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Determinants of Increased Tobacco Consumption Following a Major Disaster

  • Shihoko Koyama (a1), Takahiro Tabuchi (a1), Jun Aida (a2), Ken Osaka (a2) and Isao Miyashiro (a1)...



Experience of a major disaster can potentially impact on tobacco consumption. Our objective was to explore the determinants of increasing tobacco consumption after the Great East Japan Earthquake (GEJE).


We conducted a cross-sectional study using data from the Miyagi Prefectural Health Survey 2014: a total of 2632 people were randomly selected from residents aged ≥20 years in Miyagi, Japan. Of 2443 respondents (response rate = 92.8%), 551 current smokers (411 men) were included in the analysis. Odds ratios (OR) and 95% confidence interval (CI) for increasing tobacco consumption were calculated using multivariable logistic regression models including variables of age, sex, disaster-related job status change, education status, self-rated health, and age at smoking initiation.


After adjustments for all variables, significantly higher ORs for increasing tobacco consumption after the GEJE were observed in women (OR = 1.87; 95% CI = 1.10–3.15), 20–39 years old (OR = 5.18; 95% CI = 2.28–11.75), 40–59 years old (OR = 3.97; 95% CI = 1.76–8.94) and respondents who had lost their jobs (OR = 3.42; 95% CI = 1.06–11.05) than the counterpart categories.


This study found 3 determinants of increasing tobacco consumption after a major disaster: being a woman, being of working age, and experiencing disaster-related job loss.


Corresponding author

Correspondence and reprint requests to Shihoko Koyama, Cancer Control Center, Osaka International Cancer Institute 1-69, Ohtemae 3-Chome, Chuo-ku, Osaka, 541-8567, Osaka, Japan; (e-mail:


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Determinants of Increased Tobacco Consumption Following a Major Disaster

  • Shihoko Koyama (a1), Takahiro Tabuchi (a1), Jun Aida (a2), Ken Osaka (a2) and Isao Miyashiro (a1)...


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