Halvaiepour Zohreh, Nosratabadi Mehdi
Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Child Adolesc Trauma. 2021 Jul 26;15(2):319-325. doi: 10.1007/s40653-021-00383-9. eCollection 2022 Jun.
Adverse childhood experiences include various types of physical, psychological, and sexual abuse as well as household dysfunction. These experiences are associated with health-damaging behaviors such as smoking and other adverse health consequences. The aim of the present study was to explain the current use of cigarettes based on exposure to adverse childhood experiences in university students in Isfahan, Iran. This cross-sectional study was performed on a sample of 450 university students selected on a randomized basis in Isfahan in 2020. Checklist of adverse childhood experiences, checklist of demographic information, and smoking-related variables were employed to collect data. Multivariate logistic regression was used to investigate the effect of exposure to adverse childhood experiences on the current status of cigarette smoking. The results showed that 20.2% of the total sample students were current smokers. 46.5% of students stated that they had at least one unfavorable experience and 25.1% of all students reported six or more unfavorable experiences. By controlling demographic variables, respondents with one to five (R = 3.5) as well as six or more adverse experiences (OR = 6.8) were more likely to be current smokers than respondents who had no adverse experiences. This was more likely in female students than male university students. The results suggest that exposure to adverse experiences may increase the risk of behaviors such as smoking in adulthood. Since smoking is known as a mechanism to deal with negative events, it is necessary to develop interventions and programs to effectively deal with adverse experiences at various community levels and policy to reduce risky behaviors such as smoking in adolescents and young people.
童年不良经历包括各种身体、心理和性虐待以及家庭功能失调。这些经历与吸烟等损害健康的行为以及其他不良健康后果相关。本研究的目的是基于伊朗伊斯法罕大学生童年不良经历的暴露情况来解释当前的吸烟行为。这项横断面研究于2020年在伊斯法罕对450名随机选取的大学生样本进行。采用童年不良经历清单、人口统计学信息清单以及与吸烟相关的变量来收集数据。多元逻辑回归用于研究童年不良经历的暴露对当前吸烟状况的影响。结果显示，总样本学生中有20.2%为当前吸烟者。46.5%的学生表示他们至少有一次不良经历，所有学生中有25.1%报告有六次或更多不良经历。在控制人口统计学变量后，有一至五次不良经历（比值比=3.5）以及六次或更多不良经历的受访者（比值比=6.8）比没有不良经历的受访者更有可能成为当前吸烟者。在女学生中这种情况比男大学生更明显。结果表明，暴露于不良经历可能会增加成年后吸烟等行为的风险。由于吸烟被认为是应对负面事件的一种方式，有必要制定干预措施和项目，在不同社区层面有效应对不良经历，并制定政策以减少青少年和年轻人中吸烟等危险行为。
