File
Authors
Osaki, Yoneatsu Division of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Maesato, Hitoshi National Hospital Organization Kurihama Medical and Addiction Center
Minobe, Ruriko National Hospital Organization Kurihama Medical and Addiction Center
Kinjo, Aya Division of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Kuwabara, Yuki Division of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University Researchers DB
Imamoto, Aya Department of Pediatrics, Tottori University Hospital Researchers DB
Myoga, Yoshinori Division of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University
Matsushita, Sachio National Hospital Organization Kurihama Medical and Addiction Center
Higuchi, Susumu National Hospital Organization Kurihama Medical and Addiction Center
Keywords
Natural disaster
Smoking
Tsunami
Nicotine dependence
Great East Japan earthquake
Abstract
Background: In areas affected by the tsunami of the great East Japan Earthquake, smoking behavior may have deteriorated due to high stress and drastic changes in living environment. Surveys were conducted to reveal changes in smoking behaviors among victims. Methods: A population-based random-sample home-visit interview survey of victims in Iwate and Miyagi Prefectures affected by the tsunami disaster was conducted in 2012 (n = 1978), while a population-based nationwide survey was conducted in 2013 (n = 1082). A panel survey in 2014 was conducted with respondents of the 2012 survey (n = 930). Multiple logistic regression analysis was performed to reveal factors related to smoking status after the disaster. Results: There was high smoking prevalence of both sexes in the tsunami disaster area (current smoking rate in coastal area, 50.0% for male, 21.4% for female; inland area, 34.7% for male, 7.6% for female). Low prevalence of male quitters was observed (quitter rate in coastal area, 20.8% for male, 8.0% for female; inland area, 23.4% for male, 5.5% for female). The prevalence of nicotine-dependent people assessed by FTND (Fagerström Test for Nicotine Dependence) in the coastal area was also higher than in the inland area or other areas of Japan. Smoking behavior among victims worsened after the disaster and did not improve 3 years from the disaster. Post-disaster factors related to smoking were living in coastal area, complete destruction of house, and living in temporary housing. Conclusions: Smoking prevalence and the level of nicotine dependence of tsunami victims were still high even 3 years after the disaster. It is important to emphasize measures for smoking control in the disaster areas for an extended time period.
Publisher
BioMed Central Ltd.
Content Type
Journal Article
Link
ISSN
1342078X
EISSN
13474715
Journal Title
ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE
Current Journal Title
ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE
Volume
25
Published Date
2020-06-11
Publisher-DOI
Text Version
Publisher
Rights
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Citation
Osaki Yoneatsu, Maesato Hitoshi, Minobe Ruriko, et al. Changes in smoking behavior among victims after the great East Japan earthquake and tsunami. ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE. 2020. 25. doi:10.1186/s12199-020-00858-5
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English
Web of Science Key ut
WOS:000540174200001