Barriers to Effective Tobacco Control Policy Implementation in the US Military

描述（由申请人提供）：本申请是对PAR-12-010“NIH与家庭吸烟预防和烟草控制法案（R 01）相关研究的竞争性修订申请”的回应。“本申请将解决“与烟草产品相关的消费者观念和行为，索赔，以及与烟草产品有关的通信”，在一个弱势群体中具有历史上的高用途：美国（US）军事人员。本研究是资助5 R 01 CA 109153 -07的扩展：美国军队有效实施烟草控制政策的障碍。军事人员使用烟草制品在短期内对战备状态产生负面影响，在长期内对军事医疗保健费用产生负面影响。尽管如此，烟草使用已被确定为“军事文化的一部分”。各级军事人员都认为，烟草使用是消除与军事生活有关的压力的有效方法，与他们面临的其他危险相比，烟草的风险微不足道。部队坚信，他们的指挥官认为烟草对战备和健康的威胁相对不重要。这项创新的研究项目直接解决了美国军方对烟草产品误解的根本因素。本修订研究的具体目的是：1）探讨军事指挥人员对各类烟草制品使用对军事人员健康和战备状态危害的认知; 2）通过分析军队零售系统的文件来探讨军队烟草产品定价政策的影响，这些文件是根据国防部1330.9号指令实施定价做法的，并采访军队卫生政策领导人，了解他们服役期间的烟草定价政策。这项研究的独特好处包括一个国际知名的多学科研究团队，在军事烟草控制方面拥有丰富的经验，不寻常的接触军事指挥官，以及一个创新的研究计划，它自然地从母项目中流出。这项研究将创建FDA所需的证据基础，以影响军队中与烟草产品相关的有效政策的制定和实施。 公共卫生相关性：军事人员使用烟草制品的高流行率在短期内对战备状态产生负面影响，并在长期内对军事保健费用产生负面影响。这一创新研究项目将直接解决促进对烟草产品的误解的因素，并支持将其作为军事文化的一部分。这项研究将为FDA影响军队烟草产品相关政策的制定和实施提供证据基础。

DESCRIPTION (provided by applicant): This application is in response to PAR-12-010 "NIH Competitive Revision Applications for Research Relevant to the Family Smoking Prevention and Tobacco Control Act (R01)." This application will address "consumer perceptions and behaviors related to tobacco products, claims, and communications regarding tobacco products" in a vulnerable population with historically high rates of use: United States (US) military personnel. This study is an extension of grant 5R01CA109153-07: Barriers to Effective Tobacco Control Policy Implementation in the US Military. Use of tobacco products by military personnel negatively impacts combat readiness in the short term and military healthcare costs in the long term. Despite this, tobacco use has been identified as "part of the military culture". Military personnel of all ranks believe tobacco use is an effective method for combating the stress associated with military life and that its risks are inconsequential compared to other dangers they face. Troops strongly believe that their commanders perceive tobacco as a relatively unimportant threat to readiness and health. This innovative research project directly addresses factors that underlie the misperceptions about tobacco products in the US Military. The Specific Aims of this revision study are: 1) To explore perceptions about the harm of various types of tobacco product use on the health and combat readiness of military personnel among military commanders; and, 2) to explore the effects of military tobacco product pricing policy by analyzing documents from the military retail system which operationalize pricing practices based on Department of Defense Instruction 1330.9, and interviewing military health policy leadership about tobacco pricing policy in their service. Unique benefits of this study include an internationally renowned, multi- disciplinary research team with extensive experience in military tobacco control, unusual access to military commanders, and an innovative program of research which flows naturally from the parent project. This research will create the evidence base the FDA needs to influence the development and implementation of effective policy related to tobacco products in the military. PUBLIC HEALTH RELEVANCE: High prevalence rates of use of tobacco products by military personnel negatively impacts combat readiness in the short term and military healthcare costs in the long term. This innovative research project will directly address factors that promote misperceptions about tobacco products and support their acceptance as part of the military culture. This study will create the evidence base the FDA needs to influence the development and implementation of effective policy related to tobacco products in the military.