TY - JOUR
T1 - Determinants of Increased Tobacco Consumption following a Major Disaster
AU - Koyama, Shihoko
AU - Tabuchi, Takahiro
AU - Aida, Jun
AU - Osaka, Ken
AU - Miyashiro, Isao
N1 - Funding Information:
This study was supported by JSPS (Japan Society for the Promotion of Science) KAKENHI Grant Number (JP18K17107, JP18H03062), Health Labour Sciences Research Grants (H30-Gantaisaku-Ippan-009) from the Ministry of Health, Labour, and Welfare, Japan. The study sponsor had no role in study design; collection, analysis, and interpretation of the data; writing the report; or the decision to submit the report for publication.
Publisher Copyright:
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.
PY - 2021/2
Y1 - 2021/2
N2 - Objectives: Experience of a major disaster can potentially impact on tobacco consumption. Our objective was to explore the determinants of increasing tobacco consumption after the Great East Japan Earthquake (GEJE). Methods: We conducted a cross-sectional study using data from the Miyagi Prefectural Health Survey 2014: A total of 2632 people were randomly selected from residents aged ≥20 years in Miyagi, Japan. Of 2443 respondents (response rate = 92.8%), 551 current smokers (411 men) were included in the analysis. Odds ratios (OR) and 95% confidence interval (CI) for increasing tobacco consumption were calculated using multivariable logistic regression models including variables of age, sex, disaster-related job status change, education status, self-rated health, and age at smoking initiation. Results: After adjustments for all variables, significantly higher ORs for increasing tobacco consumption after the GEJE were observed in women (OR = 1.87; 95% CI = 1.10-3.15), 20-39 years old (OR = 5.18; 95% CI = 2.28-11.75), 40-59 years old (OR = 3.97; 95% CI = 1.76-8.94) and respondents who had lost their jobs (OR = 3.42; 95% CI = 1.06-11.05) than the counterpart categories. Conclusions: This study found 3 determinants of increasing tobacco consumption after a major disaster: being a woman, being of working age, and experiencing disaster-related job loss.
AB - Objectives: Experience of a major disaster can potentially impact on tobacco consumption. Our objective was to explore the determinants of increasing tobacco consumption after the Great East Japan Earthquake (GEJE). Methods: We conducted a cross-sectional study using data from the Miyagi Prefectural Health Survey 2014: A total of 2632 people were randomly selected from residents aged ≥20 years in Miyagi, Japan. Of 2443 respondents (response rate = 92.8%), 551 current smokers (411 men) were included in the analysis. Odds ratios (OR) and 95% confidence interval (CI) for increasing tobacco consumption were calculated using multivariable logistic regression models including variables of age, sex, disaster-related job status change, education status, self-rated health, and age at smoking initiation. Results: After adjustments for all variables, significantly higher ORs for increasing tobacco consumption after the GEJE were observed in women (OR = 1.87; 95% CI = 1.10-3.15), 20-39 years old (OR = 5.18; 95% CI = 2.28-11.75), 40-59 years old (OR = 3.97; 95% CI = 1.76-8.94) and respondents who had lost their jobs (OR = 3.42; 95% CI = 1.06-11.05) than the counterpart categories. Conclusions: This study found 3 determinants of increasing tobacco consumption after a major disaster: being a woman, being of working age, and experiencing disaster-related job loss.
KW - job loss
KW - the Great East Japan Earthquake
KW - tobacco consumption
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U2 - 10.1017/dmp.2019.160
DO - 10.1017/dmp.2019.160
M3 - Article
C2 - 32183911
AN - SCOPUS:85082336419
SN - 1935-7893
VL - 15
SP - 20
EP - 24
JO - Disaster Medicine and Public Health Preparedness
JF - Disaster Medicine and Public Health Preparedness
IS - 1
ER -
