Cigarette Smoking and Military Deployment A Prospective Evaluation
Cigarette Smoking and Military Deployment A Prospective Evaluation
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DOI：
10.1016/j.amepre.2008.07.009
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发表时间：
2008-12-01
影响因子：
5.5
通讯作者：
Macera, Caroline A.
中科院分区：
文献类型：
--
作者：
Smith, Besa;Ryan, Margaret A. K.;Macera, Caroline A.
背景资料：军事部署的压力可能会复合在军队中经历的职业压力，并表现在不适应的应对行为，如吸烟。目前的研究描述了新的吸烟者之间从不吸烟，吸烟惯犯之间的过去吸烟者，吸烟者之间的日常吸烟的变化与military deployment.Methods：千年队列是一个21年的纵向研究。目前的分析利用参与者（N= 48，304）谁提交的基线数据（2001年7月至2003年6月）之前，目前在伊拉克和阿富汗的冲突和后续数据（2004年6月至2006年1月）石油健康措施。在基线从不吸烟者中确定新吸烟，在基线既往吸烟者中确定吸烟累犯，在基线吸烟者中确定每日吸烟增加或减少。结果：在从不吸烟者中，1.3%的非部署人员和2.3%的部署人员发现了吸烟开始。在过去的吸烟者中，28.7%的未部署人员和39.4%的部署人员重新吸烟。吸烟在非部署人员中增加了44%，在部署人员中增加了57%。与未报告战斗暴露的人相比，部署并报告战斗暴露的人在基线从不吸烟者中开始吸烟的几率高1.6倍（95% CI=1.2，2.3），在基线既往吸烟者中恢复吸烟的几率高1.3倍。其他与部署后吸烟复发独立相关的部署因素包括部署>9个月和部署多次。在那些谁在基线吸烟，部署与每日吸烟量的变化不相关。结论：军事部署与吸烟的开始，更强烈的是，与吸烟累犯，特别是在那些长期部署，多次部署，或战斗曝光。预防计划应侧重于预防部署期间或部署后的吸烟复发。
Background: The stress of military deployment may compound Occupational stress experienced in the military and manifest in maladaptive coping behaviors such as cigarette smoking. The current study describes new smoking among never-smokers, smoking recidivism among past smokers, and change in daily smoking among smokers in relation to military deployment.Methods: The Millennium Cohort is a 21-year longitudinal study. The current analysis utilized participants (N=48,304) who submitted baseline data (July 2001-June 2003) before the current conflicts in Iraq and Afghanistan and follow-up data (June 2004-January 2006) oil health measures. New smoking was identified among baseline never smokers, smoking recidivism among baseline past smokers, and increased or decreased daily smoking among baseline smokers. Analyses were conducted March 2007-April 2007.Results: Among never-smokers, smoking initiation was identified in 1.3% of nondeployers and 2.3% of deployers. Among past smokers, smoking resumption occurred in 28.7% of nondeployers and 39.4% of those who deployed. Smoking increased 44% among nondeployers and 57% among deployers. Those who deployed and reported combat exposures were at 1.6 times greater odds of initiating smoking among baseline never-smokers (95% CI=1.2, 2.3) and at 1.3 times greater odds of resuming smoking among baseline past smokers when compared to those who did not report combat exposures. Other deployment factors independently associated with postdeployment smoking recidivism included deploying for >9 months and deploying multiple times. Among those who smoked at baseline, deployment was not associated with changes in daily amount smoked.Conclusions: Military deployment is associated with smoking initiation and, more strongly, with smoking recidivism, particularly among those with prolonged deployments, multiple deployments, or combat exposures. Prevention programs should focus on the prevention of smoking relapse during or after deployment.