Abstract
Adverse childhood experiences (ACEs) have been linked to increased use of tobacco products later in life. However, studies to date have ignored smokeless tobacco products. To address this, data from the 2011 Behavioral Risk Factor Surveillance System, which interviewed adults 18 years and over (N = 102,716) were analyzed. Logistic regression models were fit to estimate odds ratios of ever smoking, current smoking and current smokeless tobacco use in relation to ACEs. Results showed that less than 4 % of respondents currently used smokeless tobacco products, while 44.95 and 18.57 % reported ever and current smoking, respectively. Physical abuse (OR 1.40; 95 % CI 1.14, 1.72), emotional abuse (OR 1.41; 95 % CI 1.19, 1.67), sexual abuse (OR 0.70; 95 % CI 0.51, 0.95), living with a drug user (OR 1.50; 95 % CI 1.17, 1.93), living with someone who was jailed (OR 1.50; 95 % CI 1.11, 2.02) and having parents who were separated or divorced (OR 1.31; 95 % CI 1.09, 1.57) were associated with smokeless tobacco use in unadjusted models. After accounting for confounders, physical abuse (OR 1.43; 95 % CI 1.16, 1.78), emotional abuse (OR 1.32; 95 % CI 1.10, 1.57), living with a problem drinker (OR 1.30; 95 % CI 1.08, 1.58), living with a drug user (OR 1.31; 95 % CI 1.00, 1.72) and living with adults who treated each other violently (OR 1.30; 95 % CI 1.05, 1.62) were associated with smokeless tobacco use. Living with someone who was mentally ill (OR 0.70; 95 % CI 0.53, 0.92) was associated with smokeless tobacco use after accounting for confounders and all ACEs. Results indicated that some childhood adversities are associated with use of smokeless tobacco products. Special attention is needed to prevent tobacco use of different types among those experiencing ACEs.
Similar content being viewed by others
References
U.S. Department of Health and Human Services. The health consequences of smoking—50 years of progress: A report of the surgeon general. Atlanta 2014.
Blackwell, D. L., Lucas, J. W., Clarke, T. C. (2014) Summary health statistics for U.S. adults: National Health Interview Survey, 2012: National Center for Health Statistics.
Nguyen, K., LaTisha, M., Hu, S., & Neff, L. (2015). State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults aged ≥18 years—United States, 2011–2013. MMWR, 64(19), 532–536.
Delnevo, C. D., Wackowski, O. A., Giovenco, D. P., Manderski, M. T. B., Hrywna, M., & Ling, P. M. (2014). Examining market trends in the United States smokeless tobacco use: 2005–2011. Tobacco Control, 23(2), 107–112. doi:10.1136/tobaccocontrol-2012-050739.
Bhattacharyya, N. (2012). Trends in the use of smokeless tobacco in united states, 2000–2010. Laryngoscope, 122(10), 2175–2178. doi:10.1002/lary.23448.
Critchley, J. A., & Unal, B. (2003). Health effects associated with smokeless tobacco: A systematic review. Thorax, 58(5), 435–443. doi:10.1136/thorax.58.5.435.
Moran, P. B., Vuchinich, S., & Hall, N. K. (2004). Associations between types of maltreatment and substance use during adolescence. Child Abuse Neglect, 28(5), 565–574. doi:10.1016/j.chiabu.2003.12.002.
Annerbäck, E. M., Sahlqvist, L., Svedin, C. G., Wingren, G., & Gustafsson, P. A. (2012). Child physical abuse and concurrence of other types of child abuse in Sweden—Associations with health and risk behaviors. Child Abuse Neglect, 36(7–8), 585–595. doi:10.1016/j.chiabu.2012.05.006.
Ford, E. S., Anda, R. F., Edwards, V. J., et al. (2011). Adverse childhood experiences and smoking status in five states. Preventive Medicine, 53(3), 188–193. doi:10.1016/j.ypmed.2011.06.015.
Vander Weg, M. W. (2011). Adverse childhood experiences and cigarette smoking: The 2009 Arkansas and Louisiana behavioral risk factor surveillance systems. Nicotine and Tobacco Research, 13(7), 616–622. doi:10.1093/ntr/ntr023.
Anda, R. F., Croft, J. B., Felitti, V. J., et al. (1999). Adverse childhood experiences and smoking during adolescence and adulthood. JAMA, 282(17), 1652–1658. doi:10.1001/jama.282.17.1652.
Strine, T. W., Edwards, V. J., Dube, S. R., et al. (2012). The mediating sex-specific effect of psychological distress on the relationship between adverse childhood experiences and current smoking among adults. Substance Abuse Treatment, Prevention, and Policy, 7, 30. doi:10.1186/1747-597x-7-30.
Nichols, H. B., & Harlow, B. L. (2004). Childhood abuse and risk of smoking onset. Journal of Epidemiology and Community, 58(5), 402–406. doi:10.1136/jech.2003.008870.
Yeoman, K, Safranek, T., Cadwell, B. L., & Mannino, D. (2013). Adverse childhood experiences and adult smoking, Nebraska, 2011. Preventing Chronic Disease, 10 , E159. doi:10.5888/pcd10.130009.
Chapman, D. P., Liu, Y., Presley-Cantrell, L. R., et al. (2013). Adverse childhood experiences and frequent insufficient sleep in 5 U.S. States, 2009: A retrospective cohort study. BMC Public Health, 13, 3. doi:10.1186/1471-2458-13-3.
Edwards, V. J., Anda, R. F., Gu, D., Dube, S. R., & Felitti, V. J. (2007). Adverse childhood experiences and smoking persistence in adults with smoking-related symptoms and illness. The Permanente Journal., 11(2), 5.
Alcalá, H. E., Sharif, M. Z., & Albert, S. L. (2016). Social cohesion and the smoking behaviors of adults living with children. Addictive Behaviors, 53, 201–205. doi:10.1016/j.addbeh.2015.10.022.
Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. doi:10.1016/S0749-3797(98)00017-8.
Caballero, M. Á., Ramos, L., González, C., & Saltijeral, M. T. (2010). Family violence and risk of substance use among Mexican adolescents. Child Abuse Neglect, 34(8), 576–584. doi:10.1016/j.chiabu.2010.02.001.
Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2015). A revised inventory of adverse childhood experiences. Child Abuse Neglect., 48, 13–21. doi:10.1016/j.chiabu.2015.07.011.
Centers for Disease Control and Prevention. Overview: BRFSS 2011. CDC. 2011. http://www.cdc.gov/brfss/annual_data/2011/overview_11.pdf.
Centers for Disease Control and Prevention. Preparing 2011 BRFSS Module Data for Analysis. CDC. 2011. http://www.cdc.gov/brfss/annual_data/2011/BRFSS2011_Analysis.pdf.
Behavioral Risk Factor Surveillance System. 2011 Summary Data Quality Report 2013.
Brown, M. J., Thacker, L. R., & Cohen, S. A. (2013). Association between adverse childhood experiences and diagnosis of cancer. PLoS ONE, 8(6), e65524. doi:10.1371/journal.pone.0065524.
Grunberg, N. E., Winders, S. E., & Wewers, M. E. (1991). Gender differences in tobacco use. Health Psychology, 10(2), 143. doi:10.1037/0278-6133.10.2.143.
Barbeau, E. M., Krieger, N., & Soobader, M.-J. (2004). Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000. American J Public Health., 94(2), 269–278.
Laaksonen, M., Rahkonen, O., Karvonen, S., & Lahelma, E. (2005). Socioeconomic status and smoking. European Journal of Public Health., 15(3), 262–269. doi:10.1093/eurpub/cki115.
Falk, D. E., Yi, H., & Hiller-Sturmhofel, S. (2006). An epidemiologic analysis of co-occurring alcohol and tobacco use and disorders. Alcohol Research of Health, 29(3), 162–171.
Lasser, K., Boyd, J., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. JAMA, 284(20), 2606–2610. doi:10.1001/jama.284.20.2606.
Bricker, J. B., Peterson, A. V., Andersen, M. R., Leroux, B. G., Rajan, K. B., & Sarason, I. G. (2006). Close friends’, parents’, and older siblings’ smoking: Reevaluating their influence on children’s smoking. Nicotine and Tobacco Research, 8(2), 217–226. doi:10.1080/14622200600576339.
Bricker, J. B., Peterson, A. V, Jr, Leroux, B. G., Andersen, M. R., Rajan, K. B., & Sarason, I. G. (2006). Prospective prediction of children’s smoking transitions: Role of parents’ and older siblings’ smoking. Addiction, 101(1), 128–136. doi:10.1111/j.1360-0443.2005.01297.x.
Anokhin, A. P., Grant, J. D., Mulligan, R. C., & Heath, A. C. (2015). The genetics of impulsivity: Evidence for the heritability of delay discounting. Biological Psychiatry, 77(10), 887–894. doi:10.1016/j.biopsych.2014.10.022.
Tsuang, M. T., Bar, J. L., Harley, R. M., & Lyons, M. J. (2001). The Harvard twin study of substance abuse: What we have learned. Harvard Review of Psychiatry, 9(6), 267–279.
Uher, R. (2009). The role of genetic variation in the causation of mental illness: An evolution-informed framework. Molecular Psychiatry, 14(12), 1072–1082. doi:10.1038/mp.2009.85.
Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330. doi:10.1037/0033-2909.128.2.330.
Kelly-Irving, M., Mabile, L., Grosclaude, P., Lang, T., & Delpierre, C. (2013). The embodiment of adverse childhood experiences and cancer development: Potential biological mechanisms and pathways across the life course. International Journal of Public Health, 58(1), 3–11. doi:10.1007/s00038-012-0370-0.
Polusny, M. A., & Follette, V. M. (1995). Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied and Preventive Psychology, 4(3), 143–166. doi:10.1016/s0962-1849(05)80055-1.
Smith, P. H., Homish, G. G., Saddleson, M. L., Kozlowski, L. T., & Giovino, G. A. (2013). Nicotine withdrawal and dependence among smokers with a history of childhood abuse. Nicotine and Tobacco Research, 15(12), 2016–2021. doi:10.1093/ntr/ntt092.
Digard, H., Proctor, C., Kulasekaran, A., Malmqvist, U., & Richter, A. (2013). Determination of nicotine absorption from multiple tobacco products and nicotine gum. Nicotine and Tobacco Research, 15(1), 255–261. doi:10.1093/ntr/nts123.
Schneider, K. L., Clark, M. A., Rakowski, W., & Lapane, K. L. (2012). Evaluating the impact of non-response bias in the Behavioral Risk Factor Surveillance System (BRFSS). Journal of Epidemiology Community Health, 66(4), 290–295. doi:10.1136/jech.2009.103861.
Acknowledgments
We would like to thank Dr. Linda Bourque and Dr. Kagawa-Singer for their input on manuscript ideas.
Funding
This research was supported by grants from the National Institute of General Medical Sciences (NIGMS) (T32-GM084903) and by the California Center for Population Research at UCLA (CCPR), which receives core support (R24-HD041022) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Alcalá, H.E., von Ehrenstein, O.S. & Tomiyama, A.J. Adverse Childhood Experiences and Use of Cigarettes and Smokeless Tobacco Products. J Community Health 41, 969–976 (2016). https://doi.org/10.1007/s10900-016-0179-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10900-016-0179-5