Latent subtypes of substance use among students in higher education and group differences in mental health outcomes.

Background: Students in higher education face unique challenges that can increase their vulnerability to substance use. However, prevention and intervention efforts can be challenging due to their heterogeneous nature, which entails diverse substance use patterns and types. Methods: To provide a mor...

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Published in:Journal of Substance Use Vol. 31; no. 3; pp. 410 - 418
Main Authors: Jeong, Jeongwoon, Lee, Jungeun, Nam, Sojeong, Lee, Donghun, Na, GoEun
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
      vid: 31
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14659891.2025.2539864
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        atl: Latent subtypes of substance use among students in higher education and group differences in mental health outcomes.
      aug:
        au:
          Jeong, Jeongwoon
          Lee, Jungeun
          Nam, Sojeong
          Lee, Donghun
          Na, GoEun
        affil: Department of Individual, Family, and Community Education, The University of New Mexico, Albuquerque, New Mexico, USA
      sug:
        subj:
          Substance Use Disorders Psychosocial Factors
          Students, College Psychosocial Factors
          Mental Health
          Depression Psychosocial Factors
          Anxiety Psychosocial Factors
          Suicidal Ideation Psychosocial Factors
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          Funding Source
          Male
          Female
          Young Adult
          Structural Equation Modeling
          Kruskal-Wallis Test
          Alcohol Drinking
          Risk Assessment
          Health Behavior
          Colleges and Universities United States
          United States
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          Sex Factors
          Race Factors
          Ethnic Groups
          Educational Status
          Secondary Analysis
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          Coefficient alpha
          Post Hoc Analysis
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
      ab: Background: Students in higher education face unique challenges that can increase their vulnerability to substance use. However, prevention and intervention efforts can be challenging due to their heterogeneous nature, which entails diverse substance use patterns and types. Methods: To provide a more nuanced understanding, this study aimed to identify distinct subtypes of substance use among 91,321 students in higher education (Mage = 23.69 years, SDage = 6.79) through latent class analysis. Subsequently, differences in mental health outcomes, including depression, anxiety, and suicidality, among the identified latent subtypes were examined using the Kruskal-Wallis test. Results: These analyses identified four latent subtypes: all-use (n = 2,307, 2.5%), moderate-use (n = 9,395, 10.3%), legal-substance (n = 32,761, 35.9%), and alcohol-only (n = 46,858, 51.3%) and found significant group differences in mental health outcomes, indicating varying needs and levels of risk. Implications and recommendations for counseling professionals and researchers are also discussed. Conclusion: This study identified four distinct subtypes of substance use among college students, each with unique mental health profiles related to depression, anxiety, and suicidality. By offering a clearer typology, the findings support more tailored prevention and intervention strategies for counselors and researchers..
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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