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.
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.
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DOI：
10.1136/bmjopen-2017-018943
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发表时间：
2018-06-30
期刊：
影响因子：
2.9
通讯作者：
Fukushima Health Management Survey Group
中科院分区：
文献类型：
--
作者：
Nakano H;Ohira T;Maeda M;Yabe H;Ohtsuru A;Suzuki Y;Harigane M;Horikoshi N;Nagai M;Zhang W;Takahashi H;Yasumura S;Iso H;Kamiya K;Fukushima Health Management Survey Group
很少有研究全面考察灾难后吸烟状况及相关因素的变化。我们对东日本大地震后福岛疏散地区的居民调查了这些因素。研究参与者包括 2012 年灾后参与福岛健康管理调查的 58 755 名年龄≥20 岁的男性和女性。灾难前后的吸烟状况被分为当前吸烟者或当前不吸烟者。参与者被分为以下几组：（1）灾难前和灾难后不吸烟者，（2）灾难前不吸烟者和灾难后吸烟者，（3）灾难前和灾难后不吸烟者以及（4）灾难前和灾难后吸烟者。使用按灾难前吸烟状况分层的逻辑回归分析，对人口学、灾害相关和心理社会因素的吸烟状况变化的调整后患病率和 95% CI 进行测试。在 44–729 名灾难前不吸烟的参与者中，634 人（1.4%）在灾难后开始吸烟。灾前14025名吸烟者中，灾后有1564人（11.1%）戒烟，疏散区域吸烟者比例从21.2%下降到19.6%。在多变量模型中，与开始吸烟显着相关的因素包括男性、年龄较小、受教育程度较低、住在出租屋/公寓、房屋受损、经历过海啸、换工作以及存在创伤症状和非特异性心理困扰。相反，与戒烟相关的因素包括女性、年龄较大、受过高等教育和有稳定的收入。疏散区域居民中吸烟者比例略有下降。吸烟状况的变化与灾难相关的社会心理因素有关，特别是生活条件的变化、经历过海啸、换工作和患上创伤后应激障碍。
Few 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. The 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. Among 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. The 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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影响因子：
4.7
作者：
Yasumura S;Hosoya M;Yamashita S;Kamiya K;Abe M;Akashi M;Kodama K;Ozasa K;Fukushima Health Management Survey Group
通讯作者：
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Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
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