ArticleBMJ open2018
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.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Smoking after the Kahramanmaraş earthquakes: Smoking-related environmental conditions and psychological dependence in temporary shelter sites.BMC public health · 2026Article
- The health outcomes of shelter and settlements interventions in humanitarian crises: a systematic review.Conflict and health · 2026Review
- Tobacco use in the context of natural disasters: a scoping review pertinent to tobacco control in Indonesia.BMJ open · 2026Article
- Analysis of pooled cross-sectional study data on smoking among pregnant and nursing mothers after a disaster: Pregnancy and birth survey of the Fukushima health management survey.Tobacco induced diseases · 2026Article
- Association between food intake frequency and psychological distress following the Great East Japan Earthquake: the Fukushima Health Management Survey FY 2012.BMC nutrition · 2025Article
- Associations between housing and psychological damage by earthquake and modifiable risk factors for dementia in general older adults: Tohoku Medical Megabank community-based cohort study.Geriatrics & gerontology international · 2024Article
- Associations between the perception of risk in radiation exposure and changes in smoking and drinking status after a disaster: The Fukushima Health Management Survey.Preventive medicine reports · 2022Article
- Impact of Evacuation on the Long-Term Trend of Metabolic Syndrome after the Great East Japan Earthquake.International journal of environmental research and public health · 2022Article
- Changes in drinking behavior among evacuees after the Fukushima Daiichi Nuclear Power Plant accident:the Fukushima Health Management Survey.Fukushima journal of medical science · 2020Article
- Effects of Psychological and Lifestyle Factors on Metabolic Syndrome Following the Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey.Journal of atherosclerosis and thrombosis · 2020Article
- Changes in smoking behavior among victims after the great East Japan earthquake and tsunami.Environmental health and preventive medicine · 2020Article
- Posttraumatic stress symptoms, shame, and substance use among Asian Americans.Journal of substance abuse treatment · 2019Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFew 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.
methodsThe 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.
resultsAmong 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.
conclusionThe 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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