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Determinants of Increased Tobacco Consumption Following a Major Disaster

Published online by Cambridge University Press:  18 March 2020

Shihoko Koyama ,
Takahiro Tabuchi ,
Jun Aida ,
Ken Osaka  and
Isao Miyashiro
Shihoko Koyama*
Affiliation:
Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
Takahiro Tabuchi
Affiliation:
Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
Jun Aida
Affiliation:
Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan
Ken Osaka
Affiliation:
Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan
Isao Miyashiro
Affiliation:
Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
*
Correspondence and reprint requests to Shihoko Koyama, Cancer Control Center, Osaka International Cancer Institute 1-69, Ohtemae 3-Chome, Chuo-ku, Osaka, 541-8567, Osaka, Japan; (e-mail: shihoko-koyama@umin.ac.jp).
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Abstract

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.

Keywords

job lossthe Great East Japan Earthquaketobacco consumption
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 1 , February 2021 , pp. 20 - 24
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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