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关于家庭吸烟预防和烟草控制法案(R01)相关研究的竞争修订申请》的回应。这个应用程序将解决“消费者对烟草产品的认知和行为，以及与烟草产品有关的声明和通信”，这一群体是历史上使用率最高的人群：美国军事人员。这项研究是5R01CA109153-07基金的延伸：美国军方有效实施烟草控制政策的障碍。军事人员使用烟草产品在短期内会对战备状态产生负面影响，在长期内会对军队的医疗保健费用产生负面影响。尽管如此，烟草使用已被认定为“军事文化的一部分”。所有级别的军事人员都认为，吸烟是消除与军事生活相关的压力的有效方法，与他们面临的其他危险相比，吸烟的风险微不足道。军队强烈认为，他们的指挥官认为烟草对戒备和健康构成了相对不重要的威胁。这一创新的研究项目直接解决了美国军方对烟草产品误解的基础因素。这项修订研究的具体目的是：1)了解军队指挥官对各类烟草产品使用对军事人员健康和战备的危害的认知；2)通过分析根据国防部1330.9号指令实施定价做法的军事零售系统的文件，并就其服务中的烟草定价政策采访军队卫生政策领导，探索军事烟草产品定价政策的影响。这项研究的独特好处包括一支在军事烟草控制方面拥有丰富经验的国际知名的多学科研究团队，罕见的接触军事指挥官的机会，以及从母项目自然产生的创新研究计划。这项研究将创建FDA需要的证据基础，以影响军队中与烟草产品相关的有效政策的制定和实施。 与公共卫生相关：军事人员使用烟草产品的高流行率在短期内对战备状态产生负面影响，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，并支持将其接受为军事文化的一部分。这项研究将创建FDA需要的证据基础，以影响军队中与烟草产品相关的有效政策的制定和实施。

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.