Literature DB >> 30461117

Machine-learning prediction of adolescent alcohol use: a cross-study, cross-cultural validation.

Mohammad H Afzali1, Matthew Sunderland2, Sherry Stewart3, Benoit Masse1, Jean Seguin1, Nicola Newton2, Maree Teesson2, Patricia Conrod1.   

Abstract

BACKGROUND AND AIMS: The experience of alcohol use among adolescents is complex, with international differences in age of purchase and individual differences in consumption and consequences. This latter underlines the importance of prediction modeling of adolescent alcohol use. The current study (a) compared the performance of seven machine-learning algorithms to predict different levels of alcohol use in mid-adolescence and (b) used a cross-cultural cross-study scheme in the training-validation-test process to display the predictive power of the best performing machine-learning algorithm.
DESIGN: A comparison of seven machine-learning algorithms: logistic regression, support vector machines, random forest, neural network, lasso regression, ridge regression and elastic-net.
SETTING: Canada and Australia. PARTICIPANTS: The Canadian sample is part of a 4-year follow-up (2012-16) of the Co-Venture cohort (n = 3826, baseline age 12.8 ± 0.4, 49.2% girls). The Australian sample is part of a 3-year follow-up (2012-15) of the Climate Schools and Preventure (CAP) cohort (n = 2190, baseline age 13.3 ± 0.3, 43.7% girls). MEASUREMENTS: The algorithms used several prediction indices, such as F1 prediction score, accuracy, precision, recall, negative predictive value and area under the curve (AUC).
FINDINGS: Based on prediction indices, the elastic-net machine-learning algorithm showed the best predictive performance in both Canadian (AUC = 0.869 ± 0.066) and Australian (AUC = 0.855 ± 0.072) samples. Domain contribution analysis showed that the highest prediction accuracy indices yielded from models with only psychopathology (AUC = 0.816 ± 0.044/0.790 ± 0.071 in Canada/Australia) and only personality clusters (AUC = 0.776 ± 0.063/0.796 ± 0.066 in Canada/Australia). Similarly, regardless of the level of alcohol use, in both samples, externalizing psychopathologies, alcohol use at baseline and the sensation-seeking personality profile contributed to the prediction.
CONCLUSIONS: Computerized screening software shows promise in predicting the risk of alcohol use among adolescents.
© 2018 Society for the Study of Addiction.

Entities:  

Keywords:  Adolescence; alcohol use; machine-learning; multisite; prediction; risk behaviors

Mesh:

Year:  2018        PMID: 30461117     DOI: 10.1111/add.14504

Source DB:  PubMed          Journal:  Addiction        ISSN: 0965-2140            Impact factor:   6.526


  7 in total

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  7 in total

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