ADVERSE CHILDHOOD EXPERIENCES AND TOBACCO USE AMONG BULGARIAN UNIVERSITY STUDENTS – RESULTS FROM PILOT STUDY
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2017, Vol 0, Issue 3
Abstract
It is well known that adverse experiences in early years of life are impact negatively health and behavior in adulthood. Events such as death or separation of the parents, parental mental illness or criminal behavior, and exposure to violence, abuse and poverty up to the age of 18 are called adverse childhood experiences (ACE). Study results indicate that Adverse childhood experiences are related to mental disorders in adulthood, leading to health, social, and behavior problems. This report presents pilot data for Bulgaria about relation between ACE end tobacco use from the study „Adverse childhood experiences and tobacco use risky health behaviors among students.“ Material and Method: Questionnaire „Adverse Childhood Experiences International Questionnaire (ACE-IQ)”, ACE-IQ was translated in Bulgarian language and linguistically adapted for the use in Bulgarian population and Questionnaire on risk health factors -adjusted for the purposes of the study. was fulfilled by 150 Social work and medicine students. Results: The study involves 67 men and 83 women, as one respondent did not notice his gender. Average age 26.03 (SD ± 8.009). Most of them are single (71.2%). Exposure to child maltreatment or violence is the most widespread (37,3% emotional abuse, 51,3 % physical abuse and 20% sexual abuse). Living in a dysfunctional environment follows in terms of ACE prevalence ( 18,8% divorced parents). 65,9% of respondents live in families with a smoker , 53,7% of respondents smoke on a daily basis. Conclusions: There is a high rate of exposure to two or more than two ACEs. Most frequent ACEs are associated with violence. Relationship between ACE in family and risky behavior are more common than ACE in community and risky behavior. Tobacco use is the most common risk behaviors among respondents experienced two or more than two ACE.
Authors and Affiliations
Rumyana Dinolova-Hhodzhadzhikova, Vaska Stancheva-Popkostadinova
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