Adverse childhood experiences and tobacco smoke exposure among U.S. school-aged children

Child Protection and Practice Pub Date : 2025-07-12 DOI:10.1016/j.chipro.2025.100210

Ashley L. Merianos , Madelyn J. Hill , Kayleigh A. Gregory , Sinem Toraman Turk , Matthew Lee Smith , E. Melinda Mahabee-Gittens

{"title":"Adverse childhood experiences and tobacco smoke exposure among U.S. school-aged children","authors":"Ashley L. Merianos , Madelyn J. Hill , Kayleigh A. Gregory , Sinem Toraman Turk , Matthew Lee Smith , E. Melinda Mahabee-Gittens","doi":"10.1016/j.chipro.2025.100210","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences (ACEs) are traumatic events linked to poor health outcomes in childhood. While children are vulnerable to ACEs and tobacco smoke exposure (TSE), little is known about the association between ACEs and home TSE.</div></div><div><h3>Objective</h3><div>This study aimed to assess the association between ACEs and home TSE status among U.S. school-aged children.</div></div><div><h3>Participants and setting</h3><div>A secondary analysis of the 2020–2021 National Survey of Children's Health data, including 26,422 children 6–11 years old, was conducted.</div></div><div><h3>Methods</h3><div>ACEs were assessed cumulatively and based on type, including household-, community-, and financial-based ACEs. Home TSE status included no home TSE, defined as the child not living with smokers; home thirdhand smoke (THS) exposure only, defined as the child living with smokers who did not smoke indoors; and home secondhand smoke (SHS) and THS exposure, defined as the child living with smokers who smoked indoors. Weighted adjusted multinomial logistic regression analysis was performed.</div></div><div><h3>Findings</h3><div>Concerning the number of ACEs, 22.4 % of children experienced one ACE, 12.2 % experienced 2–3 ACEs, and 4.9 % experienced 4–10 ACEs. Children with one ACE (AOR = 1.59, 95 %CI = [1.26, 1.99]; AOR = 2.00, 95 %CI = [1.17, 3.41]), 2–3 ACEs (AOR = 2.62, 95 %CI = [1.98, 3.45]; AOR = 4.36, 95 %CI = [2.52, 7.56]), and 4–10 ACEs (AOR = 5.16, 95 %CI = [3.48, 7.65]; AOR = 9.71, 95 %CI = [4.74, 19.88]) had increased odds of home THS exposure only and home SHS + THS exposure, respectively, compared to children with zero ACEs. Household-, community-, and financial-based ACEs increased the odds of home THS exposure only and home SHS + THS exposure.</div></div><div><h3>Conclusion</h3><div>ACEs were associated with home TSE status in school-aged children.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"6 ","pages":"Article 100210"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Protection and Practice","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950193825001184","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Adverse childhood experiences (ACEs) are traumatic events linked to poor health outcomes in childhood. While children are vulnerable to ACEs and tobacco smoke exposure (TSE), little is known about the association between ACEs and home TSE.

Objective

This study aimed to assess the association between ACEs and home TSE status among U.S. school-aged children.

Participants and setting

A secondary analysis of the 2020–2021 National Survey of Children's Health data, including 26,422 children 6–11 years old, was conducted.

Methods

ACEs were assessed cumulatively and based on type, including household-, community-, and financial-based ACEs. Home TSE status included no home TSE, defined as the child not living with smokers; home thirdhand smoke (THS) exposure only, defined as the child living with smokers who did not smoke indoors; and home secondhand smoke (SHS) and THS exposure, defined as the child living with smokers who smoked indoors. Weighted adjusted multinomial logistic regression analysis was performed.

Findings

Concerning the number of ACEs, 22.4 % of children experienced one ACE, 12.2 % experienced 2–3 ACEs, and 4.9 % experienced 4–10 ACEs. Children with one ACE (AOR = 1.59, 95 %CI = [1.26, 1.99]; AOR = 2.00, 95 %CI = [1.17, 3.41]), 2–3 ACEs (AOR = 2.62, 95 %CI = [1.98, 3.45]; AOR = 4.36, 95 %CI = [2.52, 7.56]), and 4–10 ACEs (AOR = 5.16, 95 %CI = [3.48, 7.65]; AOR = 9.71, 95 %CI = [4.74, 19.88]) had increased odds of home THS exposure only and home SHS + THS exposure, respectively, compared to children with zero ACEs. Household-, community-, and financial-based ACEs increased the odds of home THS exposure only and home SHS + THS exposure.

Conclusion

ACEs were associated with home TSE status in school-aged children.

查看原文本刊更多论文

美国学龄儿童的不良童年经历和烟草烟雾暴露

童年不良经历（ace）是与儿童时期不良健康结果相关的创伤性事件。虽然儿童易患ace和烟草烟雾暴露（TSE），但对ace和家庭TSE之间的关系知之甚少。目的本研究旨在评估美国学龄儿童ace与家庭TSE状况之间的关系。参与者和背景对2020-2021年全国儿童健康调查数据进行了二次分析，其中包括26,422名6-11岁儿童。方法采用累积性和基于类型的评估方法，包括基于家庭、社区和财务的ace。家庭吸烟状况包括无家庭吸烟，定义为儿童不与吸烟者生活在一起；仅在家中接触三手烟，定义为与不在室内吸烟的吸烟者生活在一起的儿童；家庭二手烟（SHS）和三手烟暴露，定义为与室内吸烟的吸烟者生活在一起的儿童。进行加权调整多项logistic回归分析。关于ACE的数量，22.4%的儿童经历过一次ACE， 12.2%经历过2-3次ACE， 4.9%经历过4-10次ACE。一次ACE患儿(AOR = 1.59, 95% CI = [1.26, 1.99]；AOR = 2.00, 95% CI = [1.17, 3.41]), 2 - 3 ace(优势比= 2.62,95% CI = [1.98, 3.45];AOR = 4.36, 95% CI =[2.52, 7.56])和电场ace(优势比= 5.16,95% CI = [3.48, 7.65];AOR = 9.71, 95% CI =[4.74, 19.88])分别增加了家庭仅暴露于三手烟和家庭SHS +三手烟的几率。以家庭、社区和金融为基础的ace增加了家庭仅暴露于THS和家庭SHS + THS暴露的几率。结论ace与学龄期儿童家庭TSE状况有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Child Protection and Practice

自引率

0.00%

发文量