Institute for Biobehavioral Health Research, National Development and Research Institutes, Leawood, KS 66214, USA.
Nicotine Tob Res. 2010 Feb;12(2):88-95. doi: 10.1093/ntr/ntp181. Epub 2010 Jan 22.
Rates of tobacco use in the U.S. military have traditionally been higher than in the general U.S. population. While the military has experienced decreases in tobacco use over the past two decades, recent surveys suggest a trend of increased use. Given the negative impact of tobacco on both the readiness and the long-term health of military members, it is important to understand what factors may be related to the increased use rates. It has been suggested that there is a culture that supports tobacco use in the military.
We examined perceptions about the climate of tobacco control among military installation Tobacco Control Managers and Service Policy Leaders from all four branches of the military (n = 52) using semistructured interviews.
The primary strength of the military's tobacco control program, according to the participants, was mandating the provision of treatment services on every military installation. Any military member can receive both counseling and pharmacotherapy for tobacco. Opinions vary on the most promising new strategies for tobacco control. Many have pushed for a completely tobacco-free Department of Defense, including requiring troops to be tobacco-free and banning tobacco sales on military installations. However, a number of tobacco control experts within the military worry about unintended consequences of a complete ban.
While several benefits of the current tobacco control program were identified, opportunities for improvement were identified at both the installation and service level.
美国军队中的烟草使用率历来高于美国普通人群。尽管过去二十年来，军队中的烟草使用量有所下降，但最近的调查显示，使用量呈上升趋势。鉴于烟草对军人的战备状态和长期健康都有负面影响，了解可能与使用量增加相关的因素非常重要。有人认为，军队中存在一种支持烟草使用的文化。
我们使用半结构化访谈，调查了来自所有四个军种的军事设施烟草控制经理和服务政策领导人（n=52）对烟草控制环境的看法。
根据参与者的说法，军队烟草控制计划的主要优势是在每个军事设施上强制提供治疗服务。任何军人都可以在军队医疗机构获得咨询和药物治疗。对于烟草控制的最有前途的新策略，意见不一。许多人主张实现完全无烟的国防部，包括要求部队禁烟和禁止在军事设施上销售烟草。然而，军队内部的一些烟草控制专家担心全面禁烟会带来意想不到的后果。
虽然确定了当前烟草控制计划的一些好处，但在设施和服务层面都确定了改进的机会。
