학술논문

Adverse childhood experiences and smoking status in children: A systematic review and meta‐analysis.
Document Type
Article
Source
Child Abuse Review. May2024, Vol. 33 Issue 3, p1-30. 30p.
Subject
*SMOKING prevention
*STATISTICAL correlation
*SMOKING cessation
*MENTAL health
*SMOKING
*CHILD abuse
*HEALTH policy
*META-analysis
*MANUSCRIPTS
*SYSTEMATIC reviews
*MEDLINE
*ODDS ratio
*PSYCHOLOGICAL abuse
*ONLINE information services
*CONFIDENCE intervals
*QUALITY assurance
*PUBLIC health
*ADVERSE childhood experiences
*CHILD behavior
*CHILDREN
Language
ISSN
0952-9136
Abstract
Adverse childhood experiences are a factor that can have a broad impact on different dimensions of health in different eras. This research aimed to investigate the relationship between adverse childhood experiences and smoking in children through a systematic review and meta‐analysis. Three databases, including PubMed, Web of Science and Scopus, were selected for manuscript searches. These three databases were searched until July 2022. This search was limited to English. For this study, the odds ratio or risk ratio and 95% confidence interval were extracted. The odds ratio pool was performed using the random‐effects method reported. An analysis was done based on the types of adverse childhood experiences and an analysis based on sex. The year of publication of the earliest and last publication included in this analysis was, respectively, 2003 and 2022. After screening the manuscripts, finally, 39 studies remained for this study. Adverse childhood experiences are associated with an increased risk of smoking in children [odds ratio 1.69; CI = 1.55–1.85; z = 11.80; p < 0.001; I2 = 92.6%]. Components of adverse childhood experiences, including emotional abuse, emotional neglect, physical abuse, physical maltreatment and physical neglect, were associated with increased smoking. The present study showed that adverse childhood experiences provide a context that increases the possibility of smoking in children. It is necessary to pay attention to the dimensions of health and behaviour in this group. Key Practitioner Messages: The evidence from this research showed that adverse childhood experiences are an important risk factor in increasing smoking.According to the evidence obtained from previous studies and their review in the current study, it is necessary that childhood conditions be screened, trained and given appropriate interventions to reduce their negative consequences on health in later periods of life. [ABSTRACT FROM AUTHOR]