The association of smoking and the cost of military training
The association of smoking and the cost of military training
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DOI：
10.1136/tc.10.1.43
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发表时间：
2001-03-01
期刊：
影响因子：
5.2
通讯作者：
Lando, HA
中科院分区：
文献类型：
--
作者：
Klesges, RC;Haddock, CK;Lando, HA
目的：确定美国空军提前退伍是否与新兵吸烟状况有关。设计和设置-对1995年8月至1996年8月招募的29044名美国空军人员在基本军事训练期间进行基线行为风险评估调查。对他们进行了12个月的跟踪，以确定哪些人提前退伍。主要结果衡量标准--因提前退伍而产生的过高培训成本。结果-在这12个月的时间里，14.0%的进入美国空军的人在一年的随访中出院。在单变量和多变量模型中，吸烟状况是预测早期出院的最好的单一预测因子。总体而言，11.8%的非吸烟者和19.4%的吸烟者提前退伍(相对风险1.795)。结论--使用美国国防部关于军事训练成本的数据，在美国空军吸烟的新兵每年与1800万美元的额外训练成本有关。适用于所有服务部门的吸烟状况，即一系列可能导致提前退伍的潜在行为和态度，每年与超过1.3亿美元的培训费用有关。
Objective-To determine if premature discharge from the US Air Force was associated with the smoking status of recruits.Design and setting-A total of 29 044 US Air Force personnel recruited from August 1995 to August 1996 were administered baseline behavioural risk assessment surveys during basic military training. They were tracked over a 12 month period to determine those who were prematurely discharged.Main outcome measures-Excess training costs as a result of premature discharge. Results- In this 12 month period, 14.0% of those entering the US Air Force were discharged at a one year follow up. In both univariate and multivariate models, the best single predictor of early discharge was smoking status. Overall, 11.8% of non-smokers versus 19.4% of smokers were prematurely discharged (relative risk 1.795).Conclusions-Using US Department of Defense data on the cost of military training, recruits who smoke in the US Air Force are associated with $18 million per year in excess training costs. Applied to all service branches, smoking status, which represents a constellation of underlying behaviours and attitudes that can contribute to early discharge, is associated with over $130 million per year in excess training costs.