Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: Dr Anda and colleagues1 found a strong association between adverse childhood
experiences and several aspects of smoking. They conclude that nicotine is
used "as a pharmacological tool to alleviate the long-term emotional and psycho-biological
wounds of adverse childhood experiences." However, self-medication may be
only part of the explanation for the study's results. Quality of parenting
and self-esteem may moderate this relationship.
Reynolds MW, Frank C. Smoking and Adverse Childhood Experiences. JAMA. 2000;283(15):1958-1960. doi:10.1001/jama.283.15.1957