RESUMO
Objective To analyze the influence of Lesbian's adverse childhood experience(ACE) on their smoking behavior. Methods The self-designed electronic questionnaire is used to conduct online questionnaire survey through wechat or QQ. Results A total of 294 lesbians were investigated and analyzed. 55.78% of them reported ACE experience, 33.33% of them reported abuse experience, 24.49% reported neglect experience, 32.65% reported family dysfunction experience. 55.10% of them reported smoking in the last 30 days, and the smoking rate of those with ACE experience (61.58%) was higher than those without ACE experience (46.92%), the difference was statistically significant (P<0.05); There was significant difference in smoking rate among family dysfunction in ACE (69.79% vs 47.98%, P<0.01) .Multiple logistic regression analysis showed that ACE experience (especially family dysfunction dimension) was a risk factor of smoking in lesbians. Conclusion Lesbians have higher ACE experience and smoking rate, and ACE is an important risk factor of smoking among lesbians.