Socioecological Risk and Protective Factors for Smoking Among Active Duty U.S. Military Personnel

Autor:	Janice M. Brown, Jason Williams, Robert M. Bray, Erin M. Anderson Goodell
Rok vydání:	2018
Předmět:	Socioecological model Adult Male Risk Coping (psychology) Active duty Adolescent medicine.medical_treatment Psychological intervention Combat readiness Stress Feature Article and Original Research Tobacco Use 03 medical and health sciences 0302 clinical medicine Cigarette smoking Surveys and Questionnaires Environmental health Health care Prevalence Humans Medicine 030212 general & internal medicine Tobacco Use Epidemiology 030505 public health business.industry Smoking Stressor Public Health Environmental and Occupational Health General Medicine Protective Factors United States 3. Good health Military Personnel Socioeconomic Factors Smoking cessation Female Smoking Cessation Coping 0305 other medical science business
Zdroj:	Military Medicine
ISSN:	1930-613X 0026-4075
DOI:	10.1093/milmed/usx021
Popis:	Introduction Cigarette smoking can have negative consequences in military populations including injury, reduced physical endurance, higher frequency of sick days, and reduced combat readiness. This study used the socioecological model to understand individual, interpersonal, and organizational influences on cigarette smoking among military members. Materials and Methods The sample for this secondary analysis was drawn from personnel at 24 large U.S. military installations, six from each service branch. Analyses included 4,728 personnel who were classified as current cigarette smokers. Generalized linear mixed models were used to estimate the associations among risk and protective factors from multiple ecological levels for smoking intensity and nicotine dependence. Results Smoking to fit in with one’s unit, being in the Army, smoking as a reaction to stress, and work-related stressors were all related to increased intensity of smoking and nicotine dependence. More active coping was associated with lower nicotine dependence and reduced smoking intensity. Conclusion Results based on the socioecological model identify influencing factors and suggest possible interventions for smoking cessation. Reducing tobacco use in the military will require coordinated interventions that address multilevel determinants of use and improve military health. This is important to the strategic alignment of policy and services across the continuum of health care needs.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75786dfe29af4ccfc368be7b9b1f939c https://doi.org/10.1093/milmed/usx021 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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