Cigarette smoking among intimate partner violence perpetrators and victims: findings from the National Epidemiologic Survey on Alcohol and Related Conditions.

BACKGROUND AND OBJECTIVES: Cigarette smoking and intimate partner violence (IPV) are preventable, major public health issues that result in severe physical and psychological consequences. The primary aim of the current study was to examine the consistency and strength of the association between these highly variable behaviors using a nationally representative sample.
METHODS: Self-reported IPV perpetration, victimization, and smoking data were collected from 25,515 adults (54% female) through the National Epidemiologic Survey on Alcohol and Related Conditions. Multinomial logistic regression models were constructed to determine the relationships among smoking status (current daily, intermittent, former, and never smoker) and IPV (minor and sever victimization as well as perpetration).
RESULTS: Results indicated a robust relationship between IPV and smoking among both victims and perpetrators. The odds for current daily and intermittent smoking were significantly elevated among those who reported both minor and severe IPV relative to their non-violent counterparts. Mood and anxiety disorders were significant comorbid conditions in the interpretation of the relationship between severe IPV and smoking.
CONCLUSIONS: The current study provides strong evidence for a robust relationship between IPV and smoking across current smoking patterns, IPV severity levels, and IPV experience patterns. SCIENTIFIC SIGNIFICANCE: Findings emphasize the need to better understand the mechanisms by which smoking and IPV are associated and how this interdependence may impact approaches to treatment. Specifically, research is required to assess the efficacy of integrated smoking cessation and IPV treatment or recovery programs over more traditional, exclusive approaches. © American Academy of Addiction Psychiatry.