Topitzes J, Mersky JP, Reynolds AJ. Child maltreatment and adult cigarette smoking: a long-term developmental model.
J Pediatr Psychol 2010;
35:484-98. [PMID:
19995869 PMCID:
PMC2910945 DOI:
10.1093/jpepsy/jsp119]
[Citation(s) in RCA: 59] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2009] [Revised: 10/30/2009] [Accepted: 11/02/2009] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE
To examine: (a) child maltreatment's association with young adult daily cigarette smoking, (b) variations in this association by gender, and (c) mediators of this association.
METHODS
For all study participants (N = 1,125, 94% African American), data from multiple sources (e.g., child welfare records) were collected prospectively at child, adolescent, and young adult time points. Authors enlisted multivariate probit regression for objectives a and b versus exploratory and confirmatory mediation strategies for objective c.
RESULTS
Maltreatment was significantly associated with daily cigarette smoking. Although not moderated by gender, this relation was fully mediated by adolescent indicators of family support/stability, social adjustment, and cognitive/school performance along with young adult indicators of educational attainment, life satisfaction, substance abuse, and criminality.
CONCLUSIONS
Maltreatment places low-income, minority children at risk for daily cigarette smoking and other deleterious young adult health outcomes. Recommended treatment targets include family support/stability, emotion regulation, social skills, and cognitive/academic functioning.
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