Adverse Childhood Experiences and Use of Cigarettes and Smokeless Tobacco Products
| dc.contributor.author | Alcala, Hector E. ; von Ehrenstein, Ondine S. ; Tomiyama, A. Janet | |
| dc.date.accessioned | 2019-06-12T17:09:51Z | |
| dc.date.available | 2019-06-12T17:09:51Z | |
| dc.date.issued | 2016 | |
| dc.description.abstract | Adverse childhood experiences (ACEs) have been linked to increase use of tobacco products. However, studies have ignored smokeless tobacco products. To address this, data from the 2011 Behavioral Risk Factor Surveillance System (BRFSS), which interviewed adults 18 and over (N=102,716) were analyzed. Logistic regression models were fit to estimate odds of ever smoking, current smoking and current smokeless tobacco use from ACEs. Results showed that Less than 4% of respondents currently used smokeless tobacco products, while 44.95% and 18.57% reported ever and current smoking. Physical abuse (OR=1.40; 95% CI=1.14,1.72), emotional abuse (OR=1.41; 95% CI=1.19,1.67), sexual abuse (OR=0.70; 95% CI=0.51,0.95), living with a drug user (OR=1.50; 95% CI=1.17,1.93), living with someone who was jailed (OR=1.50; 95% CI=1.11,2.02) and having parents who were separated or divorced (OR=1.31; 95% CI=1.09,1.57) were associated with smokeless tobacco use in bivariate models. After accounting for confounders, physical abuse (OR=1.43; 95% CI=1.16,1.78), emotional abuse (OR=1.32; 95% CI=1.10,1.57), living with a problem drinker (OR=1.30; 95% CI=1.08,1.58), living with a drug user (OR=1.31; 95% CI=1.00,1.72) and living with adults who treated each other violently (OR=1.30; 95% CI=1.05,1.62) were associated with smokeless tobacco use. Living with someone who was mentally ill (OR=0.70; 95% CI=0.53,0.92) was associated with smokeless tobacco use after accounting for confounders and all ACEs. Results indicated that some childhood adversities are linked to increased use of smokeless tobacco products, suggesting specificity in the association between childhood adversity and smokeless tobacco use. Special attention is needed to prevent tobacco use among those experiencing ACEs. (Author Abstract) | en_US |
| dc.identifier.citation | Alcala, Hector E. ; von Ehrenstein, Ondine S. ; Tomiyama, A. Janet. (2016). Adverse Childhood Experiences and Use of Cigarettes and Smokeless Tobacco Products. Journal of Community Health, 41(5), 969–976. | en_US |
| dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011440/pdf/nihms771527.pdf | |
| dc.identifier.uri | http://hdl.handle.net/11212/4385 | |
| dc.language.iso | en | en_US |
| dc.publisher | Journal of Community Health | en_US |
| dc.subject | child abuse | en_US |
| dc.subject | research | en_US |
| dc.subject | long term effects | en_US |
| dc.subject | medical effects | en_US |
| dc.title | Adverse Childhood Experiences and Use of Cigarettes and Smokeless Tobacco Products | en_US |
| dc.type | Article | en_US |