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Published on: October 22, 2020
Cigarette smoking and military deployment: a prospective evaluation
Besa Smith1, Margaret A K Ryan, Deborah L Wingard
1Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, California 92106-3521, USA. besa.smith@med.navy.mil
Military deployment increases the risk of starting to smoke and resuming smoking, especially after combat exposure or prolonged deployments. Prevention efforts should target smoking relapse in service members.
Area of Science:
- Military Health
- Behavioral Science
- Epidemiology
Background:
- Military deployment stress can exacerbate occupational stress, leading to maladaptive behaviors like smoking.
- Understanding smoking patterns related to deployment is crucial for service member well-being.
Purpose of the Study:
- To examine new smoking, smoking recidivism, and changes in daily smoking among military personnel in relation to deployment.
- To identify specific deployment-related factors associated with smoking behavior changes.
Main Methods:
- Analysis of the Millennium Cohort Study, a 21-year longitudinal study.
- Inclusion of 48,304 participants with baseline data pre-conflict and follow-up health data.
- Categorization of smoking status: new smokers, past smokers resuming, and current smokers changing habits.
Main Results:
- Smoking initiation was higher in deployers (2.3%) vs. non-deployers (1.3%).
- Smoking resumption was significantly higher in deployers (39.4%) vs. non-deployers (28.7%).
- Combat exposure, prolonged (>9 months), and multiple deployments were associated with increased smoking initiation and recidivism.
Conclusions:
- Military deployment is a significant risk factor for smoking initiation and recidivism.
- Prolonged deployments, multiple deployments, and combat exposure strongly predict post-deployment smoking.
- Targeted prevention programs are needed to address smoking relapse during and after military deployment.
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