Deployment and Smokeless Tobacco Use Among Active Duty Service Members in the US Military
Deployment and Smokeless Tobacco Use Among Active Duty Service Members in the US Military
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DOI：
10.1093/milmed/usy186
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发表时间：
2019-03-01
影响因子：
1.2
通讯作者：
Lee, Sukhyung
中科院分区：
文献类型：
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作者：
Lin, Jie;Zhu, Kangmin;Lee, Sukhyung
导言：美国现役军人中使用无烟烟草的流行率远远高于美国普通民众。部署和无烟烟草使用之间的联系还没有得到很好的研究。我们调查了美国现役军人中部署无烟烟草与无烟烟草使用之间的关系。我们还评估了与无烟烟草使用相关的其他因素对无烟烟草使用协会的影响。材料和方法：从2015年7月至2016年5月，在两个军事设施(美国北卡罗来纳州布拉格堡和德克萨斯州拉克兰空军基地)招募符合条件的现役军人。每个参与者都完成了一份自填式问卷。采用多变量Logistic回归分析，评估使用无烟烟草和估计优势比(OR)和95%可信区间(CI)之间的关系。分层分析用于评估与军队中无烟烟草使用有关的其他常见因素的影响，特别是吸烟状况、家庭成员的吸烟情况(家族使用史)、对危害的感知以及军人同伴的使用情况。结果：在2465名完成调查问卷的研究参与者中，548人是无烟烟草使用者。被部署到战区的军人使用无烟烟草的几率比从未被部署到战区的军人高1.39倍(95%CI=1.03-1.87)。在被部署到战区1次、2次、3次和4次或更多的人中，使用无烟烟草的几率分别为1.27(95%CI=0.91-1.78)、1.30(95%CI=0.85-1.99)、2.49(95%CI=1.45-4.28)和2.88(95%CI=1.71-4.86)，并有显著的剂量-反应趋势(p
Introduction: The prevalence of smokeless tobacco use among U.S. active duty service members has been much higher than in the U.S. general population. The association between deployment and smokeless tobacco use has not been well studied. We investigated the association between deployment and smokeless tobacco use among U.S. active duty service members. We also evaluated the modification effects from other factors related to smokeless tobacco use on the deployment-smokeless tobacco use association. Materials and Methods: Eligible active duty service members stationed at two military installations (Fort Bragg, NC, USA and Lackland Air Force Base, TX, USA) were recruited from July 2015 to May 2016. Each participant completed a self-administered questionnaire. Multivariable logistic regression was used to assess the association between deployment and smokeless tobacco use and estimated odds ratio (OR) and 95% confidence interval (CI). Stratified analysis was performed to evaluate modification effects from other commonly known factors related to smokeless tobacco use in military, specifically, cigarette smoking status, use among family members (family history of use), perception of harm, and use among military peers. Results: Out of 2,465 study participants who completed the questionnaire, 548 were smokeless tobacco users. Service members who had been deployed to a combat zone had 1.39 fold (95% CI = 1.03-1.87) increased odds of using smokeless tobacco than those who never deployed to a combat zone. The odds of smokeless tobacco use among those who had been deployed once, twice, three times and four or more times to a combat zone were 1.27 (95% CI = 0.91-1.78), 1.30 (95% CI = 0.85-1.99), 2.49 (95% CI = 1.45-4.28), and 2.88 (95% CI = 1.71-4.86), respectively, with a significant dose-response trend (p for trend