"Throwing a rock at their armored tank": civilian authority and military tobacco control.
"Throwing a rock at their armored tank": civilian authority and military tobacco control.
复制标题
DOI：
10.1186/1471-2458-14-1292
复制
发表时间：
2014-12-17
影响因子：
4.5
通讯作者：
Malone RE
中科院分区：
文献类型：
--
作者：
Grundy Q;Smith EA;Malone RE
烟草使用是军人和退伍军人慢性病、残疾和死亡的主要原因。然而，民间公共卫生和烟草控制倡导者在这个问题上相对沉默。对烟草业的研究表明，通过与美国国会的关系干涉军事烟草政策的历史由来已久。军队不能自主实施烟草控制，但要接受国会的监督。因此，在军队中有效控制烟草的主要障碍是国会的政治反对和烟草业的影响，以及在政策竞技场中缺乏平民意识和支持。作为一个更大的项目的一部分，探讨民间支持军事烟草控制的主题，我们分析了焦点小组与公共卫生专业人员的数据，以更好地了解他们的机构和权威感方面的军事烟草控制。研究人员在公共卫生和烟草控制工作人员的重要会议上进行了4个焦点小组，共有36名公共卫生专业人员。数据被编码，研究小组开发了一种解释性的解释，捕捉数据中的模式和变化。公共卫生和烟草控制与会者都认为，平民参与军事烟草控制的努力是徒劳的。这源于对军事文化和结构的无知，识别反对烟草控制的强大话语，特别是在军事背景下，以及烟草业游说在整个政策过程中的真实存在。一个强有力的公共卫生声音对军事烟草控制可能有助于开始质疑烟草业的影响，在军事政策竞技场。随着军方采取行动制定更强有力的烟草控制政策，公共卫生和烟草控制专业人员应努力从外部参与并帮助其努力。只有这样的民间支持，才能实现无烟军队的目标。
Tobacco use is a major cause of chronic disease, disability and death among military personnel and veterans. However, civilian public health and tobacco control advocates have been relatively silent on the issue. Research on the tobacco industry shows a long history of interference in military tobacco policy through relationships with the United States (US) Congress. The military cannot autonomously implement tobacco control, but is subject to Congressional oversight. Thus, the primary obstacles to effective tobacco control in the military are Congressional political opposition and tobacco industry influence, and by extension, a lack of civilian awareness and support in the policy arena. As part of a larger project to explore the topic of civilian support for military tobacco control, we analyzed data from focus groups with public health professionals to better understand their sense of agency and authority in regards to military tobacco control. Researchers conducted 4 focus groups with a total of 36 public health professionals at key conferences for those working in public health and tobacco control. Data were coded and the research team developed an interpretive account that captured patterns and variations in the data. Public health and tobacco control participants shared a sense of futility regarding civilian efforts to engage in military tobacco control. This stemmed from feeling ignorant of military culture and structure, identifying powerful discourses that opposed tobacco control, particularly in a military context, and the very-real presence of the tobacco industry lobby throughout the policy process. A strong public health voice on military tobacco control might serve to begin problematizing the tobacco industry’s influence in the military policy arena. As the military moves to institute stronger tobacco control policy, public health and tobacco control professionals should work to engage with and aid its efforts from the outside. Only with such civilian side support can the goal of a tobacco free military be realized.
登录
查看更多内容
影响因子：
1.2
作者：
Stein, Risa J.;Pyle, Sara A.;Williams, Jason
通讯作者：
Williams, Jason
影响因子：
5.5
作者：
Luke, DA;Krauss, M
通讯作者：
Krauss, M
影响因子：
12.7
作者：
Offen, Naphtali;Smith, Elizabeth A.;Malone, Ruth E.
通讯作者：
Malone, Ruth E.
影响因子：
4.7
作者：
Jahnke, Sara A.;Haddock, C. Keith;Lando, Harry A.
通讯作者：
Lando, Harry A.
影响因子：
2.7
作者：
Smith, Elizabeth A.;Malone, Ruth E.
通讯作者：
Malone, Ruth E.