Format

Send to

Choose Destination
Addiction. 2010 Mar;105(3):506-14. doi: 10.1111/j.1360-0443.2009.02782.x.

Using sensation seeking to target adolescents for substance use interventions.

Author information

1
Cancer Control Research Program, Norris Cotton Cancer Center, Dartmouth Medical School, Lebanon, NH 03756, USA. james.d.sargent@dartmouth.edu

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.

KEYWORDS:

Smoking; adolescent; binge drinking; false positive rate; longitudinal; predictive validity; receiver operating characteristic curve; sensation seeking; sensitivity

PMID:
20402995
PMCID:
PMC2858357
DOI:
10.1111/j.1360-0443.2009.02782.x
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center