Effects of Disasters on Smoking and Relapse: An Exploratory Study of Hurricane Katrina Victims
Effects of Disasters on Smoking and Relapse: An Exploratory Study of Hurricane Katrina Victims
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DOI：
10.1080/19325037.2008.10599020
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发表时间：
2008-01-01
影响因子：
1
通讯作者：
Ward, Kenneth
中科院分区：
文献类型：
--
作者：
Lanctot, Jennifer Q.;Stockton, Michelle B.;Ward, Kenneth
背景：社会心理压力维持吸烟并促使复发，但对自然灾害如何影响吸烟知之甚少。目的：确定在自然灾害发生后不久招募受害者进行调查研究的可行性，并评估暴露于灾害后吸烟行为变化的类型和决定因素。方法：在飓风过后一个月，对35名一生中吸烟超过100支的卡特里娜飓风难民进行抽样调查，以评估他们吸烟行为的变化。结果：在前吸烟者的小样本中，超过一半的人在卡特里娜飓风后又复吸了，理由是压力、冲动和悲伤。在目前的吸烟者中，52%的人在卡特里娜飓风之后平均每天增加了半包以上的吸烟量。大多数增加吸烟或复吸的人表示有兴趣在下个月内接受戒烟援助。讨论：自然灾害后，与压力相关的吸烟增加和复发可能很常见。健康教育实践：健康教育专业人员在应对灾害后烟草使用的变化方面可发挥重要作用。考虑到人们对戒烟表现出的高度兴趣，可能特别有必要采取教育干预措施，将劝阻烟草使用作为一种应对策略。
Background: Psychosocial stress maintains cigarette use and precipitates relapse, but little is known about how natural disasters in particular affect smoking. Purpose: To determine the feasibility of recruiting victims soon after a natural disaster for a survey study, and to assess the types and determinants of changes in smoking behavior resulting from exposure to the disaster. Methods: A convenience sample of 35 Hurricane Katrina refugees who had smoked more than 100 cigarettes in their lifetime were surveyed one month after the storm to evaluate changes in smoking behavior. Results: Among a small sample of former smokers, more than half relapsed after Katrina, citing stress, urge, and sadness. Among current smokers, 52% increased their smoking after Katrina by more than half a pack per day on average. Most individuals who increased their smoking or relapsed expressed interest in receiving cessation assistance within the next month. Discussion: Stress-related increases in smoking and relapse may be common after a natural disaster. Translation to Health Education Practice: Health education professionals have an important role to play in responding to changes in tobacco use in the aftermath of disasters. Educational interventions to discourage tobacco use as a coping strategy may be especially warranted given the high level of interest expressed in smoking cessation.