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Article
Innovative Identification of Substance Use Predictors: Machine Learning in a National Sample of Mexican Children
Prevention Science
  • Alejandro L. Vázquez, Utah State University
  • Melanie M. Domenech Rodríguez, Utah State University
  • Tyson S. Barrett, Utah State University
  • Sarah E. Schwartz, sarah.schwartz@usu.edu, Utah State University
  • Nancy G. Amador Buenabad, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz
  • Marycarmen N. Bustos Gamiño, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz
  • María de Lourdes Gutiérrez López, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz
  • Jorge A. Villatoro Velázquez, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz
Document Type
Article
Publisher
Springer New York LLC
Publication Date
1-20-2020
Disciplines
Abstract

Machine learning provides a method of identifying factors that discriminate between substance users and non-users potentially improving our ability to match need with available prevention services within context with limited resources. Our aim was to utilize machine learning to identify high impact factors that best discriminate between substance users and non-users among a national sample (N = 52,171) of Mexican children (i.e., 5th, 6th grade; Mage = 10.40, SDage = 0.82). Participants reported information on individual factors (e.g., gender, grade, religiosity, sensation seeking, self-esteem, perceived risk of substance use), socioecological factors (e.g., neighborhood quality, community type, peer influences, parenting), and lifetime substance use (i.e., alcohol, tobacco, marijuana, inhalant). Findings suggest that best friend and father illicit substance use (i.e., drugs other than tobacco or alcohol) and respondent sex (i.e., boys) were consistent and important discriminators between children who tried substances and those that did not. Friend cigarette use was a strong predictor of lifetime use of alcohol, tobacco, and marijuana. Friend alcohol use was specifically predictive of lifetime alcohol and tobacco use. Perceived danger of engaging in frequent alcohol and inhalant use predicted lifetime alcohol and inhalant use. Overall, findings suggest that best friend and father illicit substance use and respondent’s sex appear to be high impact screening questions associated with substance initiation during childhood for Mexican youths. These data help practitioners narrow prevention efforts by helping identify youth at highest risk.

Citation Information
Vázquez, A. L., Domenech Rodríguez, M. M., Barrett, T. S., Schwartz, S., Amador Buenabad, N. G., Bustos Gamiño, M. N., Gutiérrez López, M. d. L., & Villatoro Velázquez, J. A. (2020). Innovative identification of substance use predictors: Machine learning in a national sample of Mexican children. Prevention Science, 21(2), 171–181. https://doi.org/10.1007/s11121-020-01089-4