Adverse Childhood Experiences and Adult Smoking, Nebraska, 2011

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Yeoman, Kristin ; Safranek, Thomas ; Buss, Bryan ; Cadwell, Betsy L. ; Mannino, David
• Description:
  Introduction
  
  Smoking is a public health risk; the prevalence of smoking among adults in Nebraska is 18.4%. Studies indicate that maltreatment of children alters their brain development, possibly increasing risk for tobacco use. Previous studies have documented associations between childhood maltreatment and adult health behaviors, demonstrating the influence of adverse experiences on tobacco use. We examined prevalence and associations between adverse childhood experiences and smoking among Nebraskans.
  
  Methods
  
  We analyzed 2011 Nebraska Behavioral Risk Factor Surveillance System (Adverse Childhood Experience module) data, defining adverse childhood experience exposures as physical, sexual, and verbal abuse (ie, direct exposures), and household dysfunction associated with mental illness, substance abuse, divorce, domestic violence, and living with persons with incarceration histories (ie, environmental exposures). We estimated prevalence of exposures, taking into account the complex survey design. We used logistic regression with predicted margins to estimate adjusted relative risk for smoking by direct or environmental exposure.
  
  Results
  
  Approximately 51% of Nebraskans experienced 1 or more adverse childhood events; 7% experienced 5 or more. Prevalence of environmental exposures (42%) was significantly higher than that of direct exposures (31%). Prevalence of individual exposures ranged from 6% (incarceration of a household member) to 25% (verbal abuse). Adjusted relative risks of smoking for direct and environmental exposures were 1.5 and 1.8, respectively.
  
  Conclusion
  
  We present a new method of evaluating adverse childhood experience data. Prevalence of adverse childhood experiences is high among Nebraskans, and these exposures are associated with smoking. State-specific strategies to monitor adverse events among children and provide interventions might help to decrease the smoking rate in this population.
  
  
• Subjects:
  Adult Behavioral Risk Factor Surveillance System Child Child Abuse Domestic Violence Family Characteristics Health Surveys Humans Life Change Events Mental Disorders Risk Factors Smoking Substance-Related Disorders Tobacco Use Disorder

  More +
• Source:
  Prev Chronic Dis. 10.
• DOI:
  http://dx.doi.org/10.5888/pcd10.130009
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Name as Subject:
  Behavioral Risk Factor Surveillance System (U.S.) ; Behavioral Risk Factor Surveillance System (U.S.)
• Place as Subject:
  Nebraska
• Location:
  North America
• Volume:
  10
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f6f5f805e4ec94691346fcbba4e893d70d60a11a1850b4ab0bc0e4ffa80c95080e04f6e7f1b7820e41d898f6ecaf09f08c87a9f8ed304cc0a3d38ba9f34f7939
• Download URL:
  https://stacks.cdc.gov/view/cdc/21011/cdc_21011_DS1.pdf
• File Type:
  [PDF - 442.51 KB ]