Previous research in US populations has found associations between disaster-related variables, psychological variables, and post-disaster increases in smoking and alcohol use. To date, no research has examined this association in an international population of disaster exposed individuals. Data used in this study were drawn from a larger study involving a two-wave assessment of a disaster-affected sample of Vietnamese citizens (N = 798). Interviews were conducted to assess the effects of mental health variables and typhoon related variables on reported increases in alcohol use and cigarette smoking. Results indicate that post-disaster increases in smoking were associated with post-disaster diagnosis of generalized anxiety disorder. Post-disaster increases in alcohol use were associated with posttraumatic stress disorder and panic disorder. None of the typhoon-characteristics were significantly associated with increases in substance use. Implications for mental health providers and future research directions are discussed.