ArticleDrug and alcohol dependence2019
Are posttraumatic stress and depressive symptoms pathways to smoking relapse after a natural disaster?
Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Impact of COVID-19 lockdown on smoking and vaping: systematic review and meta-analysis.Public health · 2023Pooled it
- Quit Experiences among Primary Care Patients Enrolled in a Smoking Cessation Pilot RCT Early in the COVID-19 Pandemic.International journal of environmental research and public health · 2021Trial
- Smoking after the Kahramanmaraş earthquakes: Smoking-related environmental conditions and psychological dependence in temporary shelter sites.BMC public health · 2026Article
- 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
- Fighting the Smoking Epidemic in Syria: First Online Course to Equip Health Professionals with Smoking Cessation Competencies.Addiction & health · 2026Article
- Factors associated with smoking and e-cigarette use statuses among individuals with chronic diseases after hurricanes Helene and Milton.Tobacco induced diseases · 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
- The Impact of the Covid-19 Pandemic on Smoking Among Vulnerable Populations.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Differences in Oral Lesions Associated with Tobacco Smoking, E-Cigarette Use and COVID-19 Infection among Adolescents and Young People in Nigeria.International journal of environmental research and public health · 2022Article
- Are we Truly "Safer-At-Home"? A Test of Contextual Effects on Mental Health and Drug Overdose Incidents During the COVID-19 Pandemic.Journal of drug issues · 2022Article
- Smoking Prevalence during the COVID-19 Pandemic in the United States.Annals of the American Thoracic Society · 2022Article
- Demographic and clinical factors associated with psychiatric inpatient admissions during the COVID-19 pandemic.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2022Article
- An epidemic and a pandemic collide: Assessing the feasibility of tobacco treatment among vulnerable groups at COVID-19 protective lodging.Families, systems & health : the journal of collaborative family healthcare · 2022Article
- Multi-level drivers of tobacco use and purchasing behaviors during COVID-19 "lockdown": A qualitative study in the United States.The International journal on drug policy · 2021Article
- A Qualitative Study of the Impact of COVID-19 on Smoking Behavior for Participants in a Post-Hospitalization Smoking Cessation Trial.International journal of environmental research and public health · 2021Article
- Insights From the SmokeFree.gov Initiative Regarding the Use of Smoking Cessation Digital Platforms During the COVID-19 Pandemic: Cross-sectional Trends Analysis Study.Journal of medical Internet research · 2021Article
- Behavioral Health and Response for COVID-19.Disaster medicine and public health preparedness · 2020Article
- Brief Report: Increased Addictive Internet and Substance Use Behavior During the COVID-19 Pandemic in China.The American journal on addictions · 2020Article
- Changes in smoking behavior among victims after the great East Japan earthquake and tsunami.Environmental health and preventive medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSmoking relapse is rarely examined in disaster research. Thus, this study investigated smoking relapse nine and eighteen months after Hurricane Katrina and identified pathways and conditions for this outcome.
methodsThe data came from a prospective study of adult ever smokers who were living in New Orleans at the time Hurricane Katrina struck (n = 1003), and a comparison sample of Memphis residents (n = 1001) who were not directly impacted by the hurricane. Participants from both cities were recruited using random digit dialing and were surveyed nine and eighteen months after Hurricane Katrina. We assessed whether smoking relapse rates differed by city and evaluated potential mediators and moderators of this association using conditional process analysis.
resultsThough the probabilities of smoking relapse, posttraumatic stress, and depressive symptoms were higher among New Orleans than Memphis participants, hurricane exposure did not indirectly affect smoking relapse through increases in posttraumatic stress and depressive symptoms. Instead, as the number of hurricane-related events increased so to did the probability of smoking relapse through increases in depressive (β = 0.08, SE = 0.03, p = .02) and posttraumatic stress symptoms (β=0.08, SE=0.04, p = .04). Social support lowered the probability of smoking relapse by protecting against increases in depressive and posttraumatic stress symptoms.
conclusionsPosttraumatic stress and depressive symptoms mediated the effects of disaster exposure on smoking relapse, and this effect was most pronounced among survivors who reported disaster-related stressors. Former smokers heavily exposed to disasters may benefit from postdisaster interventions that reduce depressive and posttraumatic stress symptoms, which may prevent smoking relapse.
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Registered trials
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