Childhood maltreatment and the persistence of smoking: A longitudinal study among adults in the US |
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| Institution: | 1. Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care, 1660 S. Columbian Way, Seattle, WA 98108, United States;2. Department of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE, Pacific, Street Box 356560, Room BB1644, Seattle, WA 98195, United States;3. Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States;4. Center of Innovation for Veteran Centered and Value Driven Care, Health Services Research and Development, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States |
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| Abstract: | The current study examined the relationship between childhood maltreatment—emotional, physical, and severe physical maltreatment—and the initiation and persistence of smoking. Data were drawn from the Midlife Development in the United States (MIDUS) Survey Waves 1 and 2. Frequency of childhood emotional, physical, and severe physical maltreatment (never, rare, intermittent, frequent) reported at Wave 1 was examined in relation to ever smoking, smoking daily, and persistent daily smoking at Waves 1 and 2. Logistic regression analyses were used to calculate odds ratios (with 95% confidence intervals), which were then adjusted for potential confounders. Childhood emotional, physical, and severe physical maltreatment were associated with increased odds of ever smoking, smoking daily, and persistent smoking at Waves 1 and 2. The majority of these associations remained significant after adjusting for confounding variables. These results suggest a history of trauma may play a prominent role in recalcitrant cigarette smoking and suggest that the success rates of treatments for smoking cessation may be improved by integrating trauma treatment where appropriate. |
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| Keywords: | Epidemiology Child abuse Longitudinal Tobacco smoking Risk factors Smoking cessation |
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