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Banning cigarette smoking on US Navy submarines: a case study
Harry A Lando1, Mark E Michaud2, Walker S C Poston3
1Department of Epidemiology, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Tobacco Control
|August 29, 2014
Summary
A comprehensive smoking ban on Navy submarines was successfully implemented by addressing secondhand smoke exposure and engaging personnel. This military tobacco policy change offers valuable lessons for future public health initiatives.
Area of Science:
- Public Health
- Military Medicine
- Tobacco Control
Background:
- Military culture traditionally supports smoking, posing challenges for tobacco control.
- Increasing concerns regarding secondhand smoke exposure in confined military environments like submarines.
- Previous attempts to ban smoking in the military faced challenges, including potential industry interference.
Purpose of the Study:
- To describe the successful implementation of a comprehensive smoking ban aboard Navy submarines.
- To identify key factors contributing to the policy's successful adoption and execution.
- To provide lessons learned for future tobacco policy changes in military and other settings.
Main Methods:
- Literature review including internet, popular media, military news, and scientific databases.
- Interviews with key Navy officers involved in policy implementation.
- Analysis of data demonstrating significant secondhand smoke exposure on submarines.
Main Results:
- Evidence of substantial secondhand smoke exposure was crucial for policy adoption.
- A phased rollout involving a working group, personnel engagement, and cessation support was effective.
- Gaining support from Chief Petty Officers was vital, transforming potential opposition into advocacy.
- The ban was implemented with fewer issues than anticipated and without apparent tobacco industry interference.
Conclusions:
- Successful tobacco policy implementation requires strong empirical evidence and effective issue framing.
- Engaging key personnel, setting realistic timelines, and providing resources are critical for success.
- Lessons learned from the submarine smoking ban have broader implications for military and public health policy.
- This case study highlights a successful strategy for implementing comprehensive smoking bans in challenging environments.
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