking), cigarette use, and marijuana use were assessed in a sample (N=718) of college students during the fall and spring semesters. Four profiles of 14-day substance use behavior were identified: (1) Non-Users; (2) Cigarette Smokers; (3) Binge Drinkers; and (4) Bingers with Marijuana Use. The most prevalent behavior profile at both times was the Non-Users (with over half of the students having this profile), followed by Binge Drinkers and Bingers with Marijuana Use. Cigarette Smokers was the least prevalent behavior profile. Gender, race/ethnicity, early onset of alcohol use, grades in high school, membership in the honors program, and friendship goals were all significant predictors of substance use behavior profile.
Keywords latent transition analysis; college students; substance useThe transition to college is associated with increases in heavy alcohol use (White et al., 2006) and marijuana use (Fromme, Corbin, & Kruse, 2008). Students who attend college engage in more binge drinking (i.e., consuming five or more alcoholic drinks in a row in the past 2 weeks) and have a higher prevalence of annual and 30-day alcohol use, but do not evidence elevated levels of cigarette, marijuana, or cocaine use compared to their same-age peers who do not attend college (O'Malley & Johnston, 2002). Approximately 40% of college students engage in binge drinking in a 14-day period (O'Malley & Johnston, 2002), and this behavior is associated with well-documented negative consequences (e.g., Hingson, Heeren, Winter, & Wechsler, 2005;Jackson, Sher, & Park, 2006). In addition, college students' tobacco use continues to be a concern, although smoking is less prevalent among college attenders than among non-attenders (Tercyzk, Rodriguesz, & Audrain-McGovern, 2007). Cannabis (i.e., marijuana) use among college students is also associated with substance use disorders and other negative use-related consequences (Caldeira, Arria, O'Grady, Vincent, & Wish, 2008). However, much less research has considered patterns of college students' use of multiple substances and the public health importance of the intersection of these behaviors. A better understanding of substance use behavior and negative consequences and their predictors among college students requires a more holistic
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript treatment of behavior, where use of multiple substances is considered simultaneously. The current study takes a person-centered approach to modeling behavior; we demonstrate the advantages of using latent transition analysis (LTA) to describe behavioral profiles characterized by profiles of alcohol use, binge drinking, cigarette use, and marijuana use across the first year of college. Transitions in subst...