A qualitative analysis of the tobacco control climate in the US military
A qualitative analysis of the tobacco control climate in the US military
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DOI：
10.1093/ntr/ntp181
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发表时间：
2010-02-01
影响因子：
4.7
通讯作者：
Lando, Harry A.
中科院分区：
文献类型：
--
作者：
Jahnke, Sara A.;Haddock, C. Keith;Lando, Harry A.
导言：美国军人的吸烟率历来高于美国总人口。虽然在过去二十年中，军队的烟草使用有所减少，但最近的调查显示，烟草使用有增加的趋势。鉴于烟草对军人的战备状态和长期健康都有负面影响，了解哪些因素可能与吸烟率上升有关是很重要的。有人认为，军队中存在一种支持吸烟的文化。方法：我们采用半结构化访谈的方法，调查了来自所有四个军种的军事设施烟草控制经理和服务政策领导人对烟草控制气候的看法。结果：根据参与者的说法，军队控烟计划的主要优势是在每个军事设施强制提供治疗服务。任何军人都可以接受烟草咨询和药物治疗。对于最有希望的烟草控制新战略，意见不一。许多人推动国防部完全禁烟，包括要求军队不吸烟，禁止在军事设施销售烟草。然而，军队内部的一些烟草控制专家担心全面禁烟会带来意想不到的后果。讨论：虽然确定了当前烟草控制规划的几个好处，但在安装和服务水平上都确定了改进的机会。
Introduction: Rates of tobacco use in the U.S. military have traditionally been higher than in the general U.S. population. While the military has experienced decreases in tobacco use over the past two decades, recent surveys suggest a trend of increased use. Given the negative impact of tobacco on both the readiness and the long-term health of military members, it is important to understand what factors may be related to the increased use rates. It has been suggested that there is a culture that supports tobacco use in the military.Methods: We examined perceptions about the climate of tobacco control among military installation Tobacco Control Managers and Service Policy Leaders from all four branches of the military (n = 52) using semistructured interviews.Results: The primary strength of the military's tobacco control program, according to the participants, was mandating the provision of treatment services on every military installation. Any military member can receive both counseling and pharmacotherapy for tobacco. Opinions vary on the most promising new strategies for tobacco control. Many have pushed for a completely tobacco-free Department of Defense, including requiring troops to be tobacco-free and banning tobacco sales on military installations. However, a number of tobacco control experts within the military worry about unintended consequences of a complete ban.Discussion: While several benefits of the current tobacco control program were identified, opportunities for improvement were identified at both the installation and service level.