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Adverse childhood experiences and smoking status in five states.

机译:在五个州的不利童年体验和吸烟状态。

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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.
机译:目的:我们的目标是审查童年经验(ACE)与居住在五个美国5五个国家的随机样本之间的童年经验和吸烟行为之间的协会。方法:我们使用来自2009年行为风险因素监测系统的25,809人参与者的数据,以评估8个不利童年经历中的每一个的关系,以及对吸烟地位的不利儿童经验评分。结果和结论:约有59.4%的男女报告至少有一个不利的童年经验。在调整人口变量后,八个不利童年经验措施中的每一个都与吸烟状态有显着相关。随着童年经验得分增加,目前和遭受的流行率和患病的流行比率增加了正面的时尚。在报告没有童年经历的成年人中,目前吸烟了13.0%,38.3%曾经吸过吸烟。与具有不良儿童经历评分为0的参与者相比,具有不良儿童经历的人5或更多的人更容易成为目前的吸烟者(调整患病率比(APR):2.22,95%置信区间[CI]:1.92 -2.57)并曾吸烟(4月:1.80,95%CI:1.67-1.93)。有权进一步研究,以确定防止和干预措施是否可能会降低普通人口中吸烟有关的疾病负担。

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