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April 19, 2000

Smoking and Adverse Childhood Experiences

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(15):1958-1960. doi:10.1001/jama.283.15.1957

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.

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