Shin Sunny H
Virginia Commonwealth University, School of Social Work, Richmond, VA, United States; Virginia Commonwealth University, School of Medicine, Department of Psychiatry, Richmond, VA, United States.
Addict Behav. 2021 Apr;115:106795. doi: 10.1016/j.addbeh.2020.106795. Epub 2020 Dec 24.
Exposure to childhood trauma increases the risk of tobacco use during adolescence. Recent studies have also reported potentially increased vulnerabilities to electronic cigarette (e-cigarette) use among youth with a history of childhood trauma. While empirical evidence supporting the relationship between childhood trauma and adolescent e-cigarette use is emerging, few effective preventive interventions are available to curb e-cigarette use among adolescent victims of childhood trauma. This article reviews current evidence with respect to how childhood trauma could increase risk for nicotine dependence and e-cigarette use in adolescent populations. Furthermore, this paper describes the development, design, and implementation of Rise Above (RA), a randomized, controlled trial of a trauma-informed, e-cigarette preventive intervention. Lessons learned are also discussed, including the challenges of implementing evidence-informed prevention work within communities vulnerable to traumatic events.
童年期遭受创伤会增加青少年时期吸烟的风险。最近的研究还报告称，有童年创伤史的青少年使用电子烟的潜在易感性可能增加。虽然支持童年创伤与青少年电子烟使用之间关系的实证证据正在出现，但几乎没有有效的预防干预措施可用于遏制童年创伤青少年的电子烟使用。本文回顾了关于童年创伤如何增加青少年尼古丁依赖和电子烟使用风险的现有证据。此外，本文描述了“超越自我”（RA）这一创伤知情的电子烟预防干预随机对照试验的开发、设计和实施情况。还讨论了所吸取的经验教训，包括在易受创伤事件影响的社区开展循证预防工作所面临的挑战。
