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Tobacco use among members of the US military service is unacceptably high, resulting in substantial healthcare and personnel costs. Support of military command is critical to the success of tobacco control policies because line commanders are responsible for implementation and enforcement. This study is the first to examine US military line commanders' perspectives about current tobacco control policies and the impact of tobacco on readiness.We conducted key-informant interviews with 20 officers at the US Army's Command and General Staff College about military tobacco use and tobacco control policy.Participants identified the long-term impact of tobacco use on military members, but were unaware of proximal effects on health and readiness other than lost productivity due to smoke breaks. Officers also discussed nicotine addiction and the logistics of ensuring that an addicted population had access to tobacco. Regarding policy, most knew about regulations governing smoke-free areas and were open to stronger restrictions, but were unaware of current policies governing prevention, intervention and product sales.Findings suggest that strong policy that takes advantage of the hierarchical and disciplined nature of the military, supported by senior line and civilian leadership up to and including the secretaries of the services and the Secretary of Defense, will be critical to substantially diminishing tobacco use by military personnel.
Male, Priority/special populations, 330, Social Determinants of Health, Public policy, Policy and Administration, Addiction, Smoking Prevention, Interviews as Topic, Substance Misuse, Clinical Research, Health Services and Systems, Health Sciences, Tobacco, Humans, Cancer, Tobacco Smoke and Health, Prevention, Health Policy, Smoking, United States, Human Society, Good Health and Well Being, Military Personnel, Smoke-Free Policy, Women's Health, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Female, Public Health
Male, Priority/special populations, 330, Social Determinants of Health, Public policy, Policy and Administration, Addiction, Smoking Prevention, Interviews as Topic, Substance Misuse, Clinical Research, Health Services and Systems, Health Sciences, Tobacco, Humans, Cancer, Tobacco Smoke and Health, Prevention, Health Policy, Smoking, United States, Human Society, Good Health and Well Being, Military Personnel, Smoke-Free Policy, Women's Health, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Female, Public Health
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 7 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |