Longitudinal investigation of smoking initiation and relapse among younger and older US Military personnel

E.J. Boyko, D.W. Trone, A.V. Peterson, I.G. Jacobson, A.J. Littman, C. Maynard, A.D. Seelig, N.F. Crum-Cianflone and J.B. Bricker

American Journal of Public Health, 2015, vol. 105, issue 6, 1220-1229

Abstract: Objectives. We examined whether military service, including deployment and combat experience, were related to smoking initiation and relapse. Methods. We included older (panel 1) and younger (panel 2) participants in the Millennium Cohort Study. Never smokers were followed for 3 to 6 years for smoking initiation, and former smokers were followed for relapse. Complementary log-log regression models estimated the relative risk (RR) of initiation and relapse by military exposure while adjusting for demographic, health, and lifestyle factors. Results. Deployment with combat experience predicted higher initiation rate (panel 1: RR = 1.44; 95% confidence interval [CI] = 1.28, 1.62; panel 2: RR = 1.26; 95% CI = 1.04, 1.54) and relapse rate (panel 1 only: RR = 1.48; 95% CI = 1.36, 1.62). Depending on the panel, previous mental health disorders, life stressors, and other military and nonmilitary characteristics independently predicted initiation and relapse. Conclusions. Deployment with combat experience and previous mental disorder may identify military service members in need of intervention to prevent smoking initiation and relapse. © 2015, American Public Health Association Inc. All rights reserved.

Keywords: adult; complication; epidemiology; female; human; incidence; male; mental disease; mental stress; middle aged; prospective study; psychology; recurrent disease; risk factor; smoking; soldier; United States; war, Adult; Female; Humans; Incidence; Male; Mental Disorders; Middle Aged; Military Personnel; Prospective Studies; Recurrence; Risk Factors; Smoking; Stress, Psychological; United States; War (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302538_8

DOI: 10.2105/AJPH.2014.302538

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