ArticleTobacco induced diseases2025
Factors associated with smoking and e-cigarette use statuses among individuals with chronic diseases after hurricanes Helene and Milton.
Article in Tobacco induced diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 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 Impacts of Hurricane Helene on Queer Communities in Appalachia.Health behavior and policy review · 2026Article
- Routine health checkups and cognitive resilience among older survivors of the 2011 Japan Tsunami.npj natural hazards · 2026Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionNatural disasters increase health risks for individuals with chronic diseases and may worsen substance use behaviors as a coping mechanism. The present study examined post-disaster intentions to use and past 30-day use of cigarettes and e-cigarettes and associated factors among individuals with chronic diseases who experienced hurricanes Helene and Milton.
methodsWe conducted online panel surveys in US Federal Emergency Management Agency (FEMA)-declared disaster counties in Georgia, North Carolina, and South Carolina following hurricane Helene, and in Florida following Helene/Milton (October-November 2024). Study participants (n=418) included adults with self-reported diagnoses of diabetes, heart disease, lung/respiratory disease, or cancer. We employed validated measures of hurricane stressors, psychological distress (depression/anxiety), and climate change anxiety. Multiple logistic regression models were used to examine factors associated with intentions to use and past 30-day use of cigarettes and e-cigarettes.
resultsHurricane stressors were consistently associated with increased intentions and current use of both cigarettes and e-cigarettes (AORs ranging from 1.21 to 1.36, all p<0.001). Depression/anxiety symptoms were associated with increased post-disaster intentions to use cigarettes (AOR=1.91; 95% CI: 1.38-2.64, p<0.001) and e-cigarettes (AOR=1.66; 95% CI: 1.21-2.28, p<0.01), and past 30-day use of cigarettes (AOR=1.49; 95% CI: 1.10-2.02, p<0.05). Climate change anxiety (AOR=1.41; 95% CI: 1.07-1.85, p<0.05) was associated with increased past 30-day e-cigarette use.
conclusionsIn addition to hurricane stressors and depression and anxiety symptoms, climate change anxiety appears to be a factor associated with tobacco use, particularly, e-cigarettes. Post-disaster health assessments should incorporate substance use interventions for vulnerable populations with chronic conditions.
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