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Understanding adverse childhood experiences as predictors of cigarette and e-cigarette use

American Journal of Preventive Medicine Apr 01, 2021

Martinasek MP, Wheldon CW, Parsons CA, et al. - Using a large 2019 data set from a Community Health Needs Assessment in Florida (N = 14,056), researchers examined the correlations among tobacco use, adverse childhood experiences, mental health, and community health via a secondary data analysis. Parental divorce was identified to be the most common household stressor, followed by mental illness and alcoholism. Findings revealed correlation of high adverse childhood experiences with current cigarette smoking after controlling for individual mental health and social/community health variables. In addition, they identified high adverse childhood experiences to be linked with e-cigarette use but not dual cigarette/e-cigarette use. An inverse association of social and community health with tobacco use was observed. For identification of tobacco users, a two-item adverse childhood experience measure appeared adequate. Findings overall suggest that inclusion of adverse childhood experiences in community needs assessments would yield relevant information for tobacco control efforts and prevention of chronic disease.

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