Substance Use in Adolescents and Young Adults With Inflammatory Bowel Diseases: An Exploratory Cluster Analysis.
Document Type
Article
Publication Date
9-2019
Identifier
DOI: 10.1097/MPG.0000000000002365
Abstract
OBJECTIVES: Adolescents and young adults (AYAs) with chronic illnesses use substances at similar, if not greater, rates compared to healthy peers. The present study aimed to examine rates and patterns of tobacco use, marijuana use, and binge drinking in AYAs with inflammatory bowel diseases. We expected that substance use would be associated with poorer physical health, psychosocial functioning, and disease management.
METHODS: One hundred thirty-two AYAs completed a single set of surveys assessing demographics, disease activity, healthcare utilization, health-related quality of life (HRQoL), inflammatory bowel disease-specific self-efficacy, adherence barriers, disease management skills, and substance use in the last 30 days (eg, tobacco use, marijuana use, binge drinking). Exploratory cluster analyses, followed by chi-square tests and analyses of variance examined patterns of substance use and correlates of cluster membership.
RESULTS: Four patterns emerged from the sample: Global Users (n = 17), Marijuana Users Engaging in Binge Drinking (n = 18), Exclusive Binge Drinkers (n = 21), and Global Abstainers (n = 76). Groups differed by age, gender, disease activity, healthcare utilization, HRQoL, self-efficacy, and adherence barriers with medium and large effect sizes (P < .05).
CONCLUSIONS: Older age, male gender, active disease, at least 1 hospitalization in the past year, low self-efficacy, low HRQoL, and high adherence barriers were significantly more likely for those reporting multisubstance use. In addition, all those reporting both marijuana use and binge drinking also reported tobacco use. Future research ought to examine these associations longitudinally and throughout the transition to adult care.
Journal Title
Journal of pediatric gastroenterology and nutrition
Volume
69
Issue
3
First Page
324
Last Page
329
MeSH Keywords
Adolescent; Adolescent Behavior; Adult; Alcohol Drinking; Cluster Analysis; Female; Humans; Illinois; Inflammatory Bowel Diseases; Male; Marijuana Use; Missouri; Ohio; Quality of Life; Smoking; Substance-Related Disorders; Surveys and Questionnaires; Young Adult
Keywords
Adolescent; Adolescent Behavior; Adult; Alcohol Drinking; Cluster Analysis; Female; Humans; Illinois; Inflammatory Bowel Diseases; Male; Marijuana Use; Missouri; Ohio; Quality of Life; Smoking; Substance-Related Disorders; Surveys and Questionnaires; Young Adult
Recommended Citation
Plevinsky JM, Maddux MH, Greenley RN. Substance Use in Adolescents and Young Adults With Inflammatory Bowel Diseases: An Exploratory Cluster Analysis. J Pediatr Gastroenterol Nutr. 2019;69(3):324-329. doi:10.1097/MPG.0000000000002365
COinS
