Using sensation seeking to target adolescents for substance use interventions

ABSTRACT Aims  This study examines the predictive validity of sensation seeking as a predictor of adolescent substance use, in order to optimize targeting for substance use prevention programs. Design  Longitudinal study. Setting  Random‐digit dial telephone survey. Participants  A total of 6522 US...

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Veröffentlicht in:Addiction (Abingdon, England) England), 2010-03, Vol.105 (3), p.506-514
Hauptverfasser: Sargent, James D., Tanski, Susanne, Stoolmiller, Mike, Hanewinkel, Reiner
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Tanski, Susanne
Stoolmiller, Mike
Hanewinkel, Reiner
description ABSTRACT Aims  This study examines the predictive validity of sensation seeking as a predictor of adolescent substance use, in order to optimize targeting for substance use prevention programs. Design  Longitudinal study. Setting  Random‐digit dial telephone survey. Participants  A total of 6522 US adolescents aged 10–14 years at baseline, resurveyed at 8‐month intervals for three subsequent waves. Measurements  Two outcomes were assessed—onset of binge drinking (more than five drinks in a short time) and established smoking (>100 cigarettes life‐time). Sensation seeking level was assessed at baseline. Logistic regression was used to predict onset of substance use at any follow‐up wave as a function of sensation seeking. The receiver operating characteristics curve was used to illustrate how well sensation seeking predicted substance use as a function of different cut‐off points for defining high sensation seeking, and area under the receiver operating characteristics curve (AROC) was the metric of predictive validity. Findings  Of 5834 participants with one or more follow‐up assessments, 5634 reported no binge drinking and 5802 were not established smokers at baseline, of whom 717 (12.7% of 5634) reported binge drinking and 144 (2.5% of 5802) reported established smoking at one or more follow‐up interviews. Sensation seeking predicted binge drinking moderately well [AROC = 0.71 (95% confidence interval 0.69, 0.73)] and was a significantly better predictor of established smoking onset [AROC = 0.80 (0.76, 0.83)]. For binge drinking, predictive validity was significantly lower in blacks; for established smoking it was significantly higher for Hispanics. Implications for two targeting interventions are discussed. Conclusions  Sensation seeking works moderately well at identifying adolescents at risk for onset of binge drinking and established smoking. This study offers a guide for determining the appropriate targeting cut‐off value, based on intervention efficacy, costs and risks.
doi_str_mv 10.1111/j.1360-0443.2009.02782.x
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Design  Longitudinal study. Setting  Random‐digit dial telephone survey. Participants  A total of 6522 US adolescents aged 10–14 years at baseline, resurveyed at 8‐month intervals for three subsequent waves. Measurements  Two outcomes were assessed—onset of binge drinking (more than five drinks in a short time) and established smoking (&gt;100 cigarettes life‐time). Sensation seeking level was assessed at baseline. Logistic regression was used to predict onset of substance use at any follow‐up wave as a function of sensation seeking. The receiver operating characteristics curve was used to illustrate how well sensation seeking predicted substance use as a function of different cut‐off points for defining high sensation seeking, and area under the receiver operating characteristics curve (AROC) was the metric of predictive validity. Findings  Of 5834 participants with one or more follow‐up assessments, 5634 reported no binge drinking and 5802 were not established smokers at baseline, of whom 717 (12.7% of 5634) reported binge drinking and 144 (2.5% of 5802) reported established smoking at one or more follow‐up interviews. Sensation seeking predicted binge drinking moderately well [AROC = 0.71 (95% confidence interval 0.69, 0.73)] and was a significantly better predictor of established smoking onset [AROC = 0.80 (0.76, 0.83)]. For binge drinking, predictive validity was significantly lower in blacks; for established smoking it was significantly higher for Hispanics. Implications for two targeting interventions are discussed. Conclusions  Sensation seeking works moderately well at identifying adolescents at risk for onset of binge drinking and established smoking. 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Design  Longitudinal study. Setting  Random‐digit dial telephone survey. Participants  A total of 6522 US adolescents aged 10–14 years at baseline, resurveyed at 8‐month intervals for three subsequent waves. Measurements  Two outcomes were assessed—onset of binge drinking (more than five drinks in a short time) and established smoking (&gt;100 cigarettes life‐time). Sensation seeking level was assessed at baseline. Logistic regression was used to predict onset of substance use at any follow‐up wave as a function of sensation seeking. The receiver operating characteristics curve was used to illustrate how well sensation seeking predicted substance use as a function of different cut‐off points for defining high sensation seeking, and area under the receiver operating characteristics curve (AROC) was the metric of predictive validity. Findings  Of 5834 participants with one or more follow‐up assessments, 5634 reported no binge drinking and 5802 were not established smokers at baseline, of whom 717 (12.7% of 5634) reported binge drinking and 144 (2.5% of 5802) reported established smoking at one or more follow‐up interviews. Sensation seeking predicted binge drinking moderately well [AROC = 0.71 (95% confidence interval 0.69, 0.73)] and was a significantly better predictor of established smoking onset [AROC = 0.80 (0.76, 0.83)]. For binge drinking, predictive validity was significantly lower in blacks; for established smoking it was significantly higher for Hispanics. Implications for two targeting interventions are discussed. Conclusions  Sensation seeking works moderately well at identifying adolescents at risk for onset of binge drinking and established smoking. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>receiver operating characteristic curve</topic><topic>Risk Factors</topic><topic>sensation seeking</topic><topic>sensitivity</topic><topic>Smoking</topic><topic>Smoking - psychology</topic><topic>Smoking Prevention</topic><topic>Substance-Related Disorders - prevention &amp; control</topic><topic>Substance-Related Disorders - psychology</topic><topic>Teenagers</topic><topic>U.S.A</topic><topic>Youth</topic><topic>Youth culture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sargent, James D.</creatorcontrib><creatorcontrib>Tanski, Susanne</creatorcontrib><creatorcontrib>Stoolmiller, Mike</creatorcontrib><creatorcontrib>Hanewinkel, Reiner</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sargent, James D.</au><au>Tanski, Susanne</au><au>Stoolmiller, Mike</au><au>Hanewinkel, Reiner</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using sensation seeking to target adolescents for substance use interventions</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2010-03</date><risdate>2010</risdate><volume>105</volume><issue>3</issue><spage>506</spage><epage>514</epage><pages>506-514</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><coden>ADICE5</coden><abstract>ABSTRACT Aims  This study examines the predictive validity of sensation seeking as a predictor of adolescent substance use, in order to optimize targeting for substance use prevention programs. Design  Longitudinal study. Setting  Random‐digit dial telephone survey. Participants  A total of 6522 US adolescents aged 10–14 years at baseline, resurveyed at 8‐month intervals for three subsequent waves. Measurements  Two outcomes were assessed—onset of binge drinking (more than five drinks in a short time) and established smoking (&gt;100 cigarettes life‐time). Sensation seeking level was assessed at baseline. Logistic regression was used to predict onset of substance use at any follow‐up wave as a function of sensation seeking. The receiver operating characteristics curve was used to illustrate how well sensation seeking predicted substance use as a function of different cut‐off points for defining high sensation seeking, and area under the receiver operating characteristics curve (AROC) was the metric of predictive validity. Findings  Of 5834 participants with one or more follow‐up assessments, 5634 reported no binge drinking and 5802 were not established smokers at baseline, of whom 717 (12.7% of 5634) reported binge drinking and 144 (2.5% of 5802) reported established smoking at one or more follow‐up interviews. Sensation seeking predicted binge drinking moderately well [AROC = 0.71 (95% confidence interval 0.69, 0.73)] and was a significantly better predictor of established smoking onset [AROC = 0.80 (0.76, 0.83)]. For binge drinking, predictive validity was significantly lower in blacks; for established smoking it was significantly higher for Hispanics. Implications for two targeting interventions are discussed. Conclusions  Sensation seeking works moderately well at identifying adolescents at risk for onset of binge drinking and established smoking. This study offers a guide for determining the appropriate targeting cut‐off value, based on intervention efficacy, costs and risks.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20402995</pmid><doi>10.1111/j.1360-0443.2009.02782.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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ispartof Addiction (Abingdon, England), 2010-03, Vol.105 (3), p.506-514
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subjects Addictive behaviors
Adolescent
Adolescent Behavior - psychology
Adult and adolescent clinical studies
Alcohol use
Alcoholic Intoxication - prevention & control
Alcoholic Intoxication - psychology
Alcoholism
binge drinking
Biological and medical sciences
Child
Drug addiction
Drugs
Epidemiologic Methods
Ethanol - poisoning
Ethnic Groups
Exploratory Behavior
false positive rate
Female
Humans
Intervention
Life styles
longitudinal
Male
Medical sciences
Miscellaneous
Polls & surveys
predictive validity
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
receiver operating characteristic curve
Risk Factors
sensation seeking
sensitivity
Smoking
Smoking - psychology
Smoking Prevention
Substance-Related Disorders - prevention & control
Substance-Related Disorders - psychology
Teenagers
U.S.A
Youth
Youth culture
title Using sensation seeking to target adolescents for substance use interventions
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