Factors associated with smoking and e-cigarette use statuses among individuals with chronic diseases after hurricanes Helene and Milton.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI:10.18332/tid/203427

Francis Dalisay, Young-Rock Hong, Haoran Chu, Ramzi G Salloum

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Abstract

Introduction: Natural 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.

Methods: We 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.

Results: Hurricane 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.

Conclusions: In 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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飓风海伦和米尔顿后慢性病患者吸烟和电子烟使用状况的相关因素

自然灾害增加慢性疾病患者的健康风险，并可能恶化物质使用行为作为一种应对机制。本研究调查了经历飓风海伦和米尔顿的慢性病患者灾后使用香烟和电子烟的意图和过去30天的使用情况以及相关因素。方法：我们在美国联邦紧急事务管理局（FEMA）宣布的受灾县进行了在线小组调查，其中佐治亚州、北卡罗来纳州和南卡罗来纳州在飓风“海伦”之后，佛罗里达州在飓风“海伦/米尔顿”之后（2024年10月至11月）。研究参与者（n=418）包括自我报告诊断为糖尿病、心脏病、肺/呼吸系统疾病或癌症的成年人。我们采用了飓风压力源、心理困扰（抑郁/焦虑）和气候变化焦虑的有效测量方法。使用多元逻辑回归模型来检查与吸烟意图和过去30天使用香烟和电子烟相关的因素。结果：飓风压力源始终与香烟和电子烟的意图和当前使用增加相关(AORs范围从1.21到1.36，所有结论：除了飓风压力源和抑郁和焦虑症状外，气候变化焦虑似乎是与烟草使用相关的一个因素，特别是电子烟。灾后健康评估应纳入针对患有慢性病的弱势群体的药物使用干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.