Adverse Childhood Experiences and Tobacco Use Patterns Among Adults in the United States

Exploring sex differences

Bibliographic Data

ID21650641
AuthorsOlatokunbo Osibogun (0000-0001-8902-4356, Florida International University, Miami, FL, USA, corresponding author), Olufemi Erinoso (0000-0003-0733-3847, University of Nevada, Reno, NV, USA), Wei Li (0000-0002-3581-849X, Yale School of Medicine, New Haven, CT, USA), Mohammad Ebrahimi Kalan (0000-0001-7709-5392, Eastern Virginia Medical School, Norfolk, VA, USA), Zoran Bursac (0000-0001-9306-0907, Florida International University, Miami, FL, USA), Akin Osibogun (0000-0002-0788-9143, University of Lagos, Lagos, Nigeria)
Year2024
Volume51
Issue1
Pages54-61
Publication date2024-02-01
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10901981231178696
PMID37329281
OpenAlexW4381052326
LanguageEN
References cited39

OBJECTIVE: Adverse childhood experiences (ACEs), which refer to childhood traumatic events, have been identified as risk factors for tobacco use in adulthood. However, studies are limited on the effect of sex on the association of ACEs with e-cigarettes and dual use of e-cigarettes and cigarettes. This study explored sex differences in the association of ACEs with e-cigarettes, cigarettes, and dual use of e-cigarettes and cigarettes among adults in the United States. METHODS: = 62,768). ACEs, the independent variable, was a composite score assessed from 11 questions (with responses yes-1 or no/never-0) related to childhood emotional abuse, physical abuse, sexual abuse, and household dysfunction and categorized as 0 (reference), 1, 2, 3, or ≥4. The dependent variable, tobacco use patterns, included nonuse (reference), e-cigarette only, cigarette only, and dual use of e-cigarettes and cigarettes. Multinomial logistic regression was performed to test the interaction between sex and ACEs while controlling for potential confounders. RESULTS: Although we found no statistically significant interaction by sex, a greater number of ACEs were associated with higher odds of the different tobacco use patterns among females and males, with varying strengths of associations. Specifically, females who reported ≥4 ACEs compared with none had higher odds of e-cigarette (aOR [95% CI]: 3.58 [1.49-8.63]), cigarette (2.57 [1.72-3.83]) and dual use (3.25 [1.79-5.91]) relative to nonuse. Males with ≥4 ACEs had higher odds of cigarette (1.75 [1.15-2.65]) and dual use (7.64 [3.95-14.79]). CONCLUSION: Our findings underscore the importance of developing appropriate, tailored trauma-informed intervention strategies for females and males. It is also important to consider ACEs in designing tobacco-specific preventive programs to curb initiation and promote cessation among U.S. adults

Behavioral Risk Factor Surveillance System · Confounding · Environmental health · Injury prevention · Logistic regression · Multinomial logistic regression · Odds · Odds ratio · Poison control · Population · Sexual abuse · Child Abuse and Trauma · Demography · Medicine · Posttraumatic Stress Disorder Research · Smoking Behavior and Cessation

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