Abstract
We conducted a content analysis of the US military tobacco policies at the Department of Defense, each respective military service (Army, Air Force, Navy, and Marine Corps), and their Major Commands (MAJCOM). Ninety-seven policies were evaluated using the Military Tobacco Policy Rating Form (MTPRF). More than three quarters addressed the following domains: (1) deleterious health effects of tobacco use; (2) environmental tobacco smoke; (3) designation of smoking areas; (4) tobacco prevention/cessation programs; and (5) smokeless tobacco. Few policies (2.1 per cent) mentioned relevant Department of Defense and respective service tobacco use prevalence statistics. Smoking as non-normative or incompatible with military service, the impact of tobacco use on military readiness, and the tobacco industry were addressed infrequently (6.2 per cent, 33.0 per cent, and 8.2 per cent, respectively). Future military tobacco policies should address important omissions of critical information such as the current service tobacco use prevalence, effects on readiness, and smoking as non-normative.
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References
Centers for Disease Control and Prevention. (2000) Cost of smoking among active duty U.S. Air Force personnel – United States, 1997. MMWR 49: 441–445.
Bray, R.M. et al (2006) 2005 Department of Defense Survey of Health Related Behaviors Among Active Military Personnel: A Component of the Defense Lifestyle Assessment Program. Research Triangle Park, NC: RTI International.
Klesges, R.C., Haddock, C.K., Chang, C.F., Talcott, G.W. and Lando, H.A. (2001) The association of smoking and the cost of military training. Tobacco Control 10: 43–47.
Dall, T.M. et al (2007) Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime–enrolled population. American Journal of Health Promotion 22: 120–139.
Poston, W.S.C. et al (2008) Smoking and deployment: Perspectives of junior-enlisted U.S. Air Force and U.S. Army personnel and their supervisors. Military Medicine 173: 441–447.
Nelson, J.P. and Pederson, L.L. (2008) Military tobacco use: A synthesis of the literature on prevalence, factors related to use and cessation interventions. Nicotine & Tobacco Research 10: 775–790.
Haddock, C.K., Parker, L.C., Taylor, J.E., Poston, W.S.C., Lando, H. and Talcott, G.W. (2005) An analysis of messages about tobacco in military installation newspapers. American Journal of Public Health 95: 1458–1463.
Poston, W.S.C. et al (2010) Military line leadership and tobacco control: Perspectives of military policy leaders and tobacco control managers. Military Medicine 175: 811–816.
Haddock, C.K. et al (2009) Factors which influence tobacco use among junior enlisted personnel in the United States Army and Air Force: A formative research study. American Journal of Health Promotion 23: 241–246.
Smith, E.A. and Malone, R.E. (2009) ‘Everywhere the soldier will be’: Wartime tobacco promotion in the US military. American Journal of Public Health 99: 1595–1602.
Smith, E.A. and Malone, RE. (2009) Tobacco promotion to military personnel: ‘The plums are here to be plucked’. Mil Med 174: 797–806.
Smith, E.A., Blackman, V.S. and Malone, R.E. (2007) Death at a discount: How the tobacco industry thwarted tobacco control policies in US military commissaries. Tobacco Control 16: 38–46.
Arvey, S.R. and Malone, R.E. (2008) Advance and retreat: Tobacco control policy in the U.S. military. Military Medicine 173: 985–991.
Glasgow, R.E., Boles, S.M., Lichtenstein, E. and Stryker, L.A. (1996) Tobacco policy rating form: A tool for evaluating worksite and tribal smoking control policies. Tobacco Control 5: 286–291.
Hill, C.E., Thompson, B.J. and Williams, E.N. (1997) A guide to conducting consensual qualitative research. Journal of Counseling Psychology 25: 517–572.
U.S. Department of Health and Human Services. (2000) Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease and Prevention and Health Promotion, Office on Smoking and Health, http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2000/sgr_tobacco_chap.htm, accessed 20 September 2007.
Shanker, T. (2010) Navy bans tobacco use on its submarine fleet. New York Times, 20 June, www.nytimes.com/2010/06/21/us/21smoking.html, accessed 10 October 2010.
Bray, R.M. et al (2009) 2008 Department of Defense Survey of Health Related Behaviors Among Active Military Personnel: A Component of the Defense Lifestyle Assessment Program. Research Triangle Park, NC: RTI International.
Joseph, A.M., Muggli, M., Pearson, K.C. and Lando, H. (2005) The cigarette manufacturers’ efforts to promote tobacco in the U.S. military. Military Medicine 170: 874–880.
Haddock, C.K., Hoffman, K., Taylor, J.E., Schwab, L., Poston, W.S.C. and Lando, H.A. (2008) An analysis of messages about tobacco in the Military Times magazines. Nicotine & Tobacco Research 10: 1191–1197.
Whiteford, J. (2003) Nicotine, CO, and HCN: The detrimental effects of smoking on wound healing. British Journal of Community Nursing 8 (2): 22–26.
Bahrke, M.S., Baur, T.S., Poland, D. and Connors, D.F. (1988) Tobacco use and performance on the U.S. Army physical fitness test. Military Medicine 153: 229–235.
Conway, T.L. and Cronan, T.A. (1988) Smoking and physical fitness among Navy shipboard personnel. Military Medicine 153: 589–594.
Conway, T.L. and Cronan, T.A. (1992) Smoking, exercise, and physical fitness. Preventive Medicine 21: 723–734.
Blake, G.H. and Parker, J.A. (1991) Success in basic combat training: The role of cigarette smoking. Journal of Occupational Medicine 33: 688–690.
Zadoo, V., Fengler, S. and Catterson, M. (1993) The effects of alcohol and tobacco use on troop readiness. Military Medicine 158: 480–484.
Robbins, A.S., Fonseca, V.P., Chao, S.Y., Coil, G.A., Bell, N.S. and Amoroso, P.J. (2000) Short-term effects of cigarette smoking on hospitalization and associated lost workdays in a young, healthy population. Tobacco Control 9 (4): 389–396.
Altarac, M., Gardner, J.W., Popovich, R.M., Potter, R., Knapik, J.J. and Jones, B.H. (2000) Cigarette smoking and exercise-related injuries among men and women. American Journal of Preventive Medicine 18: 96–102.
Knapik, J.J., Canham-Chervack, M., Hauret, K., Patton, J.F. and Jones, B.H. (2001) Risk factors for training-related injuries among men and women in basic combat training. Medicine & Science in Sports & Exercise 33: 946–954.
Fear, N.T. et al (2010) Smoking among males in the UK armed forces: Changes over a seven year period. Preventive Medicine 50: 282–284.
Napradit, P., Pantaewan, P., Nimit-arnun, N., Souvannakitti, D. and Rangsin, R. (2007) Prevalence of overweight and obesity in Royal Thai Army personnel. Journal of the Medical Association of Thailand 90: 335–340.
Jitnarin, N. et al (2010) Socioeconomic status and smoking among Thai adults: Results of the National Thai Food Consumption Survey. Asia Pacific Journal of Public Health, 10 May. (Epub ahead of print), doi:10.1177/1010539509352200.
Acknowledgements
Our research was supported by the National Cancer Institute (grant #s: 1. CA109153, Ruth Malone, PhD, Principal Investigator; and 2. CA109153-06, C. Keith Haddock, PhD, and Ruth Malone, PhD, Principal Investigators). The views expressed in this report are those of the authors and do not reflect the official policy or position of the US Army, US Air Force, US Navy, US Marine Corps, the Department of Defense, or the US government. A searchable database that provides access to all the collected policies is provided at http://www.ndri.org/ctrs/ibhr/index.html.
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Military service would seem a logical venue to develop strong anti-smoking policies. This analysis in the United States found infrequent mention of smoking as incompatible with military service; of the impact of tobacco use on military readiness; or of the role of the tobacco industry.
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Hoffman, K., Poston, W., Jitnarin, N. et al. A content analysis of tobacco control policy in the US Department of Defense. J Public Health Pol 32, 334–349 (2011). https://doi.org/10.1057/jphp.2011.6
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DOI: https://doi.org/10.1057/jphp.2011.6