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Titolo:
Adverse childhood experiences and smoking during adolescence and adulthood
Autore:
Anda, RF; Croft, JB; Felitti, VJ; Nordenberg, D; Giles, WH; Williamson, DF; Giovino, GA;
Indirizzi:
Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA Ctr Dis Control & Prevent Atlanta GA USA 30341 mot, Atlanta, GA 30341 USA So Calif Permanente Med Grp, Dept Prevent Med, San Diego, CA 92120 USA So Calif Permanente Med Grp San Diego CA USA 92120 an Diego, CA 92120 USA Emory Univ, Sch Med, Dept Pediat, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 h Med, Dept Pediat, Atlanta, GA 30322 USA
Titolo Testata:
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
fascicolo: 17, volume: 282, anno: 1999,
pagine: 1652 - 1658
SICI:
0098-7484(19991103)282:17<1652:ACEASD>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH RISK BEHAVIORS; SEXUAL ABUSE; MAJOR DEPRESSION; DRUG-ABUSE; TOBACCO; ALCOHOL; WOMEN; MALTREATMENT; EPIDEMIOLOGY; DYSFUNCTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
58
Recensione:
Indirizzi per estratti:
Indirizzo: Anda, RF Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Mailstop K-47,4770 Buford Hwy NE, Atlanta, GA 30341 USA Ctr Dis Control& Prevent Mailstop K-47,4770 Buford Hwy NE Atlanta GA USA 30341
Citazione:
R.F. Anda et al., "Adverse childhood experiences and smoking during adolescence and adulthood", J AM MED A, 282(17), 1999, pp. 1652-1658

Abstract

Context In recent years, smoking among adolescents has increased and the decline of adult smoking has slowed to nearly a halt; new insights into tobacco dependency are needed to correct this situation. Long-term use of nicotine has been linked with self-medicating efforts to cope with negative emotional, neurobiological, and social effects of adverse childhood experiences. Objective To assess the relationship between adverse childhood experiencesand 5 smoking behaviors. Design The ACE Study, a retrospective cohort survey including smoking and exposure to 8 categories of adverse childhood experiences (emotional, physical, and sexual abuse; a battered mother; parental separation or divorce; and growing up with a substance-abusing, mentally ill, or incarcerated household member), conducted from August to November 1995 and January to March 1996. Setting A primary care clinic for adult members of a large health maintenance organization in San Diego, Calif. Participants A total of 9215 adults (4958 women and 4257 men with mean [SD] ages of 55.3 [15.7] and 58.1 [14.5] years, respectively) who responded toa survey questionnaire, which was mailed to all patients 1 week after a clinic visit. Main Outcome Measures Smoking initiation by age 14 years or after age 18 years, and status as ever, current, or heavy smoker. Results At least 1 of 8 categories of adverse childhood experiences was reported by 63% of respondents, After adjusting for age, sex, race, and education, each category showed an increased risk for each smoking behavior, andthese risks were comparable for each category of adverse childhood experiences. Compared with those reporting no adverse childhood experiences, persons reporting 5 or more categories had substantially higher risks of early smoking initiation (odds ratio [OR], 5.4; 95% confidence interval [CI], 4.1-7.1), ever smoking (OR, 3.1; 95% CI, 2.6-3.8), current smoking (OR, 2.1; 95% CI, 1.6-2.7), and heavy smoking (OR, 2.8; 95% CI, 1.9-4.2), Each relationship between smoking behavior and the number of adverse childhood experiences was strong and graded (P<.001). For any given number of adverse childhood experiences, recent problems with depressed affect were more common amongsmokers than among nonsmokers. Conclusions Smoking was strongly associated with adverse childhood experiences. Primary prevention of adverse childhood experiences and improved treatment of exposed children could reduce smoking among both adolescents and adults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 17:17:26