Titre :
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Estimating Co-Occurring Behavioral Trajectories Within a Neighborhood Context : A Case Study of Multivariate Transition Models for Clustered Data. (2008)
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Auteurs :
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Magdalena CERDA ;
BUKA (Stephen-L) : USA. Department of Community Health. Brown University. Providence RhodeIsland. ;
Sandro Galea ;
SANCHEZ (Brisa-N) : USA. Department of Biostatistics. School of Public Health. University of Michigan. Ann Arbor. MI. ;
Melissa TRACY
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 168, n° 10, 2008)
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Pagination :
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1190-1203
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Langues:
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Anglais
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Mots-clés :
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Estimation
;
Maladie associée
;
Comportement
;
Etude cas
;
Modèle
;
Adolescent
;
Logistique
;
Epidémiologie
;
Prise de risque
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS oHrnR0xr. Diffusion soumise à autorisation]. Comorbidity is well-documented in psychiatric and risk behavior epidemiology. The authors present a novel application of clustered multivariate transition models to study comorbidity within a clustered context. The authors used data from the Project on Human Development in Chicago Neighborhoods (1995-2002) to assess trajectories in substance use, problems with police, and antisocial behavior among 1,517 participants in 80 neighborhoods followed from ages 12-15 years through ages 18-21 years. The authors used pairwise odds ratios to quantify behavior comorbidity at the individual and neighborhood levels. Risk behaviors co-occurred within individuals at specific points in time : antisocial behavior and substance use were 3.37 times more likely to co-occur within an individual at wave 1, as compared with the co-occurrence of any 2 behaviors from different individuals, while substance use and police problems were 2.94 times more likely to co-occur than substance use and antisocial behavior at wave 2. The authors also evaluated sequential comorbidity. Antisocial behavior was sequentially comorbid with substance use and police problems : 31% of youths who had reported antisocial behavior at baseline reported police problems or drug use at wave 2. These models can prove instrumental in answering the persistent questions about possible sequential relations among problem behaviors.
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