Ni Hms 482454
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Author Manuscript
Aggress Behav. Author manuscript; available in PMC 2013 July 18.
Published in final edited form as:
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Abstract
The current study used latent class analysis (LCA) to identify patterns of antisocial behavior
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Keywords
problem behavior; aggression; adolescence; risk and protective factors; latent class analysis
health problems; French & Conrad, 2005; Hair, Park, Ling, & Moore, 2009). Treatment of
these behaviors and resulting consequences represents an enormous cost to society (e.g.,
crime, incarceration, reduced job productivity, prevention, and treatment efforts; Cohen,
1998). Despite evidence that rates of adolescent problem behaviors have increased across
urban and non-urban environments, the majority of research studies on adolescent risk
behaviors (including ASB) focus on urban populations (Fahs et al., 1999; Osgood &
Chambers, 2003). Relatively few studies have examined rates and predictors of ASB
specifically among rural and nonmetropolitan adolescent populations. Such research may
provide insight into the prevention needs for youth in such communities. Given the potential
negative outcomes associated with ASB in adolescence and the cost to society, it is critical
that more effective programs aimed at preventing or reducing involvement in delinquent
activities be developed. These efforts would be strengthened if research identified particular
Correspondence concerning this article should be addressed to Christian M. Connell, Ph.D., Yale University School of Medicine, The
Consultation Center, New Haven, CT 06516. christian.connell@yale.edu.
1Will M. Aklin is now at Division of Clinical Neuroscience & Behavioral Research, National Institute on Drug Abuse, Bethesda,
Maryland
Connell et al. Page 2
subgroups of problem behavior associated with specific contextual risk and protective
characteristics in a given population (Harris & Jones, 1999).
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Research and theory suggest that ASB among adolescents may be better represented by a
person-centered perspective that identifies distinct subgroups of youth based upon specific
patterns of behavior, rather than treating ASB as a single continuum within the adolescent
population (Wiesner & Windle, 2004). Research using a person-centered approach has
generally followed one of two forms: (1) identification of subgroups based upon growth in
the level of involvement over time, or (2) identification of subgroups based upon types of
ASB behavior (e.g., aggression, property offense, etc.). More research has focused on
identification of different groups of youth based upon growth of involvement over time.
Moffitt and colleagues (2006, 2008) and others (e.g., Fergusson, Horwood, & Nagin, 2000;
Windle, 2000) have identified four patterns of ASB using this approach – life-course
persistent, adolescent-onset, childhood limited, and low-to-no antisocial behavior.
Fewer studies have examined differential patterns of ASB using the second approach in
which groups are defined based on the types of behaviors in which individuals engage. Of
those that have, the majority used official court records or clinical symptom-type behaviors
for classification. Studies using juvenile offense data and those relying on clinical samples
generally identified a group of adolescents engaging primarily in status and property
offenses, and an aggressive/violent and delinquent behavior group (Frick et al., 1993;
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Odgers et al., 2007; Soothill, Francis, Ackerley, & Humphreys, 2008). Extension of this
research to school-based samples of adolescents would increase understanding of influences
on divergent patterns of ASB among normative groups of youth.
Family, peer, school, and neighborhood risk and protective factors may be differentially
associated with divergent patterns of ASB. The social development model hypothesizes that
increases in severity and continued offending throughout adolescence are a result of
exposure to influences outside the family that reinforce ASB (Catalano & Hawkins, 1996).
Thus, during adolescence peer, school, and neighborhood factors might have a stronger
relationship with more severe patterns of ASB (i.e., number of behaviors and/or severity of
the type of behavior) than parenting. Few studies have examined the relationship between
risk and protective factors and patterns of ASB using person-centered approaches and those
that have focused on the effect of risk and protective factors on various trajectories of ASB
(Odgers et al., 2008; Wiesner & Silbereisen, 2003). Furthermore, studies using a latent class
approach generally have ignored the effects of school and neighborhood on various types of
ASB. However, research relying on a variable-centered approach has found that after taking
into account parenting, problems at school and in the neighborhood are associated with an
increase in ASB (Ayers, Williams, Hawkins, Peterson, & Abbott, 1999, Beyers, Bates,
Pettit, & Dodge, 2003). Using LCA to extend previous research can inform if prevention
efforts should target specific factors that are salient to different patterns of ASB.
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The purpose of the current study was to address these gaps in the existing research and
examine patterns of ASB and predictors of those patterns in a school-based sample of
adolescents living in a nonmetropolitan area. We hypothesized that adolescents would
cluster into a minimum of three distinct classes of ASB including a group engaged in
minimal levels of problem behavior and additional groups differentiated both by degree and
type of problem behaviors. Further, based upon previous research, we hypothesized that
proximal social influences (e.g., family and peer relationships) would play a critical role in
differentiating risk for both initiation and degree of involvement in ASB, while more distal
social influences (e.g., bonding with school, exposure to neighborhood disorder) would
likely play a more central role in risk for escalated patterns of ASB.
Method
Site
Northeast Communities Against Substance Abuse (NECASA) is a community-based
coalition representing the 21 towns and municipalities in northeast Connecticut. The region
comprises approximately 171,000 people and covers an area of approximately 740 square
miles. With an average population density of approximately 231 individuals per square mile,
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the region is among the least populated areas of the state, though it includes both small town
and rural locales. Many towns in the region have fewer than 5,000 inhabitants. The median
household income in the region is $58,199, with 6.4% of the population below the poverty
line.
Participants
Participants were 1,820 students from 5 area public/non-vocational high schools and 9
middle schools serving the region (a total of 14 schools). Approximately 42% of
respondents were in the 8th grade, 32% were in the 9th grade, and 26% were in the 10th
grade, and the average age of respondents was 14.1 years (SD = 1.0 years). Fifty-four
percent of respondents were female, and the racial and ethnic composition was as follows:
83% Caucasian, 9% Hispanic/Latino, 2.5% African American, 1% Asian/Pacific Islander,
1% Native American, and 2.5% Other.
Measures
The survey instrument in the present study was based on a self-report survey developed for
statewide epidemiological assessment of adolescent substance use patterns (Ungemack,
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Cook, & Damon, 2001) and draws on methods employed in a number of national surveys
(e.g., Monitoring the Future). The survey assesses a range of adolescent risk behaviors (e.g.,
substance use, antisocial behavior) as well as a wide range of risk and protective factors
associated with these behaviors. In addition to the specific subscales used in the present
analyses (described below), youth provided basic demographic information including age,
gender, and race/ethnicity.
specified behavior). A total score also was created by summing affirmative responses (α
=0.82). This score was used to compare identified classes on overall rates of antisocial
behavior.
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Risk and protective factors—Risk and protective factors associated with problem
behavior classes were selected to represent individual, family, peer, school, and community
domains.
Individual-level characteristics included in the model as covariates were age and gender.
Age was centered on the mean and gender was dummy coded 0 (female) and 1 (male).
Family-level risk was measured by a 10-item scale that assessed youth ratings of parental
supervision and parent-adolescent relationship quality. Sample items include, “when I am
away from home, my parent/guardian(s) knows where I am and who I am with,” and “my
parent/guardian(s) give me help and support when I need it.” Items were rated on a 4-point
Likert scale from 1(definitely not true) to 4 (definitely true). Responses were averaged and
higher scores indicated more positive parent-adolescent relationships (α =0.84).
Peer-level risk was assessed by youth ratings of substance use among their close friends.
This scale was created by taking the mean for five items in which respondents indicated the
number of close friends that used alcohol, tobacco, and other drugs. Items were scored on a
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four-point scale (none to most) and had good internal consistency (α = 0.84).
School-level risk was assessed by a 4-item scale reflecting their attitudes towards school and
education. Sample items on this scale included, “it is important for me to get good grades,”
and “I try hard to do good work at school.” Items were rated on a 4-point scale 1 (definitely
not true) to 4 (definitely true) and had good internal consistency (α =0.78).
Procedure
Surveys were conducted at 14 area middle and high schools from the spring of 2006 to the
winter of 2008. Passive consent procedures were approved by school administrations, with a
letter sent home to parents describing the survey and providing parents and youth with the
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Data Analysis
Latent class analysis (LCA; Lubke & Muthén, 2005; McCutcheon, 1987) with Mplus 5.1
(Muthén & Muthén, 2006) was used to identify sub-groups (i.e., classes) based upon
similarity of responses to measured variables, and also to assess the effect of covariates on
class membership (Nylund, Asparouhov, & Muthén, 2007). LCA has advantages over
alternative approaches to classification (e.g., cluster analysis, a priori assignment based upon
al., 2007). LCA provides estimates of class membership probabilities (e.g., problem
behavior classes), and behavioral probability estimates within class (Lanza, Flaherty, &
Collins, 2003). Covariates are incorporated into models with more than one latent class
using multinomial logistic regression models based upon posterior-probability estimates of
latent class membership. Missing data are addressed via full information maximum
likelihood methods.
We conducted a series of models, beginning with a one class model and subsequently
incorporating additional classes, and compared fit indices to determine the optimal solution.
For models with more than one class, we compared fit for unrestricted models, in which
class problem behavior probabilities were freely estimated, as well as fit for restricted
models that imposed a zero-behavior class (i.e., a “non-ASB” class). Latent class structure
was chosen based upon existing research recommendations of statistical model fit, as well as
interpretability of the classes. Optimal fit was indicated by a low BIC and significant LMR-
LRT (Muthén & Muthén, 2006; Nylund et al., 2007).
Risk and protective factors were incorporated into the final model using multinomial logistic
regression based upon posterior-probability estimates of latent class membership. A similar
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procedure was used to compare total scores on the antisocial behavior scale across groups
and assess the extent to which class structure was a function of differences in overall level of
antisocial activity. Finally, because data were clustered within 14 schools we conducted an
additional set of analyses in which school was treated as a fixed effect in the model. These
analyses provided nearly identical results to the model without school effects, and none of
the school-level identifier effects were statistically significant. Thus, the school-level fixed
effects model was not included in the reported results.
Results
Prevalence rates for adolescents’ report of each of the antisocial behaviors during the past
year are presented in Table 1. On average youth indicated having been involved in 1.3 (s.d.
= 2.0) behaviors during the past 12 months. Involvement in a physical fight was the most
frequently endorsed item (24.4%), followed by threatening someone (24.2%) and stealing
something worth less than $50 (21.2%).
Latent class models were fit to the data reflecting self-reported ASB involvement. As
indicated in Table 2, the BIC and LMR-LRT suggested a four-class model with a forced
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non-ASB class (i.e., a four-class, restricted model) provided a significantly better fit to the
data than other models.
Conditional probabilities of reporting any history of ASB for the four-class, restricted LCA
are depicted in Figure 1. Class 1 (‘non-ASB’, 37% of youth) was restricted to adolescents
with no reported ASB involvement. Class 2 (‘mild ASB’, 45% of youth) reported a
relatively low probability of aggressive behaviors (e.g., threatening, fighting) and stealing,
with very low probability of engaging in any other behaviors. Class 3 (‘moderate ASB’,
12% of youth) reported higher probabilities of engaging in a range of aggressive behaviors
(e.g., threatening, fighting, attacking someone with intent to harm) and property-related
offenses (e.g., stealing, damaging property), but reported little-to-no involvement in drug-
related activities or trouble resulting from antisocial behavior (e.g., suspension, police
contact, arrest). Finally, Class 4 (‘serious ASB’, 6% of youth) reported comparable
probabilities of engaging in aggressive behaviors to those of class three (as well as increased
arrest).
Multinomial logistic regression analyses were conducted to estimate the association between
hypothesized individual, family, peer, school, and community domains and class
membership. The odds ratios resulting from these analyses are presented in Table 3.
in the serious ASB class relative to the mild and moderate ASB classes.
Family and peer influences also were significant predictors of ASB class membership.
Youth reporting more positive parent-child relationships were significantly less likely to be
classified in the mild, moderate, or serious ASB, although parent-child relationships did not
differentiate among classes engaged in antisocial behavior. Peer substance use had a more
consistent negative effect on youth problem behavior, differentiating non-problem involved
youth from each problem behavior class and also differentiating among classes engaging in
ASB.
Broader contextual influences also played a role in differentiating among ASB classes. Both
school attachment and neighborhood disorder played a significant and substantial role in
differentiating moderate and serious ASB classes from non- and mild ASB classes.
Attachment to school served as a potential protective factor – reducing risk of identification
in the moderate and serious ASB classes relative to the non- and mild ASB classes.
Conversely, neighborhood disorder was associated with increased risk of membership in the
moderate and serious problem behavior classes than both the non- and mild ASB classes.
A final set of models were conducted to examine whether gender differences might be found
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with respect to either the expression of ASB or the relation of risk factors to specific patterns
of behavior. The first set of analyses treated gender as a grouping variable to see whether the
class structure was consistent for males and females. Analyses revealed that a four-class
model fit well for both girls and boys and that the item-response probabilities did not differ
significantly by gender. A second set of analyses included gender-by-covariate interaction
effects in the multinomial logistic models, but no significant interactions effects were found
suggesting that the effects of parents, peers, school attachment, and neighborhood disorder
did not differ as a function of adolescents’ gender.
Discussion
The aim of this study was to examine heterogeneity in the expression of antisocial behavior
patterns among adolescents in a nonmetropolitan region and investigate the influence of
contextual risk and protective factors to identified patterns of behavior. Four patterns of
Findings reveal a potential progression in terms of the range and type of ASB among
adolescents. A minimal level of involvement in problem behavior is the overwhelming norm
among this population of nonmetropolitan youth in the transition from middle to high
school. These results are consistent with previous research conducted with state and national
data. Our observed rate of involvement in a physical fight (24.4%), for example, is slightly
lower than the state and national estimates (28.3% and 31.5%, respectively; CDC, 2010),
though these estimates include older adolescents than our sample population. Of youth
involved in higher rates of ASB, approximately 12% were identified in a moderate antisocial
behavior class and 6% were classified in a serious antisocial behavior class. These groups
were marked by significantly higher probabilities of involvement in aggressive behaviors,
property-related offenses, and probability of consequence-related behaviors; though the
serious ASB class evidenced significantly higher rates of both drug-related behavior and
negative consequences including policy contact and arrest.
It is interesting to note that this pattern of findings is also reflected in the significant
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differences in total antisocial behavior scores across groups. Although this relationship may
raise concern that the identified groups simply reflect differences in overall level of
antisocial behavior, one would expect that if this were the case individual item response
probabilities within classes would be more evenly distributed across behaviors (e.g., 0.1 for
the mild ASB class, 0.4 for the moderate ASB class). Instead, the observed patterns suggest
that as youth increase their level of antisocial activity they do so in a consistent manner,
beginning with mild aggression or theft of non-valuable items, followed by escalation of
other antisocial activities. These might include an expansion to a broader range of
aggressive behaviors and property-related offenses, but eventually expand to a broader range
of risky behaviors (e.g., drug buying or selling), and result in negative consequences from
such activities. This pattern is consistent with research demonstrating that distinct types of
problem behaviors follow different trajectories over the middle school years, with the early
emergence of aggressive behaviors predicting growth in other delinquent behaviors or drug
use (Farrell, Sullivan, Esposito, Meyer, & Valois, 2005). A stage-sequential pattern of
escalation, such as the one suggested by these results, could guide development of
prevention and intervention efforts with more universal strategies focused on general
reduction of aggressive behavior to reduce escalation of antisocial behavior, and more
indicated interventions focused on youth engaged in a broader range of serious patterns of
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ASB. Further research using Latent Transition Analysis, a longitudinal variant of LCA
(Lanza et al., 2003), would provide a means of better understanding youths’ progression
through these identified stages of problem behavior.
In terms of particular risk and protective factors that may be targeted within an prevention
and intervention framework, these results highlight the influence of social and contextual
factors on risk of engaging in more serious patterns of ASB. Closer parent-child relations
serve a protective function against engaging in ASB, differentiating members of the non-
ASB class from those in the mild, moderate, and serious ASB classes. However, ratings of
parent-child relations did not differentiate among ASB-involved classes. Peer behavior, on
the other hand, was strongly associated with both initiation and intensity of ASB
involvement. Furthermore, school and neighborhood influences differentiated normative
patterns of ASB from more intense patterns of involvement. These findings are consistent
with previous theory and research which suggest socialization influences outside the family
may have a stronger association with more intense patterns of ASB involvement during
adolescence (Ayers et al., 1999; Catalano & Hawkins, 1996).
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The use of person-centered approaches has direct implications for development of effective
prevention/intervention programs. Our findings, for example, suggest that focusing on
parent-child relationships and supervision may be an effective universal prevention strategy
that reduces risk for initiating ASB, but is not likely to have a significant direct effect on
reducing intensity of involvement once youth begin to engage in such behaviors. Prevention
and intervention programs that target association with deviant peer groups likely are critical
to reduce risk for escalation to more serious patterns of ASB. An approach targeting both
parents and peers is also likely to be maximally effective, since there is evidence that
parenting practices and parent-child relationships have an indirect effect on antisocial
activity through effects on opportunities to socialize with deviant peer groups (Laird, Criss,
Pettit, Dodge, & Bates, 2008). Programs that rely on such an approach (e.g., the Adolescent
Transitions Program, Guiding Good Choices) have been shown to be particularly effective
in this regard. Furthermore, providing youth with a sense of attachment to school, as well as
intervening at the community level are important intervention strategies to prevent youth
from escalating to higher levels of ASB.
notably, the current study relied solely on adolescent report to assess both risk and protective
factors and ASB. The validity of adolescent self-report of potentially sensitive information
(e.g., ASB) has been criticized (Brown & Zimmerman, 2004). However, evidence indicates
that adolescents generally provide accurate reports of antisocial behaviors (Harrison, Haaga,
& Richards, 1993; Needle, Jou, & Su, 1989) and similar youth surveys have been used to
provide valid estimates of ASB. Furthermore, relying on self-report for both independent
and dependent variables may result in shared method variance that arbitrarily inflates the
relationship among risk/protective factors and ASB (Bank, Dishion, Skinner, & Patterson,
1990). Future research should employ multiple methods when assessing key study
constructs.
A second limitation is that data were cross-sectional. This may be a particular problem given
our finding that peer substance use had the strongest association with probability of
classification into the mild, moderate, and serious ASB groups. There is an extensive
literature that indicates selection effects (i.e., ASB-involved youth selecting into
relationships with ASB-involved peers) as well as socialization are important factors that
explain why peer ASB and youths’ own ASB are so strongly related (Dishion, Patterson, &
Griesler, 1994; Monahan, Steinberg, & Cauffman, 2009). Thus, additional research utilizing
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longitudinal data is paramount to assess the causal relation of risk and protective processes
to class membership.
Finally, the generalizability of the findings may be influenced by the characteristics of the
sample. The extent to which these findings would generalize to youth in more urban settings
is not clear. Studies have not explored whether patterns of ASB and correlates of those
patterns vary as a function of geographic location and ethnic/racial group. Given that our
findings are similar to research conducted with urban samples (Fergusson, Horwood, Nagin,
2000; Odgers et al., 2007), future research should utilize more representative samples to
examine if patterns of ASB differ as a function of geographic locale and ethnic/racial group.
Despite limitations, this study contributes to our understanding of patterns of ASB and risk
and protective factors associated with those patterns in an understudied sample of
nonmetropolitan youth. Future research should build on this study and examine changes in
patterns of ASB in adolescence and early adulthood and individual and contextual risk and
protective factors associated with those changes.
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Acknowledgments
This research study was supported by a grant from the Substance Abuse and Mental Health Services Administration
(SAMHSA SP13960-01; PI: R. Brex) to the Northeast Communities Against Substance Abuse (NECASA). Dr.
Cook’s involvement was supported by funding from the National Institute on Drug Abuse (NIDA T32-DA019426;
PI: D. Snow); Dr. Aklin’s involvement was supported by funding from the National Institute on Drug Abuse
(NIDA R25 DA020515; PI: S. Ball). The authors’ wish to acknowledge NECASA staff involved in the survey
administration including: Mary Ann Murphy-Patton, Susan Harrod, Michelle Rawcliffe, and Bonnie Wolters; as
well as the school administrators, teachers, and students who participated in the survey administration. We also
wish to acknowledge helpful comments by members of the Division of Prevention and Community Research at
Yale University School of Medicine on an earlier draft of this manuscript.
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Figure 1.
Conditional probabilities of reporting any history of ASB for a four class, restricted LCA
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model.
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Table 1
Percentage of youth indicating affirmative engagement in ASB or related consequences in the past year (n =
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1820).
Table 2
Fit statistic comparisons of exploratory LCA models (n = 1820).
1 One-class 13717.29 —
2 Two-class, unrestricted 11294.06 <0.001
3 Two-class, restricted a 12033.80 <0.001
Notes: BIC – Bayesian Information Criterion. LMR LRT – Lo-Mendell-Rubin Likelihood Ratio Test p-value for (K-1)-classes.
a
The responses to antisocial behavior involvement variables were set to 0 for one class.
Table 3
Odds ratio results from latent multinomial logistic regression models: Covariate effects on latent class membership with non-antisocial class as reference
(n = 1,820).
Mild ASB a Moderate. ASB a Serious ASB a Moderate ASB b Serious ASB b Serious ASB c
Connell et al.
*
p < 0.05,
**
p < 0.01
Note:
a
Referent Class is Non-ASB
b
Referent Class is Mild ASB
c
Referent Class is Moderate ASB