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Adverse Childhood Experiences and Tobacco Use among Latinx Parents in the USA

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Abstract

The current study aimed to understand the effects of adverse childhood experiences (ACEs) and cultural factors on Latinx parents’ tobacco use. Tobacco use is the leading cause of death among Latinx individuals in the USA, and parental use has long-term secondary harm for children. Thus, it is important to examine cultural protective factors that could prevent Latinx parents and children from the negative health effects of tobacco use. Data came from 2813 18- to 50-year-old Latinx respondents who participated in the Wave 3 of the National Epidemiological Survey on Alcohol and Related Conditions. They reported having children living in their household and had complete data for the variables of interest. In this sample (mean age = 33.5 years, 53.7% female), 16.4% (95%CI = 14.7%, 18.4%) and 7.4% (95%CI = 6.4%, 8.6%) were current and former smokers, respectively. The multivariate multinomial logistic regression analysis showed that experiencing more ACEs categories was associated with increased likelihood of current and former tobacco use compared to never use. Past year discrimination experiences and being US born (2nd and 3rd-generation parents) also increased the likelihood of current use. Differences in risk of current and former tobacco use were found based on respondents’ country of origin, with protection against tobacco use found for most countries compared to being from Puerto Rico. Stronger ethnic-racial identity was not protective against tobacco use. Findings show the importance of considering ACEs and cultural factors when designing and implementing tobacco cessation programs for Latinx parents and increasing awareness of the impact of parents’ tobacco use on their children.

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Acknowledgements

In memory of Dr. Cristina Bares for her body of research on child and adolescent behavioral health, her impact on the field of social work in the area of genetics research, and her important contributions to this article.

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  1. School of Social Work, University of Michigan, Ann Arbor, MI, USA

    Fernanda Lima Cross, Cristina B. Bares & Joel Lucio

  2. School of Social Work, Virginia Commonwealth University, Richmond, VA, USA

    Karen G. Chartier

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FLC: conceptualization; writing—original draft; CBB: conceptualization; formal analysis; writing—original draft; KGC: conceptualization; formal analysis; writing—original draft; JL: writing—original draft. All authors have approved the final article.

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Cross, F.L., Bares, C.B., Lucio, J. et al. Adverse Childhood Experiences and Tobacco Use among Latinx Parents in the USA. J. Racial and Ethnic Health Disparities (2023). https://doi.org/10.1007/s40615-023-01697-0

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