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Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake

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...

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Autores principales: Nakano, Hironori, Ohira, Tetsuya, Maeda, Masaharu, Yabe, Hirooki, Ohtsuru, Akira, Suzuki, Yuriko, Harigane, Mayumi, Horikoshi, Naoko, Nagai, Masato, Zhang, Wen, Takahashi, Hideto, Yasumura, Seiji, Iso, Hiroyasu, Kamiya, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135429/
https://www.ncbi.nlm.nih.gov/pubmed/29961000
http://dx.doi.org/10.1136/bmjopen-2017-018943
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author Nakano, Hironori
Ohira, Tetsuya
Maeda, Masaharu
Yabe, Hirooki
Ohtsuru, Akira
Suzuki, Yuriko
Harigane, Mayumi
Horikoshi, Naoko
Nagai, Masato
Zhang, Wen
Takahashi, Hideto
Yasumura, Seiji
Iso, Hiroyasu
Kamiya, Kenji
author_facet Nakano, Hironori
Ohira, Tetsuya
Maeda, Masaharu
Yabe, Hirooki
Ohtsuru, Akira
Suzuki, Yuriko
Harigane, Mayumi
Horikoshi, Naoko
Nagai, Masato
Zhang, Wen
Takahashi, Hideto
Yasumura, Seiji
Iso, Hiroyasu
Kamiya, Kenji
author_sort Nakano, Hironori
collection PubMed
description 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.
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spelling pubmed-61354292018-09-19 Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake Nakano, Hironori Ohira, Tetsuya Maeda, Masaharu Yabe, Hirooki Ohtsuru, Akira Suzuki, Yuriko Harigane, Mayumi Horikoshi, Naoko Nagai, Masato Zhang, Wen Takahashi, Hideto Yasumura, Seiji Iso, Hiroyasu Kamiya, Kenji BMJ Open Smoking and Tobacco 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. BMJ Publishing Group 2018-06-30 /pmc/articles/PMC6135429/ /pubmed/29961000 http://dx.doi.org/10.1136/bmjopen-2017-018943 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Smoking and Tobacco
Nakano, Hironori
Ohira, Tetsuya
Maeda, Masaharu
Yabe, Hirooki
Ohtsuru, Akira
Suzuki, Yuriko
Harigane, Mayumi
Horikoshi, Naoko
Nagai, Masato
Zhang, Wen
Takahashi, Hideto
Yasumura, Seiji
Iso, Hiroyasu
Kamiya, Kenji
Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title_full Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title_fullStr Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title_full_unstemmed Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title_short Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake
title_sort associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the great east japan earthquake
topic Smoking and Tobacco
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135429/
https://www.ncbi.nlm.nih.gov/pubmed/29961000
http://dx.doi.org/10.1136/bmjopen-2017-018943
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