Adverse childhood experiences and smoking status in five states
Adverse childhood experiences and smoking status in five states
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DOI：
10.1016/j.ypmed.2011.06.015
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发表时间：
2011-09-01
影响因子：
5.1
通讯作者：
Croft, Janet B.
中科院分区：
文献类型：
--
作者：
Ford, Earl S.;Anda, Robert F.;Croft, Janet B.
目标。我们的目的是在美国五个州随机抽取成人样本，研究不良童年经历（ace）与吸烟行为之间的关系。我们使用2009年行为风险因素监测系统25,809名参与者的数据来评估8种不良童年经历和不良童年经历得分与吸烟状况的关系。结果和结论。约59.4%的男性和女性报告至少有一次不良的童年经历。调整人口统计变量后，八项不良童年经历测量中的每一项都与吸烟状况显著相关。随着不良童年经历得分的增加，当前和曾经吸烟的流行率呈正分级增加。在没有不良童年经历的成年人中，13.0%目前吸烟，38.3%曾经吸烟。与儿童期不良经历得分为0分的参与者相比，儿童期不良经历得分为5分或以上的参与者更有可能是当前吸烟者（调整患病率比（aPR）： 2.22, 95%可信区间[CI]: 1.92-2.57）和曾经吸烟（aPR: 1.80, 95%可信区间[CI]: 1.67-1.93）。需要进一步的研究来确定对不良童年经历的预防和干预是否可以减轻普通人群中吸烟相关疾病的负担。Elsevier Inc.出版。
Objective. Our objective was to examine the associations between adverse childhood experiences (ACEs) and smoking behavior among a random sample of adults living in five U.S. states.Methods. We used data from 25,809 participants of the 2009 Behavioral Risk Factor Surveillance System to assess the relationship of each of the 8 adverse childhood experiences and the adverse childhood experience score to smoking status.Results and conclusions. Some 59.4% of men and women reported at least one adverse childhood experience. Each of the eight adverse childhood experiences measures was significantly associated with smoking status after adjustment for demographic variables. The prevalence ratios for current and ever smoking increased in a positive graded fashion as the adverse childhood experience score increased. Among adults who reported no adverse childhood experiences, 13.0% were currently smoking and 38.3% had ever smoked. Compared to participants with an adverse childhood experience score of 0, those with an adverse childhood experience score of 5 or more were more likely to be a current smoker (adjusted prevalence ratio (aPR): 2.22, 95% confidence interval [CI]: 1.92-2.57) and to have ever smoked (aPR: 1.80, 95% CI: 1.67-1.93). Further research is warranted to determine whether the prevention of and interventions for adverse childhood experiences might reduce the burden of smoking-related illness in the general population. Published by Elsevier Inc.