Biostatistics Seminar Series with Stephanie Cook, DrPH - “Predicting Trajectories of Substance Use during Emerging Adulthood: Exploring the Benefits of Group Based Trajectory Modeling for Zero-Inflated Outcomes”

September 23
12:30-1:30pm
Online

This event is hosted by the Department of Biostatistics.

BIO: Dr. Cook is an assistant professor at NYU GPH, Departments of Biostatistics and SBS. She aims to understand the pathways and mechanisms linking attachment, minority stress, and health among disadvantaged individuals.

ABSTRACT: The application of group-based trajectory analysis with a zero-inflation specification to understand adaptations in alcohol and marijuana use among sexual minorities during the emerging adulthood period is underutilized. We propose a series of four steps in the application of group-based trajectory analysis for outcomes that follow a zero-inflated distribution. In addition, using a longitudinal cohort study of emerging adult sexual minority men (n= 597) we provide an example of how to obtain group-based trajectory profiles of alcohol and marijuana use among emerging adult sexual minority men with a zero-inflated specification. In addition, we examined racial/ethnic differences in trajectory profiles. Findings suggest that there were five distinct alcohol and marijuana use trajectories that were reliably predicted by racial/ethnic identity for alcohol but not marijuana utilizing the zero-inflated specification. A summary of findings and concluding remarks related to the utility of this modeling technique are presented.