Cigarette Smoking and Sociodemographic, Military, and Health Characteristics of Operation Enduring Freedom and Operation Iraqi Freedom Veterans: 2009-2011 National Health Study for a New Generation of US Veterans
Cigarette Smoking and Sociodemographic, Military, and Health Characteristics of Operation Enduring Freedom and Operation Iraqi Freedom Veterans: 2009-2011 National Health Study for a New Generation of US Veterans
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DOI：
10.1177/0033354916664864
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发表时间：
2016-09-01
影响因子：
3.3
通讯作者：
Bossarte, Robert M.
中科院分区：
文献类型：
--
作者：
Cypel, Yasmin S.;Hamlett-Berry, Kim;Bossarte, Robert M.
目的：我们研究了持久自由行动（OEF）/伊拉克自由行动（OIF）退伍军人中目前吸烟者、前吸烟者和不吸烟者的社会人口学、军事和健康特征，并估计了吸烟率，以更好地了解这一人群的吸烟情况。方法：我们分析了美国退伍军人事务部（VA）2009-2011年新一代美国退伍军人国家健康研究的数据。在对60 000名OEF/OIF退伍军人进行分层随机抽样的基础上，我们通过邮件、电话或互联网对72项问卷进行了调查。吸烟状况基于过去一年自我报告的吸烟情况。我们使用多项Logistic回归评估吸烟状况和社会人口统计学，军事和健康characteristics.Results之间的关联：在19911退伍军人谁提供的吸烟信息，5581是目前吸烟者（加权百分比：32.5%，95%置信区间[CI]：31.7-33.2）。目前吸烟者比不吸烟者或以前吸烟者更有可能年轻，教育程度或收入较低，分居/离婚或从未结婚/单身，并在现役或军队服役。比较目前吸烟者和不吸烟者，调整后的分析得出的一些重要关联包括：（衡量整体精神健康的指标）高于美国人口平均值相对于低于平均值（调整后的比值比[aOR] = 0.81，95% CI：0.73-0.90）;医生诊断为抑郁症（aOR = 1.52，95% CI：1.33-1.74），呼吸系统疾病（aOR = 1.16，95% CI：1.04-1.30），或反复癫痫发作/昏厥/惊厥（aOR = 1.80，95% CI：1.22-2.67）;重度饮酒vs从不饮酒（aOR = 5.49，95% CI：4.57-6.59）;总体健康状况较差vs极好（aOR = 3.79，95% CI：2.60-5.52）;展开vs未展开（aOR = 0.87，95% CI：0.78-0.96）。使用卫生保健服务的VA保护目前smoking.Conclusion：心理和身体健康，物质使用，和军事服务的特点形状的OEF/OIF退伍军人吸烟模式。
Objective: We examined the sociodemographic, military, and health characteristics of current cigarette smokers, former smokers, and nonsmokers among Operation Enduring Freedom (OEF) / Operation Iraqi Freedom (OIF) veterans and estimated smoking prevalence to better understand cigarette use in this population.Methods: We analyzed data from the US Department of Veterans Affairs (VA) 2009-2011 National Health Study for a New Generation of US Veterans. On the basis of a stratified random sample of 60 000 OEF/OIF veterans, we sought responses to a 72-item questionnaire via mail, telephone, or Internet. Cigarette smoking status was based on self-reported cigarette use in the past year. We used multinomial logistic regression to evaluate associations between smoking status and sociodemographic, military, and health characteristics.Results: Among 19 911 veterans who provided information on cigarette smoking, 5581 were current smokers (weighted percentage: 32.5%, 95% confidence interval [CI]: 31.7-33.2). Current smokers were more likely than nonsmokers or former smokers to be younger, to have less education or income, to be separated/divorced or never married/single, and to have served on active duty or in the army. Comparing current smokers and nonsmokers, some significant associations from adjusted analyses included the following: having a Mental Component Summary score (a measure of overall mental health) above the mean of the US population relative to below the mean (adjusted odds ratio [aOR] = 0.81, 95% CI: 0.73-0.90); having physician diagnosed depression (aOR = 1.52, 95% CI: 1.33-1.74), respiratory conditions (aOR = 1.16, 95% CI: 1.04-1.30), or repeated seizures/blackouts/convulsions (aOR = 1.80, 95% CI: 1.22-2.67); heavy alcohol use vs never use (aOR = 5.49, 95% CI: 4.57-6.59); a poor vs excellent perception of overall health (aOR = 3.79, 95% CI: 2.60-5.52); and being deployed vs nondeployed (aOR = 0.87, 95% CI: 0.78-0.96). Using health care services from the VA protected against current smoking.Conclusion: Mental and physical health, substance use, and military service characteristics shape cigarette-smoking patterns in OEF/OIF veterans.