TY - JOUR
T1 - Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster
T2 - A cross-sectional survey after the Great East Japan Earthquake
AU - Nakano, Hironori
AU - Ohira, Tetsuya
AU - Maeda, Masaharu
AU - Yabe, Hirooki
AU - Ohtsuru, Akira
AU - Suzuki, Yuriko
AU - Harigane, Mayumi
AU - Horikoshi, Naoko
AU - Nagai, Masato
AU - Zhang, Wen
AU - Takahashi, Hideto
AU - Yasumura, Seiji
AU - Iso, Hiroyasu
AU - Kamiya, Kenji
N1 - Funding Information:
Funding This survey was conducted as part of Fukushima Prefecture’s postdisaster recovery plans and was supported by the ‘National Health Fund for Children and Adults Affected by the Nuclear Incident’.
Publisher Copyright:
© 2018 author(s).
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Objective Few studies have comprehensively examined changes in smoking status and related factors after a disaster. We examined these factors among residents of an evacuation area in Fukushima after the Great East Japan Earthquake. Methods The study participants included 58 755 men and women aged ≥20 years who participated in the Fukushima Health Management Survey in 2012 after the disaster. Smoking status was classified as either current smokers or current non-smokers before and after the disaster. The participants were divided into the following groups: (1) non-smokers both before and after the disaster, (2) non-smokers before and smokers after the disaster, (3) smokers before and non-smokers after the disaster and (4) smokers both before and after the disaster. The adjusted prevalence ratios and 95% CIs of changes in smoking status for demographic, disaster-related and psychosocial factors were tested using logistic regression analysis that was stratified by smoking status before the disaster. Results Among the 44 729 participants, who were non-smokers before the disaster, 634 (1.4%) began smoking after the disaster. Among the 14 025 smokers before the disaster, 1564 (11.1%) quit smoking after the disaster, and the proportion of smokers in the evacuation area consequently decreased from 21.2% to 19.6%. In the multivariable model, factors significantly associated with beginning smoking included being a male, being younger, having a lower education, staying in a rental house/apartment, house being damaged, having experienced a tsunami, change jobs and the presence of traumatic symptoms and non-specific psychological distress. On the contrary, factors associated with quitting smoking included being a female, being older, having a higher education and having a stable income. Conclusion The proportion of smokers slightly decreased among residents in the evacuation area. The changes in smoking statuses were associated with disaster-associated psychosocial factors, particularly changes in living conditions, having experienced a tsunami, change jobs and developing post-traumatic stress disorder.
AB - Objective Few studies have comprehensively examined changes in smoking status and related factors after a disaster. We examined these factors among residents of an evacuation area in Fukushima after the Great East Japan Earthquake. Methods The study participants included 58 755 men and women aged ≥20 years who participated in the Fukushima Health Management Survey in 2012 after the disaster. Smoking status was classified as either current smokers or current non-smokers before and after the disaster. The participants were divided into the following groups: (1) non-smokers both before and after the disaster, (2) non-smokers before and smokers after the disaster, (3) smokers before and non-smokers after the disaster and (4) smokers both before and after the disaster. The adjusted prevalence ratios and 95% CIs of changes in smoking status for demographic, disaster-related and psychosocial factors were tested using logistic regression analysis that was stratified by smoking status before the disaster. Results Among the 44 729 participants, who were non-smokers before the disaster, 634 (1.4%) began smoking after the disaster. Among the 14 025 smokers before the disaster, 1564 (11.1%) quit smoking after the disaster, and the proportion of smokers in the evacuation area consequently decreased from 21.2% to 19.6%. In the multivariable model, factors significantly associated with beginning smoking included being a male, being younger, having a lower education, staying in a rental house/apartment, house being damaged, having experienced a tsunami, change jobs and the presence of traumatic symptoms and non-specific psychological distress. On the contrary, factors associated with quitting smoking included being a female, being older, having a higher education and having a stable income. Conclusion The proportion of smokers slightly decreased among residents in the evacuation area. The changes in smoking statuses were associated with disaster-associated psychosocial factors, particularly changes in living conditions, having experienced a tsunami, change jobs and developing post-traumatic stress disorder.
KW - disaster
KW - population-based
KW - psychological stress
KW - smoking cessation
KW - socioeconomic status
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U2 - 10.1136/bmjopen-2017-018943
DO - 10.1136/bmjopen-2017-018943
M3 - Article
C2 - 29961000
AN - SCOPUS:85049739644
VL - 8
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 6
M1 - e018943
ER -